Reversal of diabetes in non-immunosuppressed rhesus macaques by intraportal porcine islet xenografts precedes acute cellular rejection

:  Background:  The functional response and immunobiology of primarily non‐vascularized islet cell xenografts remain poorly defined in non‐human primates. Methods:  We transplanted 20 000 adult porcine islet equivalents/kg (purified and cultured for 48‐h) intraportally into six streptozotocin‐diabet...

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Published inXenotransplantation (Københaven) Vol. 11; no. 5; pp. 396 - 407
Main Authors Kirchhof, Nicole, Shibata, Satoshi, Wijkstrom, Martin, Kulick, David M., Salerno, Christopher T., Clemmings, Sue M., Heremans, Yves, Galili, Uri, Sutherland, David E.R., Dalmasso, Agustin P., Hering, Bernhard J.
Format Journal Article
LanguageEnglish
Published Oxford, UK Munksgaard International Publishers 01.09.2004
Subjects
Online AccessGet full text
ISSN0908-665X
1399-3089
DOI10.1111/j.1399-3089.2004.00157.x

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Abstract :  Background:  The functional response and immunobiology of primarily non‐vascularized islet cell xenografts remain poorly defined in non‐human primates. Methods:  We transplanted 20 000 adult porcine islet equivalents/kg (purified and cultured for 48‐h) intraportally into six streptozotocin‐diabetic and two non‐diabetic rhesus macaques. Two recipients were killed at various intervals post‐transplant for histologic examination of livers bearing xenografts. Results:  Plasma glucose levels in diabetic recipients averaged 94 mg/dl at 12 h, 92 mg/dl at 24 h, 147 mg/dl at 48 h, and 157 mg/dl at 72 h post‐transplant. Serum porcine C‐peptide was present in eight of eight recipients at 12 h, in five of six at 24 h, in four of four at 48 h, and in one of two at 72 h post‐transplant. C3a and SC5b‐9 plasma levels increased at 12 h post‐transplant and returned to pre‐transplant levels by 24 h. IgG, IgM anti‐pig and anti‐Gal IgG serum antibody levels did not increase post‐transplant. Rejection was initiated by IgM and complement deposition on islets. Neutrophils dominated the cellular infiltrate at 12 h; CD4+ and CD8+ T cells were the main infiltrating cells at 24, 48, and 72 h; and macrophages increasingly infiltrated xenografts starting at 24 h post‐transplant. Numerous xenoislets were present at all time points; their proportion without intraislet infiltrates decreased from 65% at 24 h to 17% at 72 h post‐transplant. Conclusions:  Pig‐to‐primate intraportal islet xenografts reverse diabetes and the majority of intraportally transplanted xenogeneic islets are not subject to hyperacute rejection. They undergo acute cellular rejection mediated by CD4+‐ and CD8+ T cells and macrophages.
AbstractList The functional response and immunobiology of primarily non-vascularized islet cell xenografts remain poorly defined in non-human primates.BACKGROUNDThe functional response and immunobiology of primarily non-vascularized islet cell xenografts remain poorly defined in non-human primates.We transplanted 20,000 adult porcine islet equivalents/kg (purified and cultured for 48-h) intraportally into six streptozotocin-diabetic and two non-diabetic rhesus macaques. Two recipients were killed at various intervals post-transplant for histologic examination of livers bearing xenografts.METHODSWe transplanted 20,000 adult porcine islet equivalents/kg (purified and cultured for 48-h) intraportally into six streptozotocin-diabetic and two non-diabetic rhesus macaques. Two recipients were killed at various intervals post-transplant for histologic examination of livers bearing xenografts.Plasma glucose levels in diabetic recipients averaged 94 mg/dl at 12 h, 92 mg/dl at 24 h, 147 mg/dl at 48 h, and 157 mg/dl at 72 h post-transplant. Serum porcine C-peptide was present in eight of eight recipients at 12 h, in five of six at 24 h, in four of four at 48 h, and in one of two at 72 h post-transplant. C3a and SC5b-9 plasma levels increased at 12 h post-transplant and returned to pre-transplant levels by 24 h. IgG, IgM anti-pig and anti-Gal IgG serum antibody levels did not increase post-transplant. Rejection was initiated by IgM and complement deposition on islets. Neutrophils dominated the cellular infiltrate at 12 h; CD4+ and CD8+ T cells were the main infiltrating cells at 24, 48, and 72 h; and macrophages increasingly infiltrated xenografts starting at 24 h post-transplant. Numerous xenoislets were present at all time points; their proportion without intraislet infiltrates decreased from 65% at 24 h to 17% at 72 h post-transplant.RESULTSPlasma glucose levels in diabetic recipients averaged 94 mg/dl at 12 h, 92 mg/dl at 24 h, 147 mg/dl at 48 h, and 157 mg/dl at 72 h post-transplant. Serum porcine C-peptide was present in eight of eight recipients at 12 h, in five of six at 24 h, in four of four at 48 h, and in one of two at 72 h post-transplant. C3a and SC5b-9 plasma levels increased at 12 h post-transplant and returned to pre-transplant levels by 24 h. IgG, IgM anti-pig and anti-Gal IgG serum antibody levels did not increase post-transplant. Rejection was initiated by IgM and complement deposition on islets. Neutrophils dominated the cellular infiltrate at 12 h; CD4+ and CD8+ T cells were the main infiltrating cells at 24, 48, and 72 h; and macrophages increasingly infiltrated xenografts starting at 24 h post-transplant. Numerous xenoislets were present at all time points; their proportion without intraislet infiltrates decreased from 65% at 24 h to 17% at 72 h post-transplant.Pig-to-primate intraportal islet xenografts reverse diabetes and the majority of intraportally transplanted xenogeneic islets are not subject to hyperacute rejection. They undergo acute cellular rejection mediated by CD4+- and CD8+ T cells and macrophages.CONCLUSIONSPig-to-primate intraportal islet xenografts reverse diabetes and the majority of intraportally transplanted xenogeneic islets are not subject to hyperacute rejection. They undergo acute cellular rejection mediated by CD4+- and CD8+ T cells and macrophages.
