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COVID-19 and islet transplantation: Different twins.
Piemonti, Lorenzo; Landoni, Giovanni.
  • Piemonti L; Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milano, Italy.
  • Landoni G; Università Vita-Salute San Raffaele, Milano, Italy.
Am J Transplant ; 20(11): 2983-2988, 2020 11.
Article in English | MEDLINE | ID: covidwho-245429
ABSTRACT
For those who work in the field of islet transplantation, the microvascular coronavirus disease 2019 (COVID-19) lung vessels obstructive thrombo-inflammatory syndrome (recently referred to as MicroCLOTS) is familiar, as one cannot fail to recognize the presence of similarities with the instant blood mediated inflammatory reaction (IBMIR) occurring in the liver hours and days after islet infusion. Evidence in both MicroCLOTS and IBMIR suggests the involvement of the coagulation cascade and complement system activation and proinflammatory chemokines/cytokines release. Identification and targeting of pathway(s) playing a role as "master regulator(s)" in the post-islet transplant detrimental inflammatory events could be potentially useful to suggest innovative COVID-19 treatments and vice versa. Scientific organizations across the world are fighting the COVID-19 pandemic. Islet transplantation, and more generally the transplantation scientific community, could contribute by suggesting strategies for innovative approaches. At the same time, in the near future, clinical trials in COVID-19 patients will produce an enormous quantity of clinical and translational data on the control of inflammation and complement/microthrombosis activation. These data will represent a legacy to be transformed into innovation in the transplant field. It will be our contribution to change a dramatic event into advancement for the transplant field and ultimately for our patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pancreatic Diseases / Blood Coagulation / Cytokines / Islets of Langerhans Transplantation / Pandemics / SARS-CoV-2 / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Am J Transplant Journal subject: Transplantation Year: 2020 Document Type: Article Affiliation country: Ajt.16001

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pancreatic Diseases / Blood Coagulation / Cytokines / Islets of Langerhans Transplantation / Pandemics / SARS-CoV-2 / COVID-19 Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: Am J Transplant Journal subject: Transplantation Year: 2020 Document Type: Article Affiliation country: Ajt.16001