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Achieving high quality and appropriate quantity of human islets is one of the prominent prerequisites for successful islet transplantation. In this video, we describe step by step the procedures for human pancreatic islet isolation (part II: purification and culture of human islets) using a modified automated method.
Cite this Article
Qi, M., Barbaro, B., Wang, S., Wang, Y., Hansen, M., Oberholzer, J. Human Pancreatic Islet Isolation: Part II: Purification and Culture of Human Islets. J. Vis. Exp. (27), e1343, doi:10.3791/1343 (2009).
1. Purification of islets
- To start the islet purification procedure, load the COBE bag, clamp all tubes except the green tube, and set the speed to 1,500 and the super out to 0.
- In the hood set up the pump and gradient beakers and connect the collection tubing to the green tube.
- Now the loading of the ficoll 1.100 can begin: push “spin” then add 110 ml of Ficoll 1.100 to the front beaker, and start the pump in order to load the COBE bag. As the Ficoll is loaded, press super out, stop the pump, unclamp the pump head and set the super out speed to 100.
- When the ficoll reaches the beaker and all air is expelled from the tubing, re-clamp at pump head. Set the spin speed to 3,000, and the super out speed to 0.
- Now prepare to load the gradients by pouring the heavy gradient into the front beaker. Slightly release the clamp between the two beakers to remove any air. Then pour the light gradient into the back beaker.
- Turn on the magnetic stirrer, press “spin” on the COBE machine, remove the clamp from the tube connecting the two beakers, and visually verify that the heavy and light gradients are mixing.
- Once the gradients started mixing, turn on the centrifuge Wait one minute, and then turn on the pump to load the mixing gradients.
- To load the tissue let the gradient run low in the front beaker, but not low enough to allow air to enter the loading tube, then reclamp the tube connecting the beakers and load the tissue.
- Continue adding the rest of the tissue. Then wash the tube that held the tissue with 50 ml of wash solution, and use it to wash the front beaker.
- As the last of the tissue enters the bag, simultaneously stop the pump, unclamp at the pump head, and clamp tubing above the bag. Continue to centrifuge for 5 minutes.
- While centrifugation continues, bring the 12 collection tubes to the hood and loosen their caps. Attach the collection tubing to the yellow tube, and place the sterile collection tip into conical tube 1. Then unclamp the yellow tube, and clamp the green tube.
- When the spin ends, slowly raise Superout to 100. Collect 150 ml in tube 1. Then collect 30 ml in tubes 2-12 (from 200-230 ml).
- Once collection is complete, push “STOP” on the COBE. Now that purification has ended, the islets can be assessed and cultured.
2. Sampling and culture
- After collecting the purified islets fractions, remove a sample from each of the 12 collection tubes and stain with Dithizone. The staining will show which are layers contain high purity islets vs. layers with low purity islets.
- Collect the high and low purity tissue and pool each together.
- Spin and wash twice. After the second wash, bring the volume of each to 250 ml with Final Wash media.
- To assess the pooled fractions start by taking two 1 ml samples from the high of the pooled fractions and one 1 ml sample from the low. Transfer each 1ml sample into a conical tube containing 9 ml of wash solution.
- Then transfer 1 ml from each 15 ml tube to a counting dish. Examine and count the cells under the microscope.
- After counting the cells calculate the number of flasks needed to culture the islets using the following formula: (total EIN / purity of islets in decimal) / (30,000 EIN per flask). For example, 100,000 islets with 90% purity are cultured in 4 flasks.
- Transfer the islets to T175 flasks and culture in a 37˚C and 5% CO2 incubator.
In spite of significant advancements in techniques of human islet isolation, islet yield remain highly variable and unpredictable. Purification of digested pancreatic tissue is crucial to recover a sufficient isle mass after successful enzymatic digestion for transplantation. The UIC purification method is recommended because a superior recovery of highly pure human islets was demonstrated by using this method. Moreover, up to 50 ml of digested tissue can be loaded in a single Cobe run for purification, thus minimizing the ischemia-associated injury of the human islets by shortening the total time used on isolation.
Supported by founding from the University of Illinois at Chicago as well as Islet Cell Resource Center NIH grant (RFA-RR 05-003), the Christopher Foundation, the Efroymson Foundation, and the Tellabs Foundation.
|Centrifuge||equipment||Beckman Coulter Inc.||424803|
|Cobe 2991 Cell Processor||equipment||Gambro. BCT||2556||islet purification|
|MZ6 Inverted Microscopy TLBD4.1||equipment||Leica Microsystems||4103|
|Cell Culture Dish with 2 mm Grid||equipment||Nalge Nunc international||174926||islet counting|
|Digital Sight DS L1||equipment||Nikon Instruments||217267|
|COBE bag||disposable equipment||O.R. Solution||66707003|
|T175 culture flask||disposable equipment||Sarstedt Ltd||83.1812.500|
|University of Wisconcin (UW) solution||reagent||DURAMED||1000-46-06|
|Hank’s Buffered Salt Solution (HBSS)||reagent||Mediatech, Inc.||99-597-CM|
|Ficoll 1.100||reagent||Bichrom AG||L6155|
|M199 media (wash solution)||reagent||Mediatech, Inc.||99-784-CM|
|Final wash/Culture Medium||reagent||Mediatech, Inc.||99-785-CV|
- Shapiro, A. M. Islet transplantation in seven patients with type 1 diabetes mellitus using a glucocorticoid-free immunosuppressive regimen. N Engl J Med. 343, 230-238 (2000).
- Nano, R. Islet isolation for allotransplantation: variables associated with successful islet yield and graft function. Diabetologia. 48, 906-912 (2005).
- Barbaro, B. Improved human pancreatic islet purification with the refined UIC-UB density gradient. Transplantation. 84, 1200-1203 (2007).
- Lakey, J. R., Rajotte, R. V., Warnock, G. L., Kneteman, N. M. Human pancreas preservation prior to islet isolation. Cold ischemic tolerance. Transplantation. 59, 689-694 (1995).
- Fridell, J. A. Comparison of histidine-tryptophan-ketoglutarate solution and University of Wisconsin solution for organ preservation in clinical pancreas transplantation. Transplantation. 77, 1304-1306 (2004).
- Potdar, S. Initial experience using histidine-tryptophan-ketoglutarate solution in clinical pancreas transplantation. Clin Transplant. 18, 661-665 (2004).
- Salehi, P. Human islet isolation outcomes from pancreata preserved with Histidine-Tryptophan Ketoglutarate versus University of Wisconsin solution. Transplantation. 82, 983-985 (2006).
- Ricordi, C., Lacy, P. E., Scharp, D. W. Automated islet isolation from human pancreas. Diabetes. 38 Suppl 1, 140-142 (1989).
- Ricordi, C. Islet isolation assessment in man and large animals. Acta Diabetol Lat. 27, 185-195 (1990).
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