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Subcutaneous pancreatic islet transplantation without immunosuppression

Cellular encapsulation holds promise for immunosuppression-free pancreatic islet transplantation. However, long-term graft survival remains a challenge, especially at the subcutaneous site. We harnessed temporary, controlled, inflammation-induced neovascularization to create a modified subcutaneous cavity that supports long-term survival and function of a customized islet encapsulation device without immunosuppression.

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Fig. 1: Design of the SHEATH system.

References

  1. Marfil-Garza, B. A. et al. Pancreatic islet transplantation in type 1 diabetes: 20-year experience from a single-centre cohort in Canada. Lancet Diabetes Endocrinol. 10, 519–532 (2022). Largest single-centre experience with pancreatic islet transplantation presenting a comprehensive description of 20-year outcomes with this treatment.

    Article  CAS  PubMed  Google Scholar 

  2. Scharp, D. & Marchetti, P. Encapsulated islets for diabetes therapy: history, current progress, and critical issues requiring solution. Adv. Drug Deliv. Rev. 67‒68, 35–73 (2014). A comprehensive review on the history of islet encapsulation technologies.

    Article  PubMed  Google Scholar 

  3. Marfil-Garza, B. A. et al. Current state and evidence of cellular encapsulation strategies in type 1 diabetes. Comprehens. Physiol. 10, 839–878 (2020). A review including clinical studies concerning encapsulated islet transplantation.

    Article  Google Scholar 

  4. Pepper, A. R. et al. A prevascularized subcutaneous device-less site for islet and cellular transplantation. Nat. Biotechnol. 33, 518–523 (2015). Description of the ‘device-less’ technique for prevascularization of the subcutaneous space for non-encapsulated islet transplantation.

    Article  CAS  PubMed  Google Scholar 

  5. An, D. et al. Designing a retrievable and scalable cell encapsulation device for potential treatment of type 1 diabetes. Proc. Natl Acad. Sci. USA 115, e263–e272 (2018). Description of the optimized encapsulation device.

    Article  CAS  PubMed  Google Scholar 

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This is a summary of: Wang, L.-H. et al. Inflammation-induced subcutaneous neovascularization for the long-term survival of encapsulated islets without immunosuppression. Nat. Biomed. Eng. https://doi.org/10.1038/s41551-023-01145-8 (2023).

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Subcutaneous pancreatic islet transplantation without immunosuppression. Nat. Biomed. Eng (2023). https://doi.org/10.1038/s41551-023-01158-3

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