Magnetic Resonance-Defined Periportal Steatosis Following Intraportal Islet Transplantation

Author:

Markmann James F.1,Rosen Mark2,Siegelman Evan S.2,Soulen Michael C.2,Deng Shaoping1,Barker Clyde F.1,Naji Ali1

Affiliation:

1. Department of Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania

2. Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania

Abstract

There is growing interest in more widespread application of isolated islet transplantation for the treatment of type 1 diabetes; however, the sequelae of long-term islet residence within the liver are unknown. We report herein a consequence of intraportal islet transplantation, specifically the development of periportal hepatic steatosis apparently induced by the local secretion of insulin within the liver.

Publisher

American Diabetes Association

Subject

Endocrinology, Diabetes and Metabolism,Internal Medicine

Reference18 articles.

1. Ballinger WF, Lacy PE: Transplantation of intact pancreatic islets in rats. Surgery 72:175–186,1972

2. Reckard CR, Barker CF: Transplantation of isolated pancreatic islets across strong and weak histocompatibility barriers. Transplant Proc 5:761–763,1973

3. Hering BJ, Ricordi C: Islet transplantation for patients with type 1 diabetes. Graft Review 2:12–27,1999

4. Brendel M, Hering B, Schulz A, Bretzel R: International Islet Transplant Registry Report. Giessen, Germany, Justus-Liebig-University Giessen,1999, p.1–20

5. Shapiro AMJ, Lakey JRT, Ryan EA, Korbutt GS, Toth EL, Warnock GL, Kneteman NN, Rajotte RV: Islet transplantation in seven patients with type I diabetes mellitus using a glucocorticoid-free immunosuppressive regimen. N Engl J Med 343:230–238,2000

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