Oxygenation of the Intraportally Transplanted Pancreatic Islet

Thomas M. Suszynski, Efstathios S. Avgoustiniatos, Klearchos K Papas

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Intraportal islet transplantation (IT) is not widely utilized as a treatment for type 1 diabetes. Oxygenation of the intraportally transplanted islet has not been studied extensively. We present a diffusion-reaction model that predicts the presence of an anoxic core and a larger partly functional core within intraportally transplanted islets. Four variables were studied: islet diameter, islet fractional viability, external oxygen partial pressure (P) (in surrounding portal blood), and presence or absence of a thrombus on the islet surface. Results indicate that an islet with average size and fractional viability exhibits an anoxic volume fraction (AVF) of 14% and a function loss of 72% at a low external P. Thrombus formation increased AVF to 30% and function loss to 92%, suggesting that the effect of thrombosis may be substantial. External P and islet diameter accounted for the greatest overall impact on AVF and loss of function. At our institutions, large human alloislets (>200 μm diameter) account for 20% of total islet number but 70% of total islet volume; since most of the total transplanted islet volume is accounted for by large islets, most of the intraportal islet cells are likely to be anoxic and not fully functional.

Original languageEnglish (US)
Article number7625947
JournalJournal of Diabetes Research
Volume2016
DOIs
StatePublished - 2016

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Islets of Langerhans
Thrombosis
Islets of Langerhans Transplantation
Partial Pressure
Type 1 Diabetes Mellitus
Oxygen
Therapeutics

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Oxygenation of the Intraportally Transplanted Pancreatic Islet. / Suszynski, Thomas M.; Avgoustiniatos, Efstathios S.; Papas, Klearchos K.

In: Journal of Diabetes Research, Vol. 2016, 7625947, 2016.

Research output: Contribution to journalArticle

Suszynski, Thomas M. ; Avgoustiniatos, Efstathios S. ; Papas, Klearchos K. / Oxygenation of the Intraportally Transplanted Pancreatic Islet. In: Journal of Diabetes Research. 2016 ; Vol. 2016.
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