The functional response and immunobiology of primarily non-vascularized islet cell xenografts remain poorly defined in non-human primates. We transplanted 20,000 adult porcine islet equivalents/kg (purified and cultured for 48-h) intraportally into six streptozotocin-diabetic and two non-diabetic rhesus macaques. Two recipients were killed at various intervals post-transplant for histologic examination of livers bearing xenografts. Plasma glucose levels in diabetic recipients averaged 94 mg/dl at 12 h, 92 mg/dl at 24 h, 147 mg/dl at 48 h, and 157 mg/dl at 72 h post-transplant. Serum porcine C-peptide was present in eight of eight recipients at 12 h, in five of six at 24 h, in four of four at 48 h, and in one of two at 72 h post-transplant. C3a and SC5b-9 plasma levels increased at 12 h post-transplant and returned to pre-transplant levels by 24 h. IgG, IgM anti-pig and anti-Gal IgG serum antibody levels did not increase post-transplant. Rejection was initiated by IgM and complement deposition on islets. Neutrophils dominated the cellular infiltrate at 12 h; CD4+ and CD8+ T cells were the main infiltrating cells at 24, 48, and 72 h; and macrophages increasingly infiltrated xenografts starting at 24 h post-transplant. Numerous xenoislets were present at all time points; their proportion without intraislet infiltrates decreased from 65% at 24 h to 17% at 72 h post-transplant. Pig-to-primate intraportal islet xenografts reverse diabetes and the majority of intraportally transplanted xenogeneic islets are not subject to hyperacute rejection. They undergo acute cellular rejection mediated by CD4+- and CD8+ T cells and macrophages.
Background:  The functional response and immunobiology of primarily non‐vascularized islet cell xenografts remain poorly defined in non‐human primates. Methods:  We transplanted 20 000 adult porcine islet equivalents/kg (purified and cultured for 48‐h) intraportally into six streptozotocin‐diabetic and two non‐diabetic rhesus macaques. Two recipients were killed at various intervals post‐transplant for histologic examination of livers bearing xenografts. Results:  Plasma glucose levels in diabetic recipients averaged 94 mg/dl at 12 h, 92 mg/dl at 24 h, 147 mg/dl at 48 h, and 157 mg/dl at 72 h post‐transplant. Serum porcine C‐peptide was present in eight of eight recipients at 12 h, in five of six at 24 h, in four of four at 48 h, and in one of two at 72 h post‐transplant. C3a and SC5b‐9 plasma levels increased at 12 h post‐transplant and returned to pre‐transplant levels by 24 h. IgG, IgM anti‐pig and anti‐Gal IgG serum antibody levels did not increase post‐transplant. Rejection was initiated by IgM and complement deposition on islets. Neutrophils dominated the cellular infiltrate at 12 h; CD4 + and CD8 + T cells were the main infiltrating cells at 24, 48, and 72 h; and macrophages increasingly infiltrated xenografts starting at 24 h post‐transplant. Numerous xenoislets were present at all time points; their proportion without intraislet infiltrates decreased from 65% at 24 h to 17% at 72 h post‐transplant. Conclusions:  Pig‐to‐primate intraportal islet xenografts reverse diabetes and the majority of intraportally transplanted xenogeneic islets are not subject to hyperacute rejection. They undergo acute cellular rejection mediated by CD4 + ‐ and CD8 + T cells and macrophages.
