Liposomal Formulations of Thrombomodulin Increase Engraftment after Intraportal Islet Transplantation

Early destruction of donor islet grafts due to an instant blood-mediated inflammatory reaction (IBMIR) remains a major obstacle in islet transplantation. Thrombomodulin plays an important role in limiting coagulation and inflammatory events through a variety of effects. In this study, we investigate...

Full description

Bibliographic Details
Main Authors: Wanxing Cui, Julianty Angsana, Jing Wen, Elliot L. Chaikof M.D., Ph.D.
Format: Article
Language:English
Published: SAGE Publishing 2010-11-01
Series:Cell Transplantation
Online Access:https://doi.org/10.3727/096368910X513964
_version_ 1819206714562445312
author Wanxing Cui
Julianty Angsana
Jing Wen
Elliot L. Chaikof M.D., Ph.D.
author_facet Wanxing Cui
Julianty Angsana
Jing Wen
Elliot L. Chaikof M.D., Ph.D.
author_sort Wanxing Cui
collection DOAJ
description Early destruction of donor islet grafts due to an instant blood-mediated inflammatory reaction (IBMIR) remains a major obstacle in islet transplantation. Thrombomodulin plays an important role in limiting coagulation and inflammatory events through a variety of effects. In this study, we investigated the ability of thrombomodulin (TM), when reconstituted as a liposomal formulation, to enhance early syngeneic islet engraftment by minimizing or abrogating the IBMIR. Administration of TM significantly improved early engraftment of syngeneic islets after intraportal transplantation in diabetic mice. In the absence of treatment, conversion to euglycemia was observed among 46.6% (7/15) of recipients. In contrast, administration of TM led to euglycemia in 93.3% (14/15) of recipients ( p = 0.0142). Recipients that received TM exhibited a lower incidence of primary nonfunction and better glucose control over a 30-day period after transplantation. Fibrin deposition ( p < 0.05), neutrophil infiltration ( p < 0.05), expression of TNF-α and IL-β mRNA ( p < 0.05), as well as NF-κB activity ( p < 0.05) were significantly reduced in the liver of islet recipients having been treated with liposomal TM. These data demonstrate that TM significantly improves early syngeneic islet engraftment through effects that target both coagulation and inflammatory pathways.
first_indexed 2024-12-23T05:11:59Z
format Article
id doaj.art-e4d969f156094865b8d82c747f0c8481
institution Directory Open Access Journal
issn 0963-6897
1555-3892
language English
last_indexed 2024-12-23T05:11:59Z
publishDate 2010-11-01
publisher SAGE Publishing
record_format Article
series Cell Transplantation
spelling doaj.art-e4d969f156094865b8d82c747f0c84812022-12-21T17:58:57ZengSAGE PublishingCell Transplantation0963-68971555-38922010-11-011910.3727/096368910X513964Liposomal Formulations of Thrombomodulin Increase Engraftment after Intraportal Islet TransplantationWanxing Cui0Julianty Angsana1Jing Wen2Elliot L. Chaikof M.D., Ph.D.3Department of Surgery, Emory University, Atlanta, GA, USADepartment of Biomedical Engineering, Emory University/Georgia Institute of Technology, Atlanta, GA, USADepartment of Surgery, Emory University, Atlanta, GA, USASchool of Chemical and Biomolecular Engineering, Georgia Institute of Technology, Atlanta, GA, USAEarly destruction of donor islet grafts due to an instant blood-mediated inflammatory reaction (IBMIR) remains a major obstacle in islet transplantation. Thrombomodulin plays an important role in limiting coagulation and inflammatory events through a variety of effects. In this study, we investigated the ability of thrombomodulin (TM), when reconstituted as a liposomal formulation, to enhance early syngeneic islet engraftment by minimizing or abrogating the IBMIR. Administration of TM significantly improved early engraftment of syngeneic islets after intraportal transplantation in diabetic mice. In the absence of treatment, conversion to euglycemia was observed among 46.6% (7/15) of recipients. In contrast, administration of TM led to euglycemia in 93.3% (14/15) of recipients ( p = 0.0142). Recipients that received TM exhibited a lower incidence of primary nonfunction and better glucose control over a 30-day period after transplantation. Fibrin deposition ( p < 0.05), neutrophil infiltration ( p < 0.05), expression of TNF-α and IL-β mRNA ( p < 0.05), as well as NF-κB activity ( p < 0.05) were significantly reduced in the liver of islet recipients having been treated with liposomal TM. These data demonstrate that TM significantly improves early syngeneic islet engraftment through effects that target both coagulation and inflammatory pathways.https://doi.org/10.3727/096368910X513964
spellingShingle Wanxing Cui
Julianty Angsana
Jing Wen
Elliot L. Chaikof M.D., Ph.D.
Liposomal Formulations of Thrombomodulin Increase Engraftment after Intraportal Islet Transplantation
Cell Transplantation
title Liposomal Formulations of Thrombomodulin Increase Engraftment after Intraportal Islet Transplantation
title_full Liposomal Formulations of Thrombomodulin Increase Engraftment after Intraportal Islet Transplantation
title_fullStr Liposomal Formulations of Thrombomodulin Increase Engraftment after Intraportal Islet Transplantation
title_full_unstemmed Liposomal Formulations of Thrombomodulin Increase Engraftment after Intraportal Islet Transplantation
title_short Liposomal Formulations of Thrombomodulin Increase Engraftment after Intraportal Islet Transplantation
title_sort liposomal formulations of thrombomodulin increase engraftment after intraportal islet transplantation
url https://doi.org/10.3727/096368910X513964
work_keys_str_mv AT wanxingcui liposomalformulationsofthrombomodulinincreaseengraftmentafterintraportalislettransplantation
AT juliantyangsana liposomalformulationsofthrombomodulinincreaseengraftmentafterintraportalislettransplantation
AT jingwen liposomalformulationsofthrombomodulinincreaseengraftmentafterintraportalislettransplantation
AT elliotlchaikofmdphd liposomalformulationsofthrombomodulinincreaseengraftmentafterintraportalislettransplantation