Increasing the efficiency of islets of langerhans’ isolation from the donor's pancreas to obtain a biomedical cell product based on them
Abstract
The progress of type I diabetes mellitus due to the destruction of the islets of Langerhans (IsL) and the subsequent progression of insulin deficiency are determined not only by genetic predisposition, but also by unfavorable environmental factors, the key ones of which are viral infections, air pollution, persistent organic pollutants, low physical activity and obesity. Clinical studies carried out over the past three decades have shown that the administration of isolated IsL or transplantation of the whole pancreas allows the restoration of β-cell function and the achievement of physiological release of endocrine hormones, to a greater extent than exogenous insulin in patients. The amount of freshly isolated IsL from one pancreas is insufficient for effective cell therapy. This study presents the results of modifying the conditions of the standard protocol for the islets of Langerhans’ isolating from the pancreas to increase the amount of biomedical cell product of this cells no less than 40%, in conditions of a limited donor’s material and to decrease the damaging proteolytic effect on the isolated cells. The object of the study was IsL isolated from the pancreas of donors with confirmed brain death.
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