2008
DOI: 10.2337/db07-1452
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The Caspase Selective Inhibitor EP1013 Augments Human Islet Graft Function and Longevity in Marginal Mass Islet Transplantation in Mice

Abstract: OBJECTIVE—Clinical islet transplantation can provide insulin independence in patients with type 1 diabetes, but chronic graft failure has been observed. This has been attributed in part to loss of ≥60% of the transplanted islets in the peritransplant period, resulting in a marginal implant mass. Strategies designed to maximize survival of the initial islet mass are likely to have major impact in enhancing long-term clinical outcomes. EP1013 (N-benzyloxycabonyl-Val Asp-fluoromethyl ketone [zVD-FMK]), is a broad… Show more

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Cited by 60 publications
(46 citation statements)
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“…The present findings are in agreement with several others demonstrating an association between reduced viability and impaired insulin secretion (16,24,30,38,43,46). Indeed, the protective effect of PDTC on insulin secretion occurs in parallel with a reduction in human islet cell death.…”
Section: Discussionsupporting
confidence: 82%
“…The present findings are in agreement with several others demonstrating an association between reduced viability and impaired insulin secretion (16,24,30,38,43,46). Indeed, the protective effect of PDTC on insulin secretion occurs in parallel with a reduction in human islet cell death.…”
Section: Discussionsupporting
confidence: 82%
“…Loss of insulin secretion and biosynthesis is often associated with increased cell death; this is particularly true for islet transplantation where a significant fraction of the functional mass of islets is lost (Ryan et al 2005). A short treatment with caspase inhibitor reduces apoptosis and promotes long-term islet graft function (Emamaullee et al 2007(Emamaullee et al , 2008. This suggests that the rate of apoptosis and outcome of islet functions are mechanistically linked.…”
Section: Discussionmentioning
confidence: 99%
“…The retrieval process itself causes significant ischemic and mechanical injury, rendering islets more susceptible to posttransplant stress (26)(27)(28). The islets are deprived of their vascular supply and microenvironment.…”
mentioning
confidence: 99%
“…The islets are deprived of their vascular supply and microenvironment. However, to be metabolically active, the islets require access to oxygen, nutrients, and other metabolites at a physiological pH and with exclusion of toxic metabolites and oxidative stress (26,28,29). As in the early posttransplant setting, revascularization of transplanted islets has not yet occurred, and the islets are supplied with oxygen by diffusion only; close proximity to a proper vascular system is therefore essential (12,30).…”
mentioning
confidence: 99%