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Updated: Feb 20, 2026

Isolated Pancreatic Islet Treatment and Apoptosis Measurement
Published on: May 2, 2025
Small molecules exert anti-apoptotic effect and reduce oxidative stress augmenting insulin secretion in stem cells
Bhawna Chandravanshi1, Ramesh Bhonde1
1School of Regenerative Medicine, Manipal University, GKVK Post, Bellary Road, Allalasandra, Yelahanka, 560065 Bangalore, India.
Abstract:
Transplantation of pancreatic islets is the most reliable treatment for Type 1 diabetes. However cell death mediated by hypoxia is considered as one of the main difficulties hindering success in islet transplantation. The aim of our experiment was to investigate the role of small molecules in survival of Islet like cell aggregates (ICAs) engineered from umbilical cord matrix under oxygen deprived condition (<5% O2). ICAs were analyzed for cell death via fluoroscein diacetate/propidium iodide (FDA/PI) staining, estimation of Caspase 3 and free radical release in presence and absence of small molecules. The samples were also analyzed for the presence of hypoxia inducible factor 1α (HIF1α) at both transcriptional and translational level. The addition of small molecules showed profound defensive effect on ICAs under hypoxic environment as evidenced by their viability and insulin secretion compared to untreated ICAs. The combinations of Eicosapentaenoic acid (EPA), Docosahexaenoic acid(DHA) and metformin and EPA, DHAandγ amino butyric acid (GABA) acted as anti-apoptotic agents for human ICAs when exposed to 1% O2 for 48h. The combinations of the small molecules reduced the total reactive oxygen species and malonaldehyde (MDA) levels and enhanced the production of glutathione peroxidise (GPx) enzyme under hypoxic conditions. Finally the increase in HIF1α at both protein and gene level confirmed the defensive effect of the additives in hypoxia. These results suggest that the combination of small molecules maintained the viability and functionality of the ICAs in hypoxia by up-regulating HIF1α expression and down regulating the Caspase 3 activity.
Insights
Small molecules like EPA, DHA, metformin, and GABA protect engineered pancreatic islet-like cell aggregates (ICAs) from hypoxia-induced cell death. These compounds enhance ICA survival and function, crucial for diabetes transplantation success.
Area of Science:
- Biomedical Engineering
- Regenerative Medicine
- Endocrinology
Background:
- Pancreatic islet transplantation is a key treatment for Type 1 diabetes.
- Hypoxia-induced cell death significantly hinders the success of islet transplantation.
- Islet-like cell aggregates (ICAs) offer a potential alternative for cell-based therapies.
Purpose of the Study:
- To investigate the protective role of small molecules against hypoxia in engineered ICAs.
- To evaluate the impact of specific small molecule combinations on ICA viability and function under oxygen deprivation.
- To explore the underlying molecular mechanisms, including hypoxia-inducible factor 1α (HIF1α) and apoptotic pathways.
Main Methods:
- Engineered ICAs from umbilical cord matrix were exposed to hypoxic conditions (<5% O2).
- Cell death was assessed using FDA/PI staining, Caspase 3 activity, and reactive oxygen species (ROS) levels.
- HIF1α expression (transcriptional and translational) and antioxidant enzyme activity (GPx) were analyzed.
Main Results:
- Small molecules, particularly combinations of EPA, DHA with metformin or GABA, significantly improved ICA viability and insulin secretion under hypoxia.
- These combinations demonstrated anti-apoptotic effects by reducing Caspase 3 activity, ROS, and malonaldehyde (MDA) levels.
- Enhanced glutathione peroxidase (GPx) activity and increased HIF1α expression at both gene and protein levels were observed.
Conclusions:
- Small molecules effectively protect engineered ICAs from hypoxic damage, preserving their viability and function.
- The protective mechanism involves up-regulation of HIF1α and down-regulation of Caspase 3 activity.
- These findings support the potential of small molecule preconditioning for improving islet transplantation outcomes in Type 1 diabetes.
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