Abstract
Xenotransplantation of insulin-secreting cells from nonhuman sources is an alternative
therapeutic approach to bypass the shortage of human pancreatic islet tissue for transplantation
in order to treat insulin deficiency in type 1 diabetes mellitus. Therefore, we studied
the suitability of pseudoislets generated from insulin-secreting MIN6 tissue culture
cells to serve as a surrogate for replacement of pancreatic islets after encapsulation
in a minicell, representing a prototype of a new bioartificial pancreas device. MIN6
pseudoislets showed an excellent insulin secretory responsiveness with a typical biphasic
secretory pattern to glucose stimulation. When encapsulated in the minicell, insulin
release from the pseudoislets in response to glucose stimulation was reduced. The
initial first phase insulin secretory response was greatly attenuated. In contrast,
the first phase insulin secretory response of the encapsulated pseudoislets was restored
on stimulation with the sulfonylurea drug tolbutamide. Our results indicate that the
reason for the attenuated first phase of release is the restricted permeability of
the pores in the separating membrane in the minicell for the hydrophilic glucose molecule
rather than a limited permeability for the secretion product insulin. The reduced
release of insulin from the encapsulated pseudoislets could be compensated by overexpression
of glucokinase in MIN6 cells, which resulted in an increased glucose responsiveness
of the pseudoislets for stimulation with glucose. Thus, this minicell is a well-suited
miniature test system for the evaluation of the feasibility of encapsulation of insulin-secreting
cells and allows the testing of permeability properties of separating membranes in
bioartificial pancreas devices.
Key words
MIN6 cells - pseudoislets - minicell - encapsulation - perifusion - glucose-induced
insulin secretion
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Correspondence
Prof. S. Lenzen
Institute of Clinical Biochemistry
Hannover Medical School
30623 Hannover
Germany