:  Background:  The functional response and immunobiology of primarily non‐vascularized islet cell xenografts remain poorly defined in non‐human primates. Methods:  We transplanted 20 000 adult porcine islet equivalents/kg (purified and cultured for 48‐h) intraportally into six streptozotocin‐diabetic and two non‐diabetic rhesus macaques. Two recipients were killed at various intervals post‐transplant for histologic examination of livers bearing xenografts. Results:  Plasma glucose levels in diabetic recipients averaged 94 mg/dl at 12 h, 92 mg/dl at 24 h, 147 mg/dl at 48 h, and 157 mg/dl at 72 h post‐transplant. Serum porcine C‐peptide was present in eight of eight recipients at 12 h, in five of six at 24 h, in four of four at 48 h, and in one of two at 72 h post‐transplant. C3a and SC5b‐9 plasma levels increased at 12 h post‐transplant and returned to pre‐transplant levels by 24 h. IgG, IgM anti‐pig and anti‐Gal IgG serum antibody levels did not increase post‐transplant. Rejection was initiated by IgM and complement deposition on islets. Neutrophils dominated the cellular infiltrate at 12 h; CD4+ and CD8+ T cells were the main infiltrating cells at 24, 48, and 72 h; and macrophages increasingly infiltrated xenografts starting at 24 h post‐transplant. Numerous xenoislets were present at all time points; their proportion without intraislet infiltrates decreased from 65% at 24 h to 17% at 72 h post‐transplant. Conclusions:  Pig‐to‐primate intraportal islet xenografts reverse diabetes and the majority of intraportally transplanted xenogeneic islets are not subject to hyperacute rejection. They undergo acute cellular rejection mediated by CD4+‐ and CD8+ T cells and macrophages.
Background:The functional response and immunobiology of primarily non-vascularized islet cell xenografts remain poorly defined in non-human primates. Methods:We transplanted 20 000 adult porcine islet equivalents/kg (purified and cultured for 48-h) intraportally into six streptozotocin-diabetic and two non-diabetic rhesus macaques. Two recipients were killed at various intervals post-transplant for histologic examination of livers bearing xenografts. Results:Plasma glucose levels in diabetic recipients averaged 94 mg/dl at 12 h, 92 mg/dl at 24 h, 147 mg/dl at 48 h, and 157 mg/dl at 72 h post-transplant. Serum porcine C-peptide was present in eight of eight recipients at 12 h, in five of six at 24 h, in four of four at 48 h, and in one of two at 72 h post-transplant. C3a and SC5b-9 plasma levels increased at 12 h post-transplant and returned to pre-transplant levels by 24 h. IgG, IgM anti-pig and anti-Gal IgG serum antibody levels did not increase post-transplant. Rejection was initiated by IgM and complement deposition on islets. Neutrophils dominated the cellular infiltrate at 12 h; CD4 super(+) and CD8 super(+) T cells were the main infiltrating cells at 24, 48, and 72 h; and macrophages increasingly infiltrated xenografts starting at 24 h post-transplant. Numerous xenoislets were present at all time points; their proportion without intraislet infiltrates decreased from 65% at 24 h to 17% at 72 h post-transplant. Conclusions:Pig-to-primate intraportal islet xenografts reverse diabetes and the majority of intraportally transplanted xenogeneic islets are not subject to hyperacute rejection. They undergo acute cellular rejection mediated by CD4 super(+)- and CD8 super(+) T cells and macrophages.
Author Galili, Uri
Heremans, Yves
Hering, Bernhard J.
Kulick, David M.
Sutherland, David E.R.
Dalmasso, Agustin P.
Shibata, Satoshi
Wijkstrom, Martin
Salerno, Christopher T.
Kirchhof, Nicole
Clemmings, Sue M.
Author_xml – sequence: 1
  givenname: Nicole
  surname: Kirchhof
  fullname: Kirchhof, Nicole
  organization: Diabetes Institute for Immunology and Transplantation
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  givenname: Satoshi
  surname: Shibata
  fullname: Shibata, Satoshi
  organization: Diabetes Institute for Immunology and Transplantation
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  surname: Wijkstrom
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  organization: Diabetes Institute for Immunology and Transplantation
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  givenname: David M.
  surname: Kulick
  fullname: Kulick, David M.
  organization: Surgery
– sequence: 5
  givenname: Christopher T.
  surname: Salerno
  fullname: Salerno, Christopher T.
  organization: Surgery
– sequence: 6
  givenname: Sue M.
  surname: Clemmings
  fullname: Clemmings, Sue M.
  organization: Diabetes Institute for Immunology and Transplantation
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  givenname: Yves
  surname: Heremans
  fullname: Heremans, Yves
  organization: Medicine, University of Minnesota, Minneapolis, MN
– sequence: 8
  givenname: Uri
  surname: Galili
  fullname: Galili, Uri
  organization: Department of Cardiovascular Thoracic Surgery, Rush University, Chicago, IL
– sequence: 9
  givenname: David E.R.
