Nanoporous microsystems for islet cell replacement

• Published in: Advanced drug delivery reviews 2004-09, Vol.56 (11), p.1661-1673
• Main Authors: Desai, Tejal A., West, Teri, Cohen, Michael, Boiarski, Tony, Rampersaud, Arfaan
• Format: Article
• Language: English
• Subjects: Animals; Biocapsule; Capsules; Humans; Immunoisolation; Insulin; Islet cells; Islets of Langerhans Transplantation - methods; Nanotechnology - methods; Porosity
• ISSN: 0169-409X; 1872-8294
• DOI: 10.1016/j.addr.2003.11.006

The inadequacy of conventional insulin therapy for the treatment of Type I diabetes has stimulated research on several therapeutic alternatives, including insulin pumps and controlled release systems for insulin. One of the most physiological alternatives to insulin injections is the transplantation of insulin-secreting cells. It is the beta cells of the islets that secrete insulin in response to increasing blood glucose concentrations. Ideally, transplantation of such cells (allografts or xenografts) could restore normoglycemia. However, as with most tissue or cellular transplants, the cellular grafts, particularly xenografts, are subjected to immunorejection in the absence of chronic immunosuppression. Thus, it is of great interest to develop new technologies that may be used for islet cell replacement. This research proposal describes a new approach to cellular delivery based on micro- and nanotechnology. Utilizing this approach, nanoporous biocapsules are bulk and surface micromachined to present uniform and well-controlled pore sizes as small as 7 nm, tailored surface chemistries, and precise microarchitectures, in order to provide immunoisolating microenvironments for cells. Such a design may overcome some of the limitations associated with conventional encapsulation and delivery technologies, including chemical instabilities, material degradation or fracture, and broad membrane pore sizes.