Update on Islet Transplantation
Open accessAbstract
Clinical islet transplantation has progressed considerably over the past 12 years, and >750 patients with type 1 diabetes have received islet transplants internationally over this time. Many countries are beginning to accept the transition from research to accepted and funded clinical care, especially for patients with brittle control that cannot be stabilized by more conventional means. Major challenges remain, including the need for more than one donor, and the requirement for potent, chronic immunosuppression. Combining immunological tolerance both to allo- and autoantigens, and a limitless expandable source of stem cell- or xenograft-derived insulin-secreting cells represent remaining hurdles in moving this effective treatment to a potential cure for all those with type 1 or 2 diabetes.
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Primary islets often demonstrated progressive functional decline in the years following transplantation, necessitating patients to resume exogenous insulin injections over time.
“Furthermore, primary islets often demonstrated progressive functional decline in the years following transplantation, necessitating patients to resume exogenous insulin injections overtime.”
From Developments in stem cell-derived islet replacement therapy for treating type 1 diabetes (2023) · cites this paper as [124]
Because of major cell loss during the immediate aftermath of transplantation, a high islet mass from multiple organ donors and several infusions was used in the clinic.
“Because of this major cell loss during the immediate aftermath of transplantation, a high islet mass from multiple organ donors and several infusions was used in the clinic.”
From Developments in stem cell-derived islet replacement therapy for treating type 1 diabetes (2023) · cites this paper as [124]
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“Similarly, the group from the University of Alberta recently reported sustained islet function as measured by the presence of C-peptide in 73% of their transplanted subjects, with 15% insulin independent at 9 years after transplantation (16).”
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- Authors
- McCall, M., & James Shapiro, A. M.
- Affiliations
- University of Alberta (CA)
- ORCID
- McCall, M.
- Venue
- Cold Spring Harbor Perspectives in Medicine
- Publisher
- Cold Spring Harbor Laboratory
- Published
- 2012-05-08
- Volume
- 2
- Issue
- 7
- Pages
- a007823-a007823
- ISSN
- 2157-1422 (ISSN-L)
- PMC
- PMC3385934
- OpenAlex
- W2111365775
- Cited by
- 226
- References
- 100
- Citations by year
- 2026: 1 · 2025: 9 · 2024: 9 · 2023: 10 · 2022: 12 · 2021: 20 · 2020: 14 · 2019: 26 · 2018: 19 · 2017: 18 · 2016: 16 · 2015: 22 · 2014: 28 · 2013: 18 · 2012: 4
- Type
- posted content
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cold Spring Harbor Perspectives in Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Diabetes Research Institute Foundation
- Alberta Innovates - Health Solutions
- Alberta Innovates
- National Institutes of Health
- National Institute of Allergy and Infectious Diseases
- National Institute of Diabetes and Digestive and Kidney Diseases
- National Center for Research Resources
- Topics
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- islet transplantation, type 1 diabetes, type 2 diabetes, immune tolerance, immunosuppression, insulin-secreting cells, stem cell-derived islets, clinical translation
- MeSH terms
- Animals, Diabetes Mellitus, Type 1, Humans, Immunosuppression Therapy, Inflammation, Necrosis, Tissue and Organ Procurement, Portal System, Tumor Necrosis Factor-alpha, Autoimmunity, Islets of Langerhans Transplantation, Apoptosis
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