  surname: Sutherland
  fullname: Sutherland, David E.R.
  organization: Diabetes Institute for Immunology and Transplantation
– sequence: 10
  givenname: Agustin P.
  surname: Dalmasso
  fullname: Dalmasso, Agustin P.
  organization: Surgery
– sequence: 11
  givenname: Bernhard J.
  surname: Hering
  fullname: Hering, Bernhard J.
  organization: Diabetes Institute for Immunology and Transplantation
BackLink https://www.ncbi.nlm.nih.gov/pubmed/15303976$$D View this record in MEDLINE/PubMed
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References Medbury HJ, Hibbins M, Lehnert AM et al. The cytokine and histological response in islet xenograft rejection is dependent upon species combination. Transplantation 1997; 64: 1307.
Tze WJ, Tai J. Xenotransplantation of rat pancreatic endocrine cells in spontaneous and streptozotocin-induced diabetic monkeys. Transplant Proc 1989; 21: 2736.
Schuurman HJ, Pino-Chavez G, Phillips MJ et al. Incidence of hyperacute rejection in pig-to-primate transplantation using organs from hDAF-transgenic donors. Transplantation 2002; 73: 1146.
Lalain S, Chaillous L, Gouin E, Sai P. Intensity and mechanisms of in vitro xenorecognition of adult pig pancreatic islet cells by CD and CD lymphocytes from Type 1 diabetic or healthy subjects. Diabetologia 1999; 42: 330.
Sun Y, Ma X, Zhou D et al. Normalization of diabetes in spontaneously diabetic cynomologus monkeys by xenografts of microencapsulated porcine islets without immunosuppression. J Clin Invest 1996; 98: 1417.
Dickson BC, Yang H, Savelkoul HF et al. Islet transplantation in the discordant tilapia-to-mouse model: a novel application of alginate microencapsulation in the study of xenograft rejection. Transplantation 2003; 75: 599.
Mandel TE, Koulmanda M, Kovarik J et al. Transplantation of organ cultured fetal pig pancreas in non-obese diabetic (NOD) mice and primates(Macaca fascicularis). Xenotransplantation 1995; 2: 128.
Yi S, Feng X, Hawthorne WJ et al. CD4+ T cells initiate pancreatic islet xenograft rejection via an interferon-gamma-dependent recruitment of macrophages and natural killer cells. Transplantation 2002; 73: 437.
Buhler L, Deng S, O'Neil J et al. Adult porcine islet transplantation in baboons treated with conventional immunosuppression or a non-myeloablative regimen and CD154 blockade. Xenotransplantation 2002; 9: 3.
Cantarovich D, Blancho G, Potiron N et al. Rapid failure of pig islet transplantation in non human primates. Xenotransplantation 2002; 9: 25.
Mandel T. Fetal islet xenotransplantation in rodents and primates. J Mol Med 1999; 77: 155.
Newgard CB, Clark S, Beltrandelrio H et al. Engineered cell lines for insulin replacement in diabetes - current status and future prospects. Diabetologia 1997; 40: 42.
Rayat GR, Rajotte RV, Hering BJ et al. In vitro and in vivo expression of Galalpha-(1,3)Gal on porcine islet cells is age dependent. J Endocrinol 2003; 177: 127.
Mandel TE, Koulmanda M, Cozzi E et al. Transplantation of normal and DAF-transgenic fetal pig pancreas into cynomolgus monkeys. Transplant Proc 1997; 29: 940.
Yi S, Feng X, Hawthorne W et al. CD8+ T cells are capable of rejecting pancreatic islet xenografts. Transplantation 2000; 70: 896.
Platt JL, Fischel RJ, Matas AJ et al. Immunopathology of hyperacute xenograft rejection in a swine-to-primate model. Transplantation 1991; 52: 214.
Solvik UO, Haraldsen G, Fiane AE et al. Human serum-induced expression of E-selectin on porcine aortic endothelial cells in vitro is totally complement mediated. Transplantation 2001; 72: 1967.
Olack BJ, Manna P, Jaramillo A et al. Indirect recognition of porcine swine leucocyte Ag class I molecules expressed on islets by human CD4+T lymphocytes. J Immunol 2000; 165: 1294.
Hamelmann W, Gray DW, Cairns TD et al. Immediate destruction of xenogeneic islets in a primate model. Transplantation 1994; 58: 1109.
van der Burg MP, Basir I, Bouwman E. No porcine islet loss during density gradient purification in a novel iodixanol in University of Wisconsin solution. Transplant Proc 1998; 30: 362.
Olack BJ, Jaramillo A, Benshoff ND et al. Rejection of porcine islet xenografts mediated by CD4+ T cells activated through the indirect antigen recognition pathway. Xenotransplantation 2002; 9: 393.
