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Immune modulation with amniotic epithelial cells in pancreatic islet transplantation

Qureshi, Khalid (2012)
M.D. thesis, University of Birmingham.

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Chronic systemic immunosuppression in pancreatic islet transplantation restricts its clinical application. This study aims to explore the potential of cell-mediated immune-modulation as an alternative to conventional immunosuppressive regimens; specifically investigating the innate immunosuppressive properties of human amniotic epithelial cells (AEC). Cell constructs composed of human islets and AEC (islet:AEC) were bio-engineered in rotational culture. Insulin secretory capacity and immuno-modulatory potential were characterised using appropriate in vitro assays. Fluorescence immunocytochemistry and multiplex arrays was used to identify putative mediators of the immunosuppressive response in isolated AEC monocultures. Islets and islet:AEC constructs demonstrated sustained, physiologically-appropriate insulin secretion. Resting peripheral blood mononuclear cells (PBMC) were activated on exposure to human islets but this response was significantly (p<0.05) attenuated in islet:AEC constructs. Phytohaemagglutinin (5\( \mu \)g/ml)-induced PBMC proliferation was sustained on contact with unmodified islets but abrogated in AEC and islet:AEC constructs. CD4+ and CD8+ T-cell proliferation was responsive to AEC; their in vitro expansion both in response to CD3/CD28 activation and contact with human islets being suppressed by the presence of AEC. Transplanted islets may thus benefit from an immune-privilege status conferred on them as a consequence of their close proximity to human AEC. Such an approach may diminish the requirement for generalised systemic immunosuppression in islet transplantation.

Type of Work:M.D. thesis.
Supervisor(s):Murray, Hilary
School/Faculty:Colleges (2008 onwards) > College of Medical & Dental Sciences
Department:Department of Immunity and Infection
Subjects:QH301 Biology
QR180 Immunology
RC Internal medicine
Institution:University of Birmingham
ID Code:3761
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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