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Localization of endocrine pancreatic islets
P S Fiedor1, S F Oluwole, M A Hardy
1Department of Surgery, College of Physicians and Surgeons of Columbia University, 630 West 168 Street, New York, New York 10032, U.S.A.
World Journal of Surgery
|October 1, 1996
Summary
Dithizone (DTZ) and its iodo-derivative (I-DTZ) can identify pancreatic islets in vivo and in vitro. These markers show potential for diagnosing islet rejection and detecting pancreatic tumors like insulinomas.
Area of Science:
- Biomedical imaging
- Transplantation immunology
- Endocrinology
Background:
- Pancreatic islet transplantation is a key treatment for diabetes mellitus.
- Current diagnostic methods for islet rejection and endocrine function are insufficient.
- Novel imaging agents are needed for monitoring transplanted islets.
Purpose of the Study:
- To evaluate dithizone (DTZ) and a synthetic iodo-derivative (I-DTZ) as markers for identifying pancreatic islets.
- To assess the safety and efficacy of DTZ and I-DTZ in vivo and in vitro.
- To explore their potential clinical applications in islet transplantation and tumor detection.
Main Methods:
- Ex vivo staining of human pancreatic islets with DTZ.
- In vivo localization of rat pancreatic islets using intravenous DTZ or I-DTZ.
- Transplantation of rat islets into diabetic recipients.
- Macroscopic and microscopic identification of transplanted islets post-injection.
- Assessment of islet endocrine function via plasma insulin and glucose levels.
Main Results:
- DTZ and I-DTZ specifically stained pancreatic islets both in vitro and in vivo.
- Intravenous administration did not impair islet endocrine function.
- Successful macroscopic and microscopic identification of viable transplanted islets was achieved.
- Human islets exhibited red staining with DTZ/I-DTZ.
Conclusions:
- DTZ and I-DTZ are effective agents for identifying pancreatic islets.
- These compounds show promise for in vivo and in vitro diagnostic applications.
- Potential clinical uses include monitoring islet allograft rejection and detecting insulinomas.