Stone KR, Ayala G, Goldstein J et al. Porcine cartilage transplants in the cynomolgus monkey. III. Transplantation of alpha-galactosidase-treated porcine cartilage. Transplantation 1998; 65: 1577.
Ricordi C, Gray DW, Hering BJ et al. Islet isolation assessment in man and large animals. Acta Diabetol Lat 1990; 27: 185.
Thomas FT, Ricordi C, Contreras JL et al. Reversal of naturally occuring diabetes in primates by unmodified islet xenografts without chronic immunosuppression. Transplantation 1999; 67: 846.
Soderlund J, Wennberg L, Castanos-Velez E et al. Fetal porcine islet-like cell clusters transplanted to cynomolgus monkeys: an immunohistochemical study. Transplantation 1999; 67: 784.
Theriault BR, Thistlethwaite JR, Levisetti MG et al. Induction, maintenance, and reversal of streptozotocin-induced insulin-dependent diabetesmellitus in the juvenile cynomolgus monkey (Macaca fascicularis). Transplantation 1999; 68: 331.
Shishido S, Naziruddin B, Howard T, Mohanakumar T. Recognition of porcine major histocompatibility complex class I antigens by human CD8+ cytolytic T cell clones. Transplantation 1997; 64: 340.
Bennet W, Sundberg B, Lundgren T et al. Damage to porcine islets of Langerhans after exposure to human blood in vitro, or after intraportal transplantation to cynomologus monkeys: protective effects of sCR1 and heparin. Transplantation 2000; 69: 711. (see comments)
Rijkelijkhuizen JK, Haanstra KG, Wubben J et al. T-cell-specific immunosuppression results in more than 53 days survival of porcine islets of langerhans in the monkey. Transplantation 2003; 76: 1359.
Jindal RM, Sidner RA, Mcdaniel HB et al. Intraportal vs. kidney subcapsular site for human pancreatic islet transplantation. Transplant Proc 1998; 30: 398.
Gill RG. The role of direct and indirect antigen presentation in the response to islet xenografts. Transplant Proc 1992; 24: 642.
Pipeleers DG, In't Veld PA, Van De WinkelM et al. A new in vitro model for the study of pancreatic A and B cells. Endocrinology 1985; 117: 806.
Salerno CT, Kulick DM, Yeh CG et al. A soluble chimeric inhibitor of C3 and C5 convertases, complement activation blocker-2, prolongs graft survival in pig-to-rhesus monkey heart transplantation. Xenotransplantation 2002; 9: 125.
Tanemura M, Chong AS, Disesa VJ, Galili U. Direct killing of xenograft cells by CD8+ T cells of discordant xenograft recipients. Transplantation 2002; 74: 1587.
Bennet W, Bjorkland A, Sundberg B et al. A comparison of fetal and adult porcine islets with regard to Gal alpha (1,3)Gal expression and the role of human immunoglobulins and complement in islet cell cytotoxicity. Transplantation 2000; 69: 1711.
Vercellotti GM, Platt JL, Bach FH, Dalmasso AP. Neutrophil adhesion to xenogeneic endothelium via iC3b. J Immunol 1991; 146: 730.
Gray DW, Song Z, Glover L et al. Tissue culture prevents hyperacute rejection of islet xenografts. Xenotransplantation 1995; 2: 157.
Scapini P, Laudanna C, Pinardi C et al. Neutrophils produce biologically active macrophage inflammatory protein-3alpha (MIP-3alpha)/CCL20 and MIP-3beta/CCL19. Eur J Immunol 2001; 31: 1981.
Azimzadeh A, Wolf P, Thibaudeau K et al. Comparative study of target antigens for primate xenoreactive natural antibodies in pig and rat endothelial cells. Transplantation 1997; 64: 1166.
Bonifacio E, Boitard C, Gleichmann H et al. Assessment of precision, concordance, specificity, and sensitivity of islet cell antibody measurement in 41 assays. Diabetologia 1990; 33: 731.
Fox A, Mountford J, Braakhuis A, Harrison LC. Innate and adaptive immune responses to nonvascular xenografts: evidence that macrophages are direct effectors of xenograft rejection. J Immunol 2001; 166: 2133.
Jiang Y, Jahagirdar BN, Reinhardt RL et al. Pluripotency of mesenchymal stem cells derived from adult marrow. Nature 2002; 418: 41.
Ricordi C, Socci C, Davalli AM et al. Isolation of the elusive pig islet. Surgery 1990; 107: 688.
Schuler T, Blankenstein T. Cutting edge: CD8(+) effector T cells reject tumors by direct antigen recognition but indirect action on host cells. J Immunol 2003; 170: 4427.
Auchincloss H Jr., Sachs DH. Xenogeneic transplantation. Annu Rev Immunol 1998; 16: 433.
Rodriguez A, Regnault A, Kleijmeer M et al. Selective transport of internalized antigens to the cytosol for MHC class I presentation in dendritic cells. Nat Cell Biol 1999; 1: 362.
