Article ID Journal Published Year Pages File Type
15707 Current Opinion in Biotechnology 2013 9 Pages PDF
Abstract

•Development of 3D niches to support islet engraftment and retain function.•Incorporation of native ECM proteins minimize islet anoikis.•Islet grafts benefit from recent advancements in strategies to supplement oxygen.•Bioactive materials facilitate and accelerate vascularization for islet implants.

Intraportal islet transplantation has emerged as a promising treatment for type 1 diabetes mellitus (T1DM). Nevertheless, long-term efficacy has been limited to a marginal number of patients. Outcomes have been restricted, in part, by challenges associated with the transplant site, poor vascularization, and disruption of the native islet architecture during the isolation process. Engineering a biomaterial platform that recapitulates critical components of the pancreatic environment can serve to address these hurdles. This review highlights the challenges and opportunities in engineering 3D niches for islets, specifically: the importance of site selection; the application of scaffold functionalization to present bioactive motifs; and the development of technologies for enhancing implant nutritional profiles. The potential of these novel approaches to improve islet engraftment and duration of function is discussed.

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Physical Sciences and Engineering Chemical Engineering Bioengineering
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