Gene Transfer of Constitutively Active Akt Markedly Improves Human Islet Transplant Outcomes in Diabetic Severe Combined Immunodeficient Mice
| Autor: | Poornima Rao, Karen K. Takane, Rita Bottino, Jennifer Roccisana, Adolfo Garcia-Ocaña, Allan Z. Zhao, Massimo Trucco |
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| Rok vydání: | 2005 |
| Předmět: |
endocrine system
medicine.medical_specialty Time Factors endocrine system diseases Ratón Endocrinology Diabetes and Metabolism medicine.medical_treatment Transplantation Heterologous Islets of Langerhans Transplantation Gene Expression AKT1 Mice SCID Protein Serine-Threonine Kinases Biology Adenoviridae Diabetes Mellitus Experimental Islets of Langerhans Mice Proto-Oncogene Proteins Diabetes mellitus Internal medicine Internal Medicine medicine Animals Humans Protein kinase B Cell Proliferation geography Severe combined immunodeficiency geography.geographical_feature_category Cell Death Insulin Gene Transfer Techniques Islet medicine.disease Transplantation Endocrinology Proto-Oncogene Proteins c-akt |
| Zdroj: | Diabetes. 54:1664-1675 |
| ISSN: | 1939-327X 0012-1797 |
| DOI: | 10.2337/diabetes.54.6.1664 |
| Popis: | Akt is an important intracellular mediator of β-cell growth and survival in rodents. However, whether constitutive activation of Akt in human β-cells enhances the survival and function of transplanted islets is unknown. In the current study, we examined the efficacy of constitutive activation of Akt in improving human islet transplant outcomes using a marginal mass model in diabetic severe combined immunodeficient (SCID) mice. Human islets transduced with adenoviruses encoding constitutively active Akt1 (Adv-CA-Akt) displayed increased total and phosphorylated Akt and Akt kinase activity compared with control islets. Expression of CA-Akt in human islets induced a significant increase in β-cell replication and a significant decrease in β-cell death induced by serum and glucose deprivation or chronic hyperglycemia. Two control groups of islets (1,500 uninfected or adenovirus LacZ [Adv-LacZ]–transduced human islet equivalents [IEQs]) transplanted under the kidney capsule of streptozotocin-induced diabetic SCID mice were insufficient to correct hyperglycemia. Importantly and in marked contrast to these controls, 1,500 Adv-CA-Akt–transduced IEQs were capable of restoring euglycemia in diabetic SCID mice. Moreover, blood glucose normalization persisted for at least 6 months. Human plasma insulin at day 54 after transplant was 10-fold higher in Adv-CA-Akt islet recipients (2.4 ± 0.4 ng/ml) compared with those receiving Adv-LacZ islets (0.25 ± 0.08 ng/ml) (P < 0.05). In summary, expression of CA-Akt in human islets improves islet transplant outcomes in a subcapsular renal graft model in SCID mice. Akt is an attractive target for future strategies aimed at reducing the number of islets required for successful islet transplantation in humans. |
| Databáze: | OpenAIRE |
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