Islet transplantation

Module 1: An introduction to islet transplantation

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CME Credits: 1.5
Module duration: 1.5 hours
Launch date: Autumn 2020 (version 1)
Updated: Spring 2022 (version 2)
Expiry date: March 2027
Audience: Diabetes and Metabolism Specialists (Advanced), Endocrinologists (Advanced), General Physicians (Advanced), Transplant Physicians (Advanced)

I am François Pattou, endocrine surgeon in the University Hospital of Lille, France. Our team of transplantational research for diabetes is proposing cell therapy, meaning islet transplantation, for patients with type 1 diabetes and the most severe form of the disease.

First demonstrated in proof-of-concept studies using rodent subjects in 1972, it wasn’t until the breakthrough Edmonton trials of 2000 that islet transplantation first began to look like a viable alternative for people with type 1 diabetes who struggle to manage their condition with insulin injections. This module looks at how islet transplantation has progressed since then, detailing the procedures used to isolate precious insulin-producing islets from donated pancreata, to assess their viability and transplant them. Next, it assesses the clinical and quality-of-life benefits of transplantation and the trial evidence for those. Finally, it explores the limitations imposed by a lack of donor material — closing with a survey of the options being explored to overcome those limitations.

Learning Outcomes

By the end of this module, you will be able to:

Explain the islet transplantation procedure, from pancreas procurement, isolation of the islets, to implantation into the liver as a preferable site

Explain the clinical use of islet transplantation, including treatment goals and outcomes

Examine the limitations imposed on access to islet transplantation by lack of donor material and the options being explored to overcome those limitations


This module includes self-marked assessments, such as knowledge checks and/or case studies, as well as a marked final assessment, which you can attempt up to five times. To complete the module, you must review all chapters, pass the final assessment (80% pass mark), and fill in our feedback form.


Contributors

Professor
Julie Kerr-Conte
Author
Professor
François Pattou
Author
Author
Professor
Hanne Scholz
Expert Reviewer
Assessment Setter