ABSTRACT
Objetivos: revisar dados da literatura sobre isolamento de ilhotas pancreáticas para transplante e sobre as ações da frutose-1,6-bisfosfato. Fonte de dados: revisão de artigos publicados, a partir da pesquisa em bancos de dados nacionais e internacionais (SciELO, Lilacs, PubMed). Síntese dos dados: o transplante de ilhotas surge como uma alternativa para o tratamento do diabetes mellitus tipo 1. Entretanto, durante o processo de isolamento, há grande perda celular, principalmente na periferia da ilhota pancreática. As espécies reativas de oxigênio contribuem significativamente nesse processo, afetando a viabilidade das células para transplante. Vários esforços estão sendo feitos na tentativa de minimizar os danos causados pela liberação e produção destes compostos químicos. Conclusões: frente às importantes ações da frutose-1,6-bisfosfato descritas na literatura, seu emprego durante o processo de isolamento das ilhotas pancreáticas parece ser uma alternativa bastante atraente. O efeito da frutose-1,6-bisfosfato na redução da formação e liberação de radicais livres, assim como a sua ação citoprotetora, poderiam viabilizar um maior número de células, otimizando o processo de isolamento, além de auxiliar na enxertia, por diminuir a liberação de citocinas pró-inflamatórias.
Aims: To review the literature data about pancreatic islet isolation and fructose-1,6-bisphosfate. Source of data: Review of specific articles on the issue published in national and internacional databases (SciELO,Lilacs, PubMed). Summary of findings: Islets transplantation is an alternative for the treatment of type 1 diabetes mellitus. However, during the process of isolation, cell loss, mainly on the periphery of the pancreatic islet, ensues. Reactive oxygen species seem to contribute significantly in this process, affecting the viability of these cells. Various efforts are being made in an attempt to minimize the damage caused by the release and production of reactive oxygen species. Conclusions: Considering the important actions of fructose-1,6-bisphosphate which are described in the literature, its use in pancreatic islet isolation may represent an attractive alternative. The effect of fructose-1,6-bisphosphate in reducing the production and release of free radicals, as well as its role in cellular protection, could enable a greater number of viable cells, optimizing the isolation process, and also protecting the graft process, by reducing the release of proinflammatory cytokines.
Subject(s)
Humans , Male , Female , Diabetes Mellitus, Type 1 , Fructose-Bisphosphatase , Islets of Langerhans/growth & development , Islets of Langerhans TransplantationABSTRACT
The aim of this study is to perform a detailed morphometric immunohistochemical study of the development of fetal and newborn rat pancreatic islets. Twenty-four pancreases were obtained from 19 and 21-day-old fetal rats, one and 4-day-old newborn rats. They were fixed in buffered neutral formalin, dehydrated and embedded in paraplast. Sections were stained with anti-insulin antibodies. A morphometric study was performed on the pancreatic islets at the Department of Anatomy, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia, between 2001 and 2002. The volume density of B cells showed a gradual increase during the last days of gestation and a slight increase during the first 4 days after birth. All the other morphometric parameters showed a gradual increase during the last days of gestation and during the first days after birth. The B cell nuclear diameter and volume showed a slight increase after birth. The B cells were well stained and present in the central part of fetal and newborn islets, while, the other islet cells were present in the periphery of the islets. The size of the endocrine tissue, which was represented by the islet diameter, islet volume, islet volume density, total number of islet cells, number of B cells and volume density of B cells showed a progressive increase during the perinatal period