Oxygenation and function of endocrine bioartificial pancreatic tissue constructs under flow for preclinical optimization

Islet transplantation and more recently stem cell-derived islets were shown to successfully re-establish glycemic control in people with type 1 diabetes under immunosuppression. These results were achieved through intraportal infusion which leads to early graft losses and limits the capacity to cont...

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Main Authors: Brenden N Moeun, Florent Lemaire, Alexandra M Smink, Hamid Ebrahimi Orimi, Richard L Leask, Paul de Vos, Corinne A Hoesli
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Journal of Tissue Engineering
Online Access:https://doi.org/10.1177/20417314241284826
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author Brenden N Moeun
Florent Lemaire
Alexandra M Smink
Hamid Ebrahimi Orimi
Richard L Leask
Paul de Vos
Corinne A Hoesli
author_facet Brenden N Moeun
Florent Lemaire
Alexandra M Smink
Hamid Ebrahimi Orimi
Richard L Leask
Paul de Vos
Corinne A Hoesli
author_sort Brenden N Moeun
collection DOAJ
description Islet transplantation and more recently stem cell-derived islets were shown to successfully re-establish glycemic control in people with type 1 diabetes under immunosuppression. These results were achieved through intraportal infusion which leads to early graft losses and limits the capacity to contain and retrieve implanted cells in case of adverse events. Extra-hepatic sites and encapsulation devices have been developed to address these challenges and potentially create an immunoprotective or immune-privileged environment. Many strategies have achieved reversal of hyperglycemia in diabetic rodents. So far, the results have been less promising when transitioning to humans and larger animal models due to challenges in oxygenation and insulin delivery. We propose a versatile in vitro perfusion system to culture and experimentally study the function of centimeter-scale tissues and devices for insulin-secreting cell delivery. The system accommodates various tissue geometries, experimental readouts, and oxygenation tensions reflective of potential transplantation sites. We highlight the system’s applications by using case studies to explore three prominent bioartificial endocrine pancreas (BAP) configurations: (I) with internal flow, (II) with internal flow and microvascularized, and (III) without internal flow. Oxygen concentration profiles modeled computationally were analogous to viability gradients observed experimentally through live/dead endpoint measurements and in case I, time-lapse fluorescence imaging was used to monitor the viability of GFP-expressing cells in real time. Intervascular BAPs were cultured under flow for up to 3 days and BAPs without internal flow for up to 7 days, showing glucose-responsive insulin secretion quantified through at-line non-disruptive sampling. This system can complement other preclinical platforms to de-risk and optimize BAPs and other artificial tissue designs prior to clinical studies.
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spelling doaj-art-fb5ed01f3a3e4a4d92fc45c0827562df2025-01-23T15:03:45ZengSAGE PublishingJournal of Tissue Engineering2041-73142025-01-011610.1177/20417314241284826Oxygenation and function of endocrine bioartificial pancreatic tissue constructs under flow for preclinical optimizationBrenden N Moeun0Florent Lemaire1Alexandra M Smink2Hamid Ebrahimi Orimi3Richard L Leask4Paul de Vos5Corinne A Hoesli6Department of Chemical Engineering, McGill University, Montreal, QC, CanadaDepartment of Chemical Engineering, McGill University, Montreal, QC, CanadaDepartment of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The NetherlandsDepartment of Chemical Engineering, McGill University, Montreal, QC, CanadaDepartment of Biological and Biomedical Engineering, McGill University, Montreal, QC, CanadaDepartment of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The NetherlandsDepartment of Biological and Biomedical Engineering, McGill University, Montreal, QC, CanadaIslet transplantation and more recently stem cell-derived islets were shown to successfully re-establish glycemic control in people with type 1 diabetes under immunosuppression. These results were achieved through intraportal infusion which leads to early graft losses and limits the capacity to contain and retrieve implanted cells in case of adverse events. Extra-hepatic sites and encapsulation devices have been developed to address these challenges and potentially create an immunoprotective or immune-privileged environment. Many strategies have achieved reversal of hyperglycemia in diabetic rodents. So far, the results have been less promising when transitioning to humans and larger animal models due to challenges in oxygenation and insulin delivery. We propose a versatile in vitro perfusion system to culture and experimentally study the function of centimeter-scale tissues and devices for insulin-secreting cell delivery. The system accommodates various tissue geometries, experimental readouts, and oxygenation tensions reflective of potential transplantation sites. We highlight the system’s applications by using case studies to explore three prominent bioartificial endocrine pancreas (BAP) configurations: (I) with internal flow, (II) with internal flow and microvascularized, and (III) without internal flow. Oxygen concentration profiles modeled computationally were analogous to viability gradients observed experimentally through live/dead endpoint measurements and in case I, time-lapse fluorescence imaging was used to monitor the viability of GFP-expressing cells in real time. Intervascular BAPs were cultured under flow for up to 3 days and BAPs without internal flow for up to 7 days, showing glucose-responsive insulin secretion quantified through at-line non-disruptive sampling. This system can complement other preclinical platforms to de-risk and optimize BAPs and other artificial tissue designs prior to clinical studies.https://doi.org/10.1177/20417314241284826
spellingShingle Brenden N Moeun
Florent Lemaire
Alexandra M Smink
Hamid Ebrahimi Orimi
Richard L Leask
Paul de Vos
Corinne A Hoesli
Oxygenation and function of endocrine bioartificial pancreatic tissue constructs under flow for preclinical optimization
Journal of Tissue Engineering
title Oxygenation and function of endocrine bioartificial pancreatic tissue constructs under flow for preclinical optimization
title_full Oxygenation and function of endocrine bioartificial pancreatic tissue constructs under flow for preclinical optimization
title_fullStr Oxygenation and function of endocrine bioartificial pancreatic tissue constructs under flow for preclinical optimization
title_full_unstemmed Oxygenation and function of endocrine bioartificial pancreatic tissue constructs under flow for preclinical optimization
title_short Oxygenation and function of endocrine bioartificial pancreatic tissue constructs under flow for preclinical optimization
title_sort oxygenation and function of endocrine bioartificial pancreatic tissue constructs under flow for preclinical optimization
url https://doi.org/10.1177/20417314241284826
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