I slet transplantation represents a potential treatment for insulin-dependent diabetes. Development and application of this technique is hampered by the limited availability of human donor tissue. In vitro expansion of human p-cells may provide an adequate source for p-cell grafts. So far, attempts to expand adult rodent p-cells have been unsuccessful. In different experimental conditions, this cell type has a low rate of replication both in vivo and in vitro (1,2). Nutrients and growth factors can stimulate fetal or neonatal P-cell replication, but most adult p-cells appear unresponsive to growth factor stimulation in vitro (1). In Address correspondence and reprint requests to Veronique H. Lefebvre, Diabetes Research Center, Vrije Universiteit Brussel, Laarbeeklaan 103, B-1090 Brussels, Belgium. E-mail: velefeb@mebo.vub.ac.be.Received for publication 29 August 1997 and accepted in revised form 9 October 1997.BrdU, 5-bromo-2'-deoxyuridine; HGF, hepatocyte growth factor .vivo, the main mechanism leading to increased p-cell numbers appears to involve neogenesis from ductal progenitor cells (2,3). Human p-cells exhibit a very low proliferative activity both during fetal development (9) and in adult life (4). According to a recent report, the proliferation of fetal human p-cells can be stimulated by hepatocyte growth factor (HGF) (5). Furthermore, also adult human p-cells appear to proliferate when cultured in the presence of HGF and an extracellular matrix prepared from rat 804G cells (6). The present study compares the mitogenic effect of this condition on the different cell types that compose a human islet preparation. Our findings contradict the conclusion of Hayek et al. (6), but indicate, instead, that HGF stimulates the proliferation of adult pancreatic duct cells.
RESEARCH DESIGN AND METHODSIslet isolation and culture. Human islets from ten heart-beating organ donors were isolated at the Central Unit of p-cell Transplant, Medical Campus, Vrije Universiteit, Brussels. The mean age of the organ donors was 41 ± 5 years (means ± SE [range 19-64]) and the mean organ preservation time 11 ± 2 h (range 4-20 h). Pancreases were processed by ductal distension with collagenase, gentle dissociation, and Ficoll gradient purification of islets. Islet-enriched fractions were cultured in serum-free Ham's F10 medium (Gibco, Life Technologies, Paisley, Scotland, U.K.) with 7.5 mmol/1 glucose, 1% bovine serum albumin, 0.075 ing penicillin/ml, 0.1 mg streptomycin/ml, and 2 mmol/1 glutamine (7). After 4-16 days of culture, these preparations contained <5% damaged cells, no acinar cells, 25 ± 5% ductal cells, 63 ± 5% insulin-positive cells, and 12 ± 2% glucagon-positive cells. They were recovered within this culture period and distributed into 35-mm dishes for either suspension culture or monolayer culture on 804G matrix (6) for a subsequent 1-7 days culture in RPMI1640 medium (Gibco, Life Technologies) with 5.5 mmol/1 or 11.1 mmol/1 glucose, 10% pooled AB human serum (BioWhittaker, Walkersville, MD, or Finnish Red Cross, Helsin...