Characterization of endocrine-rich monolayers of human fetal pancreas that display reduced immunogenicity

A M Simpson1, B E Tuch, P C Vincent

  • 1Department of Medicine, University of Sydney, New South Wales, Australia.

Diabetes
|July 1, 1991
PubMed

Insights

Researchers developed fibroblast-free human fetal pancreas cell monolayers with reduced immunogenicity for diabetes transplantation. Further immunosuppression and cell preservation are needed for clinical success.

Area of Science:

  • Endocrinology
  • Cell Biology
  • Immunology

Background:

  • Human fetal pancreas cells are a potential source for beta-cell replacement therapy in diabetes.
  • Establishing functional, immunologically compatible pancreatic cell cultures is challenging.
  • Fibroblast overgrowth and immune rejection are significant hurdles in pancreatic transplantation.

Purpose of the Study:

  • To create fibroblast-free, insulin-secreting monolayers from human fetal pancreas islet-like cell clusters (ICCs).
  • To assess the immunogenicity and functional characteristics of these novel pancreatic cell monolayers.
  • To evaluate the potential of these monolayers for future diabetes transplantation strategies.

Main Methods:

  • Human fetal pancreases (14-20 weeks gestation) were processed to obtain islet-like cell clusters (ICCs).
  • ICCs were cultured on bovine corneal matrix-coated plates to form endocrine-rich monolayers.
  • Mixed-lymphocyte reactions with human peripheral blood lymphocytes (HPBLs) were used to assess immunogenicity.
  • Insulin release in response to secretagogues was measured.

Main Results:

  • Fibroblast-free monolayers derived from ICCs showed significantly reduced immunogenicity compared to single-cell suspensions.
  • These ICC-derived monolayers maintained endocrine cell populations (65% +/- 13%) with substantial beta-cell presence (51%).
  • Cells exhibited stimulated insulin release with theophylline, calcium, and phorbol ester, but not glucose, and synthesized DNA, proinsulin, and protein.

Conclusions:

  • Establishment of an endocrine-rich human fetal pancreas monolayer with reduced immunogenicity is feasible.
  • Residual immune activity necessitates further immunosuppression strategies for successful transplantation in diabetic patients.
  • Cryopreservation and subculturing techniques may be required to generate sufficient beta-cell numbers for clinical application.