title: Design of a bioartificial pancreas(+).
abstract: BACKGROUND
  In type 1 diabetes, the β-cells that secrete insulin have been destroyed such that daily exogenous insulin administration is required for the control of blood glucose in individuals with the disease. After the development of reliable techniques for the isolation of islets from the human pancreas, islet transplantation has emerged as a therapeutic option, albeit for only a few selected patients largely because there are not enough islets for the millions of patients requiring the treatment, and there is also the need to use immunosuppressive drugs to prevent transplant rejection. In 1980, the concept of islet immunoisolation by microencapsulation was introduced as a technique to overcome these 2 major barriers to islet transplantation. Microencapsulation of islets and transplantation in the peritoneal cavity was then described as a bioartificial pancreas. However, it is difficult to retrieve encapsulated islets transplanted in the peritoneal cavity, thus making it difficult to meet all the criteria for a bioartificial pancreas. A new design of a bioartificial pancreas comprising islets co-encapsulated with angiogenic protein in permselective multilayer alginate-poly-L-ornithine-alginate microcapsules and transplanted in an omentum pouch is described in this paper.
  
  
  METHODS
  The multilayer alginate-poly-L-ornithine-alginate microcapsules are made with ultrapure alginate using poly-L-ornithine as a semipermeable membrane separating the 2 alginate layers. The inner alginate layer is used to encapsulate the islets, and the outer layer is used to encapsulate angiogenic protein, which would induce neovascularization around the graft within the omentum pouch.
  
  
  RESULTS
  In in vitro studies, we found that both the wild-type and the heparin-binding growth-associated molecule (HBGAM)-fibroblast growth factor-1 chimera can be encapsulated and released in a controlled and sustained manner from the outer alginate layer with a mean diameter in the range of 113 to 164 µm when 1.25% high guluronic acid alginate is used to formulate this outer layer.
  
  
  CONCLUSIONS
  We are currently performing in vivo experiments to determine the ability of angiogenic proteins released from this outer layer to induce neovascularization around the grafts in the omentum pouch. We will subsequently examine the effect of co-encapsulation of islets with angiogenic protein on blood glucose control in diabetic animals. It is hoped that addition of tissue engineering to encapsulated islet transplantation will result in long-term survival of the islets and their ability to control blood glucose in type 1 diabetes without the necessity to use risky immunosuppressive drugs to prevent transplant rejection.
authors.affiliation: Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. eopara@wfubmc.edu
authors.forename: Emmanuel C
authors.initials: EC
authors.lastname: Opara
authors.forename: Sayed-Hadi
authors.initials: SH
authors.lastname: Mirmalek-Sani
authors.forename: Omaditya
authors.initials: O
authors.lastname: Khanna
authors.forename: Monica L
authors.initials: ML
authors.lastname: Moya
authors.forename: Eric M
authors.initials: EM
authors.lastname: Brey
mesh_terms: D000464:Alginates; D000818:Animals; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy*; D006801:Humans; D016381:Islets of Langerhans Transplantation / Q000379:methods*; D008863:Microspheres; D009852:Omentum / Q000601:surgery; D019397:Pancreas, Artificial; D011107:Polylysine / Q000031:analogs & derivatives; D023822:Tissue Engineering / Q000379:methods*
chemical_list: D000464:Alginates; C051546:alginate-polylysine-alginate; D011107:Polylysine