In a retrospective multicentre study of patients with type 1 diabetes mellitus, islet transplantation was associated with sustained HbA1c levels of <7% and freedom from severe hypoglycaemia for 5 years in 60% of immunosuppressed recipients, including those with recurrent severe pretransplant hypoglycaemia. Will islet transplant utilization in patient care now expand?
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Shapiro, A. M. State of the art of clinical islet transplantation and novel protocols of immunosuppression. Curr. Diab. Rep. 11, 345–354 (2011).
Thompson, D. M. et al. Reduced progression of diabetic microvascular complications with islet cell transplantation compared with intensive medical therapy. Transplantation 91, 373–378 (2011).
Lablanche, S. et al. Five-year metabolic, functional, and safety results of patients with type 1 diabetes transplanted with allogenic islets within the Swiss-French GRAGIL network. Diabetes Care http://dx.doi.org/10.2337/dc15-0094.
Ryan, E. A. et al. Five-year follow-up after clinical islet transplantation. Diabetes 54, 2060–2069 (2005).
Potter, K. J., Westwell-Roper, C. Y., Klimek-Abercrombie, A. M., Warnock, G. L., & Verchere, C. B. Death and dysfunction of transplanted β-cells: lessons learned from type 2 diabetes? Diabetes 63, 12–19 (2014).
Qi, M. et al. Five-year follow-up of patients with type 1 diabetes transplanted with allogeneic islets: the UIC experience. Acta Diabetol. 51, 833–843 (2014).
Bellin, M. D. et al. Potent induction immunotherapy promotes long-term insulin independence after islet transplantation in type 1 diabetes. Am. J. Transplant. 12, 1576–1583 (2012).
Rickels, M. R. et al. Improvement in β-cell secretory capacity after human islet transplantation according to the CIT07 protocol. Diabetes 62, 2890–2897 (2013).
Vantyghem, M. C. et al. Primary graft function, metabolic control, and graft survival after islet transplantation. Diabetes Care 32, 1473–1478 (2009).
Choudhary, P. et al. Evidence-informed clinical practice recommendations for treatment of type 1 diabetes complicated by problematic hypoglycemia. Diabetes Care 38, 1016–1029 (2015).
Acknowledgements
The authors would like to acknowledge that their work on human islet transplantation in type 1 diabetes mellitus has been supported in part by a USA Public Health Service research grant (UO1-AI065193) awarded by the NIH.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
B.J.H. is a consultant for Janssen Research and Development and is a Director of Diabetes-Free, Inc. M.D.B. has received research support from Dompe, Medtronic and Merck, and is a consultant for Viacyte.
PowerPoint slides
Rights and permissions
About this article
Cite this article
Hering, B., Bellin, M. Sustained benefits of islet transplants for T1DM. Nat Rev Endocrinol 11, 572–574 (2015). https://doi.org/10.1038/nrendo.2015.126
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrendo.2015.126
This article is cited by
-
Current Concepts of Using Pigs as a Source for Beta-Cell Replacement Therapy of Type 1 Diabetes
Current Molecular Biology Reports (2016)