Shibata S, Matsumoto S, Sageshima J et al. Temporary treatment with sirolimus and low-trough cyclosporine prevents acute islet allograft rejection, and combination with starch-conjugated deferoxamine promotes islet engraftment in the preclinical pig model. Transplant Proc 2001; 33: 509.
Krishnaswamy G, Kelley J, Yerra L et al. Human endothelium as a source of multifunctional cytokines: molecular regulation and possible role in human disease. J Interferon Cytokine Res 1999; 19: 91.
Badet L, Titus TT, Mcshane P et al. Transplantation of mouse pancreatic islets into primates-in vivo and in vitro evaluation. Transplantation 2001; 72: 1867.
Brandhorst H, Brandhorst D, Hering BJ, Bretzel RG. Significant progress in porcine islet mass isolation utilizing liberase HI for enzymatic low-temperature pancreas digestion. Transplantation 1999; 68: 355.
Chabot JA, Stegall MD, Weber C et al. Pancreatic islet allo- and xenotransplantation in cynomolgus monkeys. Transplant Proc 1989; 21: 2739.
2001; 166
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15303975 - Xenotransplantation. 2004 Sep;11(5):394-5
References_xml – reference: Azimzadeh A, Wolf P, Thibaudeau K et al. Comparative study of target antigens for primate xenoreactive natural antibodies in pig and rat endothelial cells. Transplantation 1997; 64: 1166.
– reference: Tze WJ, Tai J. Xenotransplantation of rat pancreatic endocrine cells in spontaneous and streptozotocin-induced diabetic monkeys. Transplant Proc 1989; 21: 2736.
– reference: Auchincloss H Jr., Sachs DH. Xenogeneic transplantation. Annu Rev Immunol 1998; 16: 433.
– reference: Schuler T, Blankenstein T. Cutting edge: CD8(+) effector T cells reject tumors by direct antigen recognition but indirect action on host cells. J Immunol 2003; 170: 4427.
– reference: Gill RG. The role of direct and indirect antigen presentation in the response to islet xenografts. Transplant Proc 1992; 24: 642.
– reference: Mandel TE, Koulmanda M, Kovarik J et al. Transplantation of organ cultured fetal pig pancreas in non-obese diabetic (NOD) mice and primates(Macaca fascicularis). Xenotransplantation 1995; 2: 128.
– reference: Solvik UO, Haraldsen G, Fiane AE et al. Human serum-induced expression of E-selectin on porcine aortic endothelial cells in vitro is totally complement mediated. Transplantation 2001; 72: 1967.
– reference: Schuurman HJ, Pino-Chavez G, Phillips MJ et al. Incidence of hyperacute rejection in pig-to-primate transplantation using organs from hDAF-transgenic donors. Transplantation 2002; 73: 1146.
– reference: Pipeleers DG, In't Veld PA, Van De WinkelM et al. A new in vitro model for the study of pancreatic A and B cells. Endocrinology 1985; 117: 806.
– reference: Yi S, Feng X, Hawthorne W et al. CD8+ T cells are capable of rejecting pancreatic islet xenografts. Transplantation 2000; 70: 896.
– reference: Yi S, Feng X, Hawthorne WJ et al. CD4+ T cells initiate pancreatic islet xenograft rejection via an interferon-gamma-dependent recruitment of macrophages and natural killer cells. Transplantation 2002; 73: 437.
– reference: Sun Y, Ma X, Zhou D et al. Normalization of diabetes in spontaneously diabetic cynomologus monkeys by xenografts of microencapsulated porcine islets without immunosuppression. J Clin Invest 1996; 98: 1417.
– reference: Stone KR, Ayala G, Goldstein J et al. Porcine cartilage transplants in the cynomolgus monkey. III. Transplantation of alpha-galactosidase-treated porcine cartilage. Transplantation 1998; 65: 1577.
– reference: Shishido S, Naziruddin B, Howard T, Mohanakumar T. Recognition of porcine major histocompatibility complex class I antigens by human CD8+ cytolytic T cell clones. Transplantation 1997; 64: 340.
– reference: Olack BJ, Manna P, Jaramillo A et al. Indirect recognition of porcine swine leucocyte Ag class I molecules expressed on islets by human CD4+T lymphocytes. J Immunol 2000; 165: 1294.
– reference: Olack BJ, Jaramillo A, Benshoff ND et al. Rejection of porcine islet xenografts mediated by CD4+ T cells activated through the indirect antigen recognition pathway. Xenotransplantation 2002; 9: 393.
– reference: Rijkelijkhuizen JK, Haanstra KG, Wubben J et al. T-cell-specific immunosuppression results in more than 53 days survival of porcine islets of langerhans in the monkey. Transplantation 2003; 76: 1359.
