A comparison of cold storage solutions for pancreas preservation prior to islet isolation

Transplant Proc. 2005 Oct;37(8):3396-7. doi: 10.1016/j.transproceed.2005.09.019.

Abstract

Background: Several solutions are used to preserve the pancreas prior to islet isolation. This study sought to assess whether the type of solution had an impact on the isolation outcome.

Methods: We reviewed data from 125 islet isolation procedures performed from January 2002 to January 2005. Pancreata were preserved in University of Wisconsin (UW) (n = 101), Celsior (CS) (n = 19), or IGL-1 (n = 5) solutions. Islet isolation results and transplantation rates were compared between groups.

Results: UW, CS, and IGL-1 groups were similar according to donor's age, weight, and body mass index. Weight of undigested pancreas was 20 +/- 13.1, 21.4 +/- 15.7, and 17.4 +/- 8.7 g for UW, CS, and IGL-1, respectively (P > .2). Final total number of IEQ was 267,000 +/- 132,000, 277,000 +/- 155,000, and 311,000 +/- 163,000, respectively (P > .4). Success rate (defined as >250,000 IEQ) was 55.5%, 52.9%, and 60% for UW, Celsior, and IGL-1 (P > .9); the transplantation rate was 42.2% for UW, 36.8% for Celsior, and 80% for IGL-1 preservation (P > .2).

Conclusions: In this preliminary study, UW, Celsior, and IGL-1 solutions demonstrated similar islet isolation results. The new IGL-1 solution appears promising.

Publication types

  • Comparative Study

MeSH terms

  • Adenosine
  • Allopurinol
  • Disaccharides
  • Electrolytes
  • Glutamates
  • Glutathione
  • Histidine
  • Humans
  • Insulin
  • Islets of Langerhans / cytology*
  • Islets of Langerhans Transplantation
  • Mannitol
  • Organ Preservation Solutions*
  • Pancreas*
  • Raffinose
  • Tissue and Organ Harvesting / methods*

Substances

  • Celsior
  • Disaccharides
  • Electrolytes
  • Glutamates
  • IGL-1 solution
  • Insulin
  • Organ Preservation Solutions
  • University of Wisconsin-lactobionate solution
  • Mannitol
  • Histidine
  • Allopurinol
  • Glutathione
  • Adenosine
  • Raffinose