Abstract
Loss of extracellular matrix (ECM) is known to result in low pancreatic islet survival
rates post-isolation and result in poor transplantation outcomes in the treatment of
diabetes. Several approaches to ECM supplementation have been used to help
improve islet longevity, however, long-term culture of isolated islets is currently
unachievable and rates of clinical insulin independence from islet transplantation is
still less than 50%. The causes of this are multi-faceted, however, the kind of ECM
components that constitutes a healthy islet is still not known. Healthy, adult rodent
ECM was characterized by immunohistochemistry and immunoblotting. The
basement membrane was distributed throughout the islet in a pattern that was tightly
associated with the interweaving endothelium. In contrast, heparan sulfate (HS) was
the predominant glycosaminoglycan found in the islet and was mainly on or in the
beta-cells. The novel localization of the HS proteoglycan, syndecan-4, showed a
similar distribution pattern to the HS within the rodent islet, thus suggesting that the
islet HS is attached to syndecan-4. Human umbilical cord vein endothelial cells
(HUVECs) were found to be capable of producing ECM components that included
collagen IV, fibronectin, laminin, perlecan and HS. Macromolecular crowding
enhanced the deposition of ECM components by 2-6 fold. These results showed that
HUVECs could produce ECM similar in composition to those observed in healthy,
adult islets and macromolecular crowding could increase the quantity of these
deposited components.
The crowded and decellularized HUVEC ECM facilitated the maintenance of
glucose stimulated insulin secretion and did not increase the occurrence of apoptosis
and necrosis in the MIN6 beta-cell line more than that of tissue culture plastic. The
crowded HUVEC ECM extended the life of primary islets by maintaining hormone
expression and genetic expression of important -cell-specific markers. In addition
to this, primary islets cultured on the crowded HUVEC ECM tended to maintain
their spherical morphology. This work demonstrated that in vitro endothelial cells
can simulate ECM produced by islet vasculature. Furthermore, enhancing ECM by
macromolecular crowding can produce better quality and quantity of ECM to
support and maintain islet function and structure in extended culture. These methods
can be used to increase longevity of islets in culture and better prepare isolated islets
for transplantation.