2007
DOI: 10.1089/ten.2007.13.ft-336
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Islet Encapsulation: Strategies to Enhance Islet Cell Functions

Abstract: Diabetes is one of the most prevalent, costly, and debilitating diseases in the world. Although traditional insulin therapy has alleviated the short-term effects, long-term complications are ubiquitous and harmful. For these reasons, alternative treatment options are being developed. This review investigates one appealing area: cell replacement using encapsulated islets. Encapsulation materials, encapsulation methods, and cell sources are presented and discussed. In addition, the major factors that currently l… Show more

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Cited by 41 publications
(65 citation statements)
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“…In an immune-isolation device, islet cells are at risk from increasing levels of hypoxia and hypoxia-related generation of toxic cytokines and ROS. [1][2][3][4] The bulk of islet cells, consisting of the islet core, are the furthest from the islet surface and furthest from contact with the device's surface and are progressively lost as a function of time in an hypoxic environment, thus contributing to the failure of the islet-containing implant. It is difficult to successfully provide an immune-isolation device with sufficient oxygen to prevent significant islet cell loss.…”
Section: Discussionmentioning
confidence: 99%
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“…In an immune-isolation device, islet cells are at risk from increasing levels of hypoxia and hypoxia-related generation of toxic cytokines and ROS. [1][2][3][4] The bulk of islet cells, consisting of the islet core, are the furthest from the islet surface and furthest from contact with the device's surface and are progressively lost as a function of time in an hypoxic environment, thus contributing to the failure of the islet-containing implant. It is difficult to successfully provide an immune-isolation device with sufficient oxygen to prevent significant islet cell loss.…”
Section: Discussionmentioning
confidence: 99%
“…It is difficult to successfully provide an immune-isolation device with sufficient oxygen to prevent significant islet cell loss. [1][2][3][4][11][12][13][14] Attempts to overcome this problem have included various methods of encapsulation to reduce the diffusion distance from the limiting membrane to the islet, varying the implant site or environment to increase available oxygen, and the inclusion of oxygen binding substances or oxygen producing cells within the …”
Section: Discussionmentioning
confidence: 99%
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