2002
DOI: 10.1046/j.1525-1594.2002.07080.x
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Contributions of a Finite Element Model for the Geometric Optimization of an Implantable Bioartificial Pancreas

Abstract: The extravascular implantation of islets of Langerhans immunoprotected within a permselective membrane is a promising method to treat diabetes mellitus. However, oxygen limitation due to purely diffusive solute transport was considered to provoke tissue necrosis and graft failure. We built a solute transport model based on a finite element method aiming at optimizing the hollow fiber geometry. With a low islet density, the influence of oxygen axial flux inside the fiber was underlined and a characteristic leng… Show more

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Cited by 16 publications
(7 citation statements)
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“…This per volume value is similar to that used by Avgoustiniatos and co-workers (0.034 mol/s/m 3 [ 44 ]; 0.050 mol/s/m 3 [ 23 ]) and Tilakaratne and co-workers (0.046 mol/s/m 3 ) [ 29 ]. As a per islet value (0.06 × 10 -12 mol·s -1 /islet), it is similar to that assumed by Dulong and Legallais (0.063 × 10 -12 mol·s -1 /islet) [ 30 , 42 ]; somewhat less than that assumed by Papas, Avgoustiniatos, and co-workers (0.127 × 10 -12 mol·s -1 /islet [ 20 , 32 ]; 0.074 × 10 -12 mol·s -1 /islet [ 43 ]); and slightly larger than those measured recently in various settings by Sweet and co-workers (e.g., 0.025–0.048 × 10 -12 mol·s -1 /islet at 3 mM basal- or 20 mM high glucose [ 45 , 46 ]). Converted to a per cell value (3.0 × 10 -17 mol·s -1 /cell), it is also in general agreement with values observed with other high-demand cells [ 21 ].…”
Section: Discussionsupporting
confidence: 82%
See 1 more Smart Citation
“…This per volume value is similar to that used by Avgoustiniatos and co-workers (0.034 mol/s/m 3 [ 44 ]; 0.050 mol/s/m 3 [ 23 ]) and Tilakaratne and co-workers (0.046 mol/s/m 3 ) [ 29 ]. As a per islet value (0.06 × 10 -12 mol·s -1 /islet), it is similar to that assumed by Dulong and Legallais (0.063 × 10 -12 mol·s -1 /islet) [ 30 , 42 ]; somewhat less than that assumed by Papas, Avgoustiniatos, and co-workers (0.127 × 10 -12 mol·s -1 /islet [ 20 , 32 ]; 0.074 × 10 -12 mol·s -1 /islet [ 43 ]); and slightly larger than those measured recently in various settings by Sweet and co-workers (e.g., 0.025–0.048 × 10 -12 mol·s -1 /islet at 3 mM basal- or 20 mM high glucose [ 45 , 46 ]). Converted to a per cell value (3.0 × 10 -17 mol·s -1 /cell), it is also in general agreement with values observed with other high-demand cells [ 21 ].…”
Section: Discussionsupporting
confidence: 82%
“…A maximum oxygen consumption rate R max (per unit islet volume) of 0.034 mol·s -1 ·m -3 was used in all calculations. With a standard islet of 150 μ m diameter (and islet equivalent IEQ volume V IEQ of 1.77 × 10 -12 m 3 ), this corresponds to a consumption rate (per islet) of R max = 0.06 × 10 -12 mol·s -1 /islet; both values being in the range of those measured and used in various works [ 20 , 23 , 29 , 30 , 32 , 42 - 46 ]. As Michaelis-Menten constant, = 1.0 × 10 -3 mol·m -3 (1 μ M) was assumed, corresponding to = 0.7 mmHg – similar to the frequently used 0.44 mmHg value [ 23 , 27 , 29 , 32 ] or even to that determined originally for mitochondria [ 39 ].…”
Section: Methodsmentioning
confidence: 96%
“…Our results demonstrate that an implanted photosynthetic bioreactor can supply oxygen to transplanted islets and thus maintain islet viability/functionality. Supporting Information for this article is available online at http://www.thieme-connect.de/products Endocrine Care [8][9][10][11][12][13][14][15][16]. Moreover, cell necrosis resulting from hypoxia may increase the immune response to the graft [17].…”
Section: Introduction ▼mentioning
confidence: 99%
“…In these, a membrane was sometimes considered present, but its impact on the diffusion rate was not [8]. Complex modeling has been achieved by finite element methods [11,12,13,14,15,16,17] to allow the study of complex geometries, fluid dynamics, and the presence of anoxic cores and cell death within islets. These methods are powerful allowing even alternative geometries, such as hollow fibers [15,16,17], to be studied, but their development is costly, frequently requiring the use of multi-physics modeling software.…”
Section: Introductionmentioning
confidence: 99%