– reference: Vercellotti GM, Platt JL, Bach FH, Dalmasso AP. Neutrophil adhesion to xenogeneic endothelium via iC3b. J Immunol 1991; 146: 730.
– reference: Bennet W, Bjorkland A, Sundberg B et al. A comparison of fetal and adult porcine islets with regard to Gal alpha (1,3)Gal expression and the role of human immunoglobulins and complement in islet cell cytotoxicity. Transplantation 2000; 69: 1711.
– reference: Mandel T. Fetal islet xenotransplantation in rodents and primates. J Mol Med 1999; 77: 155.
– reference: Cantarovich D, Blancho G, Potiron N et al. Rapid failure of pig islet transplantation in non human primates. Xenotransplantation 2002; 9: 25.
– reference: Ricordi C, Gray DW, Hering BJ et al. Islet isolation assessment in man and large animals. Acta Diabetol Lat 1990; 27: 185.
– reference: Jiang Y, Jahagirdar BN, Reinhardt RL et al. Pluripotency of mesenchymal stem cells derived from adult marrow. Nature 2002; 418: 41.
– reference: Tanemura M, Chong AS, Disesa VJ, Galili U. Direct killing of xenograft cells by CD8+ T cells of discordant xenograft recipients. Transplantation 2002; 74: 1587.
– reference: Shibata S, Matsumoto S, Sageshima J et al. Temporary treatment with sirolimus and low-trough cyclosporine prevents acute islet allograft rejection, and combination with starch-conjugated deferoxamine promotes islet engraftment in the preclinical pig model. Transplant Proc 2001; 33: 509.
– reference: Brandhorst H, Brandhorst D, Hering BJ, Bretzel RG. Significant progress in porcine islet mass isolation utilizing liberase HI for enzymatic low-temperature pancreas digestion. Transplantation 1999; 68: 355.
– reference: Bonifacio E, Boitard C, Gleichmann H et al. Assessment of precision, concordance, specificity, and sensitivity of islet cell antibody measurement in 41 assays. Diabetologia 1990; 33: 731.
– reference: Scapini P, Laudanna C, Pinardi C et al. Neutrophils produce biologically active macrophage inflammatory protein-3alpha (MIP-3alpha)/CCL20 and MIP-3beta/CCL19. Eur J Immunol 2001; 31: 1981.
– reference: Mandel TE, Koulmanda M, Cozzi E et al. Transplantation of normal and DAF-transgenic fetal pig pancreas into cynomolgus monkeys. Transplant Proc 1997; 29: 940.
– reference: Newgard CB, Clark S, Beltrandelrio H et al. Engineered cell lines for insulin replacement in diabetes - current status and future prospects. Diabetologia 1997; 40: 42.
– reference: Gray DW, Song Z, Glover L et al. Tissue culture prevents hyperacute rejection of islet xenografts. Xenotransplantation 1995; 2: 157.
– reference: Hamelmann W, Gray DW, Cairns TD et al. Immediate destruction of xenogeneic islets in a primate model. Transplantation 1994; 58: 1109.
– reference: Rayat GR, Rajotte RV, Hering BJ et al. In vitro and in vivo expression of Galalpha-(1,3)Gal on porcine islet cells is age dependent. J Endocrinol 2003; 177: 127.
– reference: Thomas FT, Ricordi C, Contreras JL et al. Reversal of naturally occuring diabetes in primates by unmodified islet xenografts without chronic immunosuppression. Transplantation 1999; 67: 846.
– reference: Medbury HJ, Hibbins M, Lehnert AM et al. The cytokine and histological response in islet xenograft rejection is dependent upon species combination. Transplantation 1997; 64: 1307.
– reference: Bennet W, Sundberg B, Lundgren T et al. Damage to porcine islets of Langerhans after exposure to human blood in vitro, or after intraportal transplantation to cynomologus monkeys: protective effects of sCR1 and heparin. Transplantation 2000; 69: 711. (see comments)
– reference: Soderlund J, Wennberg L, Castanos-Velez E et al. Fetal porcine islet-like cell clusters transplanted to cynomolgus monkeys: an immunohistochemical study. Transplantation 1999; 67: 784.
– reference: van der Burg MP, Basir I, Bouwman E. No porcine islet loss during density gradient purification in a novel iodixanol in University of Wisconsin solution. Transplant Proc 1998; 30: 362.
– reference: Lalain S, Chaillous L, Gouin E, Sai P. Intensity and mechanisms of in vitro xenorecognition of adult pig pancreatic islet cells by CD and CD lymphocytes from Type 1 diabetic or healthy subjects. Diabetologia 1999; 42: 330.
– reference: Ricordi C, Socci C, Davalli AM et al. Isolation of the elusive pig islet. Surgery 1990; 107: 688.
– reference: Theriault BR, Thistlethwaite JR, Levisetti MG et al. Induction, maintenance, and reversal of streptozotocin-induced insulin-dependent diabetesmellitus in the juvenile cynomolgus monkey (Macaca fascicularis). Transplantation 1999; 68: 331.
– reference: Salerno CT, Kulick DM, Yeh CG et al. A soluble chimeric inhibitor of C3 and C5 convertases, complement activation blocker-2, prolongs graft survival in pig-to-rhesus monkey heart transplantation. Xenotransplantation 2002; 9: 125.
– reference: Dickson BC, Yang H, Savelkoul HF et al. Islet transplantation in the discordant tilapia-to-mouse model: a novel application of alginate microencapsulation in the study of xenograft rejection. Transplantation 2003; 75: 599.
– reference: Fox A, Mountford J, Braakhuis A, Harrison LC. Innate and adaptive immune responses to nonvascular xenografts: evidence that macrophages are direct effectors of xenograft rejection. J Immunol 2001; 166: 2133.
– reference: Krishnaswamy G, Kelley J, Yerra L et al. Human endothelium as a source of multifunctional cytokines: molecular regulation and possible role in human disease. J Interferon Cytokine Res 1999; 19: 91.
– reference: Jindal RM, Sidner RA, Mcdaniel HB et al. Intraportal vs. kidney subcapsular site for human pancreatic islet transplantation. Transplant Proc 1998; 30: 398.
– reference: Chabot JA, Stegall MD, Weber C et al. Pancreatic islet allo- and xenotransplantation in cynomolgus monkeys. Transplant Proc 1989; 21: 2739.
– reference: Badet L, Titus TT, Mcshane P et al. Transplantation of mouse pancreatic islets into primates-in vivo and in vitro evaluation. Transplantation 2001; 72: 1867.
– reference: Platt JL, Fischel RJ, Matas AJ et al. Immunopathology of hyperacute xenograft rejection in a swine-to-primate model. Transplantation 1991; 52: 214.
– reference: Rodriguez A, Regnault A, Kleijmeer M et al. Selective transport of internalized antigens to the cytosol for MHC class I presentation in dendritic cells. Nat Cell Biol 1999; 1: 362.
– reference: Buhler L, Deng S, O'Neil J et al. Adult porcine islet transplantation in baboons treated with conventional immunosuppression or a non-myeloablative regimen and CD154 blockade. Xenotransplantation 2002; 9: 3.
– volume: 29
  start-page: 940
  year: 1997
  article-title: Transplantation of normal and DAF‐transgenic fetal pig pancreas into cynomolgus monkeys
  publication-title: Transplant Proc
– volume: 67
  start-page: 846
  year: 1999
  article-title: Reversal of naturally occuring diabetes in primates by unmodified islet xenografts without chronic immunosuppression
  publication-title: Transplantation
– volume: 24
  start-page: 642
  year: 1992
  article-title: The role of direct and indirect antigen presentation in the response to islet xenografts
  publication-title: Transplant Proc
– volume: 58
  start-page: 1109
  year: 1994
  article-title: Immediate destruction of xenogeneic islets in a primate model
  publication-title: Transplantation
– volume: 74
  start-page: 1587
  year: 2002
  article-title: Direct killing of xenograft cells by CD8+ T cells of discordant xenograft recipients
  publication-title: Transplantation
– volume: 40
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Snippet :  Background:  The functional response and immunobiology of primarily non‐vascularized islet cell xenografts remain poorly defined in non‐human primates....
Background:  The functional response and immunobiology of primarily non‐vascularized islet cell xenografts remain poorly defined in non‐human primates....
The functional response and immunobiology of primarily non-vascularized islet cell xenografts remain poorly defined in non-human primates. We transplanted...
Background:The functional response and immunobiology of primarily non-vascularized islet cell xenografts remain poorly defined in non-human primates....
The functional response and immunobiology of primarily non-vascularized islet cell xenografts remain poorly defined in non-human primates.BACKGROUNDThe...
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StartPage 396
SubjectTerms Acute Disease
Animals
Blood Glucose
Diabetes Mellitus, Experimental - surgery
experimental transplantation
Female
graft infiltrating cells
Graft Rejection - immunology
histology and anatomy
Immunoglobulin M - analysis
islets
Islets of Langerhans Transplantation - immunology
Islets of Langerhans Transplantation - pathology
Macaca mulatta
morphology
non-human primates
pathology
Swine
Transplantation Conditioning
transplantation immunology and immunobiology
xenotransplantation
Title Reversal of diabetes in non-immunosuppressed rhesus macaques by intraportal porcine islet xenografts precedes acute cellular rejection
URI https://api.istex.fr/ark:/67375/WNG-9Q01MFZV-M/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1399-3089.2004.00157.x
https://www.ncbi.nlm.nih.gov/pubmed/15303976
https://www.proquest.com/docview/17125788
https://www.proquest.com/docview/66780155
Volume 11
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