Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2003-4-15
pubmed:abstractText
Islet transplantation is now established as an optional treatment for type I diabetes. However, rates of insulin independence in islet transplant recipients are still low. Although the major source of allograft is derived from brain-dead patient, the nonphysiologic state of brain death (BD) deteriorates organs such as liver and kidney. To determine the effects of BD on islets, a rodent model of BD has been used. Histologically, islets of BD rats showed decreased permeability and impaired integrity of the cell membranes. Flow cytometric analysis showed that CD11b/c-positive cells within islets were slightly increased in BD. This result suggests that BD induces macrophage infiltration into the islets. Moreover, RT-PCR revealed significant augmentation of macrophages-associated inflammatory molecules (IL-1beta, IL-6, TNF-alpha, and MCP-1) in islets from a BD donor. Inducible nitric oxide synthase (iNOS) was weakly expressed, although not reaching statistical significance compared with control. Our results indicate that islets from a BD donor are immunologically activated and have a potential risk factor for early graft loss and a poor long-term function of grafts in clinical setting of islet transplantation. Immunomodulation, to eliminate intraislet immunocytes and/or activated macro phage-associated molecules, might be necessary for the better outcome after islet graft from BD donors.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0963-6897
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
27-32
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:12693661-Adjuvants, Immunologic, pubmed-meshheading:12693661-Animals, pubmed-meshheading:12693661-Antigens, CD11, pubmed-meshheading:12693661-Brain Death, pubmed-meshheading:12693661-Cell Membrane Permeability, pubmed-meshheading:12693661-Chemotaxis, Leukocyte, pubmed-meshheading:12693661-Cytokines, pubmed-meshheading:12693661-Diabetes Mellitus, Type 1, pubmed-meshheading:12693661-Disease Models, Animal, pubmed-meshheading:12693661-Flow Cytometry, pubmed-meshheading:12693661-Graft Survival, pubmed-meshheading:12693661-Islets of Langerhans, pubmed-meshheading:12693661-Islets of Langerhans Transplantation, pubmed-meshheading:12693661-Macrophages, pubmed-meshheading:12693661-Male, pubmed-meshheading:12693661-Nitric Oxide, pubmed-meshheading:12693661-Rats, pubmed-meshheading:12693661-Rats, Inbred Lew, pubmed-meshheading:12693661-Regional Blood Flow, pubmed-meshheading:12693661-Tissue Donors
pubmed:year
2003
pubmed:articleTitle
Activation of macrophage-associated molecules after brain death in islets.
pubmed:affiliation
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kobe University, Kobe, Japan.
pubmed:publicationType
Journal Article