Strategy for Clinical Setting of Co-transplantation of Mesenchymal Stem Cells and Pancreatic Islets

Author:

Mei Liang1ORCID,Yuwei Yang2,Weiping Liang2,Zhiran Xu2,Bingzheng Feng2,Jibing Chen23ORCID,Hongjun Gao23

Affiliation:

1. Graduate School, Guangxi University of Chinese Medicine, Nanning, China

2. Ruikang Hospital affiliated to Guangxi University of Chinese Medicine, Nanning, China

3. Guangxi Clinical Research Center for Kidney Diseases of Integrated Traditional Chinese and Western Medicine, Nanning, China

Abstract

Islet transplantation may be the most efficient therapeutic technique for patients with type 1 diabetes mellitus (T1DM). However, the clinical application of this method is faced with numerous limitations, including isolated islet apoptosis, recipient rejection, and graft vascular reconstruction. Mesenchymal stem cells (MSCs) possess anti-apoptotic, immunomodulatory, and angiogenic properties. Here, we review recent studies on co-culture and co-transplantation of islets with MSCs. We have summarized the methods of preparation of co-transplantation, especially the merits of co-culture, and the effects of co-transplantation. Accumulating experimental evidence shows that co-culture of islets with MSCs promotes islet survival, enhances islet secretory function, and prevascularizes islets through various pretransplant preparations. This review is expected to provide a reference for exploring the use of MSCs for clinical islet co-transplantation.

Funder

Gao Hongjun

Publisher

SAGE Publications

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