<i>In vitro</i> cultivation of human islets from expanded ductal tissue

  • Susan Bonner-Weir
    Joslin Diabetes Center, Department of Medicine, Harvard Medical School, Boston, MA 02215
  • Monica Taneja
    Joslin Diabetes Center, Department of Medicine, Harvard Medical School, Boston, MA 02215
  • Gordon C. Weir
    Joslin Diabetes Center, Department of Medicine, Harvard Medical School, Boston, MA 02215
  • Krystyna Tatarkiewicz
    Joslin Diabetes Center, Department of Medicine, Harvard Medical School, Boston, MA 02215
  • Ki-Ho Song
    Joslin Diabetes Center, Department of Medicine, Harvard Medical School, Boston, MA 02215
  • Arun Sharma
    Joslin Diabetes Center, Department of Medicine, Harvard Medical School, Boston, MA 02215
  • John J. O'Neil
    Joslin Diabetes Center, Department of Medicine, Harvard Medical School, Boston, MA 02215

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<jats:p> A major obstacle to successful islet transplantation for both type 1 and 2 diabetes is an inadequate supply of insulin-producing tissue. This need for transplantable human islets has stimulated efforts to expand existing pancreatic islets and/or grow new ones. To test the hypothesis that human adult duct tissue could be expanded and differentiated <jats:italic>in vitro</jats:italic> to form islet cells, digested pancreatic tissue that is normally discarded from eight human islet isolations was cultured under conditions that allowed expansion of the ductal cells as a monolayer whereupon the cells were overlaid with a thin layer of Matrigel. With this manipulation, the monolayer of epithelial cells formed three-dimensional structures of ductal cysts from which 50-to 150-μm diameter islet-like clusters of pancreatic endocrine cells budded. Over 3–4 weeks culture the insulin content per flask increased 10- to 15-fold as the DNA content increased up to 7-fold. The cultivated human islet buds were shown by immunofluorescence to consist of cytokeratin 19-positive duct cells and hormone-positive islet cells. Double staining of insulin and non-β cell hormones in occasional cells indicated immature cells still in the process of differentiation. Insulin secretion studies were done over 24 h in culture. Compared with their basal secretion at 5 mM glucose, cysts/cultivated human islet buds exposed to stimulatory 20 mM glucose had a 2.3-fold increase in secreted insulin. Thus, duct tissue from human pancreas can be expanded in culture and then be directed to differentiate into glucose responsive islet tissue <jats:italic>in vitro</jats:italic> . This approach may provide a potential new source of pancreatic islet cells for transplantation. </jats:p>

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