Human fetal pancreas preserved in culture was used as a donor organ in a 45-yr-old man with diabetes of 14-yr duration complicated by severe retinopathy and nephropathy. Renal failure had been successfully treated by a cadaveric renal transplant 2 yr earlier. Six fetal pancreases, obtained within 30 min of delivery after prostaglandin-induced abortion at 14–20 wk of gestation, were minced and placed in tissue culture for 3 h at the earliest and 15 days at the longest duration. The cultures were harvested 2–3 h before transplantation. Approximately 3 ml of tissue was infused into a right portal vein branch. Azathioprine was continued at 2 mg/kg and prednisolone increased from 10 mg to 100 mg/day on the day of transplantation and gradually reduced to 25 mg/day. Only two doses of antilymphocytic globulin were given because of a severe reaction. During the 40 days since transplantation, insulin requirements have not changed, but C-peptide has appeared in the urine, suggesting function of the transplanted tissue.
Transplantation of Fetal Pancreatic Microfragments via the Portal Vein to a Diabetic Patient
C G Groth, A Andersson, C Björkén, R Gunnarsson, C Hellerström, G Lundgren, B Petersson, I Swenne, J Östman; Transplantation of Fetal Pancreatic Microfragments via the Portal Vein to a Diabetic Patient. Diabetes 1 February 1980; 29 (Supplement_1): 80–83. https://doi.org/10.2337/diab.29.1.S80
Download citation file: