Indications for islet or pancreatic transplantation: Statement of the TREPID working group on behalf of the Société francophone du diabète (SFD), Société francaise d’endocrinologie (SFE), Société francophone de transplantation (SFT) and Société française de néphrologie – dialyse – transplantation (SFNDT)
While either pancreas or pancreatic islet transplantation can restore endogenous insulin secretion in patients with diabetes, no beta-cell replacement strategies are recommended in the literature. For this reason, the aim of this national expert panel statement is to provide information on the diffe...
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| Published in: | Diabetes & metabolism Vol. 45; no. 3; pp. 224 - 237 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
France
Elsevier Masson SAS
01.06.2019
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| ISSN: | 1262-3636, 1878-1780, 1878-1780 |
| Online Access: | Get full text |
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| Abstract | While either pancreas or pancreatic islet transplantation can restore endogenous insulin secretion in patients with diabetes, no beta-cell replacement strategies are recommended in the literature. For this reason, the aim of this national expert panel statement is to provide information on the different kinds of beta-cell replacement, their benefit-risk ratios and indications for each type of transplantation, according to type of diabetes, its control and association with end-stage renal disease. Allotransplantation requires immunosuppression, a risk that should be weighed against the risks of poor glycaemic control, diabetic lability and severe hypoglycaemia, especially in cases of unawareness. Pancreas transplantation is associated with improvement in diabetic micro- and macro-angiopathy, but has the associated morbidity of major surgery. Islet transplantation is a minimally invasive radiological or mini-surgical procedure involving infusion of purified islets via the hepatic portal vein, but needs to be repeated two or three times to achieve insulin independence and long-term functionality. Simultaneous pancreas-kidney and pancreas after kidney transplantations should be proposed for kidney recipients with type 1 diabetes with no surgical, especially cardiovascular, contraindications. In cases of high surgical risk, islet after or simultaneously with kidney transplantation may be proposed. Pancreas, or more often islet, transplantation alone is appropriate for non-uraemic patients with labile diabetes. Various factors influencing the therapeutic strategy are also detailed in this report. |
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| AbstractList | While either pancreas or pancreatic islet transplantation can restore endogenous insulin secretion in patients with diabetes, no beta-cell replacement strategies are recommended in the literature. For this reason, the aim of this national expert panel statement is to provide information on the different kinds of beta-cell replacement, their benefit-risk ratios and indications for each type of transplantation, according to type of diabetes, its control and association with end-stage renal disease. Allotransplantation requires immunosuppression, a risk that should be weighed against the risks of poor glycaemic control, diabetic lability and severe hypoglycaemia, especially in cases of unawareness. Pancreas transplantation is associated with improvement in diabetic micro- and macro-angiopathy, but has the associated morbidity of major surgery. Islet transplantation is a minimally invasive radiological or mini-surgical procedure involving infusion of purified islets via the hepatic portal vein, but needs to be repeated two or three times to achieve insulin independence and long-term functionality. Simultaneous pancreas-kidney and pancreas after kidney transplantations should be proposed for kidney recipients with type 1 diabetes with no surgical, especially cardiovascular, contraindications. In cases of high surgical risk, islet after or simultaneously with kidney transplantation may be proposed. Pancreas, or more often islet, transplantation alone is appropriate for non-uraemic patients with labile diabetes. Various factors influencing the therapeutic strategy are also detailed in this report.While either pancreas or pancreatic islet transplantation can restore endogenous insulin secretion in patients with diabetes, no beta-cell replacement strategies are recommended in the literature. For this reason, the aim of this national expert panel statement is to provide information on the different kinds of beta-cell replacement, their benefit-risk ratios and indications for each type of transplantation, according to type of diabetes, its control and association with end-stage renal disease. Allotransplantation requires immunosuppression, a risk that should be weighed against the risks of poor glycaemic control, diabetic lability and severe hypoglycaemia, especially in cases of unawareness. Pancreas transplantation is associated with improvement in diabetic micro- and macro-angiopathy, but has the associated morbidity of major surgery. Islet transplantation is a minimally invasive radiological or mini-surgical procedure involving infusion of purified islets via the hepatic portal vein, but needs to be repeated two or three times to achieve insulin independence and long-term functionality. Simultaneous pancreas-kidney and pancreas after kidney transplantations should be proposed for kidney recipients with type 1 diabetes with no surgical, especially cardiovascular, contraindications. In cases of high surgical risk, islet after or simultaneously with kidney transplantation may be proposed. Pancreas, or more often islet, transplantation alone is appropriate for non-uraemic patients with labile diabetes. Various factors influencing the therapeutic strategy are also detailed in this report. While either pancreas or pancreatic islet transplantation can restore endogenous insulin secretion in patients with diabetes, no beta-cell replacement strategies are recommended in the literature. For this reason, the aim of this national expert panel statement is to provide information on the different kinds of beta-cell replacement, their benefit-risk ratios and indications for each type of transplantation, according to type of diabetes, its control and association with end-stage renal disease. Allotransplantation requires immunosuppression, a risk that should be weighed against the risks of poor glycaemic control, diabetic lability and severe hypoglycaemia, especially in cases of unawareness. Pancreas transplantation is associated with improvement in diabetic micro- and macro-angiopathy, but has the associated morbidity of major surgery. Islet transplantation is a minimally invasive radiological or mini-surgical procedure involving infusion of purified islets via the hepatic portal vein, but needs to be repeated two or three times to achieve insulin independence and long-term functionality. Simultaneous pancreas-kidney and pancreas after kidney transplantations should be proposed for kidney recipients with type 1 diabetes with no surgical, especially cardiovascular, contraindications. In cases of high surgical risk, islet after or simultaneously with kidney transplantation may be proposed. Pancreas, or more often islet, transplantation alone is appropriate for non-uraemic patients with labile diabetes. Various factors influencing the therapeutic strategy are also detailed in this report. |
| Author | Elias, Michelle Ciacio, Oriana Caillard, Sophie Armanet, Mathieu Le Mapihan, Kristell Thaunat, Olivier Serre, Jean-Emmanuel Berney, T. Badet, L. Gaudez, Francois Lablanche, Sandrine Branchereau, J. Garrigue, Valérie Tetaz, Rachel Prévost, Gaetan Sacunha, Antonio Hanaire, Hélène Morelon, E. Ohlmann, Sophie Lejay, Anne Muscari, Fabrice Vidal-Trecan, Tiphaine Catargi, Bogdan Donatini, Gianluca Peraldi, Marie-Noelle Benhamou, P.-Y. Pattou, F. Buron, F. Chetboun, M. Andres, Axel Lucy, Chailloux Durrbach, Antoine Wojtusciszyn, A. Reffet, Sophie Pittau, Gabriella Malvezzi, Paolo Gabriel, Choukroun Frimat, Marie Duffas, Jean-Pierre Esposito, L. Cattan, Pierre Tillou, Xavier Riveline, Jean-Pierre Kessler, L. Cuellar, Emmanuel Melki, Vincent Panaro, Fabrizio Karam, Georges Kamar, Nassim Vantyghem, M.-C. Moreau, Karine Blancho, Gilles |
| Author_xml | – sequence: 1 givenname: A. surname: Wojtusciszyn fullname: Wojtusciszyn, A. organization: Department of endocrinology, diabetes and nutrition, university hospital of Montpellier, Lapeyronie hospital, laboratory of cell therapy for diabetes (LTCD), institute of regenerative medicine and biotherapy, (IRMB), university hospital of Montpellier, Saint-Éloi, hospital, IGF, CNRS UMR5203, Inserm U1191, Montpellier university, 34094 Montpellier, France – sequence: 2 givenname: J. surname: Branchereau fullname: Branchereau, J. organization: Urology department, CHU de Nantes, centre de recherche en transplantation et immunologie, UMR 1064, Inserm, université de Nantes, institut de transplantation urologie néphrologie (ITUN), Nantes, France – sequence: 3 givenname: L. surname: Esposito fullname: Esposito, L. organization: Department of nephrology, 38000 Toulouse, France – sequence: 4 givenname: L. surname: Badet fullname: Badet, L. organization: Hospices civils de Lyon, service d’urologie et de chirurgie de la transplantation, pôle Chirurgie, 69000 Lyon, France – sequence: 5 givenname: F. surname: Buron fullname: Buron, F. organization: Hospices civils de Lyon, service d’urologie et de chirurgie de la transplantation, pôle Chirurgie, 69000 Lyon, France – sequence: 6 givenname: M. surname: Chetboun fullname: Chetboun, M. organization: University of Lille, Inserm, CHU de Lille, UMR 1190, translational research in diabetes, endocrine surgery, 59000 Lille, France – sequence: 7 givenname: L. surname: Kessler fullname: Kessler, L. organization: Department of Endocrinology and Diabetology, University Hospital of Strasbourg, 67000 Strasbourg, France – sequence: 8 givenname: E. surname: Morelon fullname: Morelon, E. organization: Hospices civils de Lyon, service d’urologie et de chirurgie de la transplantation, pôle Chirurgie, 69000 Lyon, France – sequence: 9 givenname: T. surname: Berney fullname: Berney, T. organization: Division of Transplantation, Department of Surgery, University of Geneva Hospitals, Geneva, Switzerland – sequence: 10 givenname: F. surname: Pattou fullname: Pattou, F. organization: University of Lille, Inserm, CHU de Lille, UMR 1190, translational research in diabetes, endocrine surgery, 59000 Lille, France – sequence: 11 givenname: P.-Y. surname: Benhamou fullname: Benhamou, P.-Y. organization: Department of Endocrinology, Pôle DigiDune, Grenoble University Hospital, Grenoble Alpes University, 38000 Grenoble, France – sequence: 12 givenname: M.-C. surname: Vantyghem fullname: Vantyghem, M.-C. email: mc-vantyghem@chru-lille.fr organization: University of Lille, Inserm, CHU de Lille, UMR 1190, translational research in diabetes, endocrine surgery, 59000 Lille, France – sequence: 13 givenname: Axel surname: Andres fullname: Andres, Axel – sequence: 14 givenname: Mathieu surname: Armanet fullname: Armanet, Mathieu – sequence: 15 givenname: Gilles surname: Blancho fullname: Blancho, Gilles – sequence: 16 givenname: Sophie surname: Caillard fullname: Caillard, Sophie – sequence: 17 givenname: Bogdan surname: Catargi fullname: Catargi, Bogdan – sequence: 18 givenname: Pierre surname: Cattan fullname: Cattan, Pierre – sequence: 19 givenname: Chailloux surname: Lucy fullname: Lucy, Chailloux – sequence: 20 givenname: Choukroun surname: Gabriel fullname: Gabriel, Choukroun – sequence: 21 givenname: Oriana surname: Ciacio fullname: Ciacio, Oriana – sequence: 22 givenname: Emmanuel surname: Cuellar fullname: Cuellar, Emmanuel – sequence: 23 givenname: Gianluca surname: Donatini fullname: Donatini, Gianluca – sequence: 24 givenname: Jean-Pierre surname: Duffas fullname: Duffas, Jean-Pierre – sequence: 25 givenname: Antoine surname: Durrbach fullname: Durrbach, Antoine – sequence: 26 givenname: Michelle surname: Elias fullname: Elias, Michelle – sequence: 27 givenname: Marie surname: Frimat fullname: Frimat, Marie – sequence: 28 givenname: Valérie surname: Garrigue fullname: Garrigue, Valérie – sequence: 29 givenname: Francois surname: Gaudez fullname: Gaudez, Francois – sequence: 30 givenname: Hélène surname: Hanaire fullname: Hanaire, Hélène – sequence: 31 givenname: Nassim surname: Kamar fullname: Kamar, Nassim – sequence: 32 givenname: Georges surname: Karam fullname: Karam, Georges – sequence: 33 givenname: Sandrine surname: Lablanche fullname: Lablanche, Sandrine – sequence: 34 givenname: Anne surname: Lejay fullname: Lejay, Anne – sequence: 35 givenname: Kristell surname: Le Mapihan fullname: Le Mapihan, Kristell – sequence: 36 givenname: Paolo surname: Malvezzi fullname: Malvezzi, Paolo – sequence: 37 givenname: Vincent surname: Melki fullname: Melki, Vincent – sequence: 38 givenname: Karine surname: Moreau fullname: Moreau, Karine – sequence: 39 givenname: Fabrice surname: Muscari fullname: Muscari, Fabrice – sequence: 40 givenname: Sophie surname: Ohlmann fullname: Ohlmann, Sophie – sequence: 41 givenname: Fabrizio surname: Panaro fullname: Panaro, Fabrizio – sequence: 42 givenname: Marie-Noelle surname: Peraldi fullname: Peraldi, Marie-Noelle – sequence: 43 givenname: Gabriella surname: Pittau fullname: Pittau, Gabriella – sequence: 44 givenname: Gaetan surname: Prévost fullname: Prévost, Gaetan – sequence: 45 givenname: Sophie surname: Reffet fullname: Reffet, Sophie – sequence: 46 givenname: Jean-Pierre surname: Riveline fullname: Riveline, Jean-Pierre – sequence: 47 givenname: Antonio surname: Sacunha fullname: Sacunha, Antonio – sequence: 48 givenname: Jean-Emmanuel surname: Serre fullname: Serre, Jean-Emmanuel – sequence: 49 givenname: Rachel surname: Tetaz fullname: Tetaz, Rachel – sequence: 50 givenname: Olivier surname: Thaunat fullname: Thaunat, Olivier – sequence: 51 givenname: Xavier surname: Tillou fullname: Tillou, Xavier – sequence: 52 givenname: Tiphaine surname: Vidal-Trecan fullname: Vidal-Trecan, Tiphaine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30223084$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Contributor | Lucy, Chailloux Durrbach, Antoine Elias, Michelle Ciacio, Oriana Caillard, Sophie Reffet, Sophie Pittau, Gabriella Malvezzi, Paolo Armanet, Mathieu Le Mapihan, Kristell Thaunat, Olivier Gabriel, Choukroun Frimat, Marie Duffas, Jean-Pierre Serre, Jean-Emmanuel Cattan, Pierre Tillou, Xavier Gaudez, Francois Lablanche, Sandrine Riveline, Jean-Pierre Garrigue, Valérie Tetaz, Rachel Prévost, Gaetan Sacunha, Antonio Cuellar, Emmanuel Melki, Vincent Hanaire, Hélène Panaro, Fabrizio Karam, Georges Ohlmann, Sophie Kamar, Nassim Lejay, Anne Muscari, Fabrice Vidal-Trecan, Tiphaine Catargi, Bogdan Donatini, Gianluca Peraldi, Marie-Noelle Moreau, Karine Blancho, Gilles Andres, Axel |
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| Copyright | 2018 Copyright © 2018. Published by Elsevier Masson SAS. |
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| Keywords | ESRD Cell therapy MRI T1D ABM QoL SPK SD MODY Islet transplantation BMI eGFR CGM IS GAD IT IIP IAK CV SIK Type 1 diabetes ITA Pancreas transplantation CITR PAK Diabetes OGTT PTA Kidney transplantation |
| Language | English |
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| PublicationDecade | 2010 |
| PublicationPlace | France |
| PublicationPlace_xml | – name: France |
| PublicationTitle | Diabetes & metabolism |
| PublicationTitleAlternate | Diabetes Metab |
| PublicationYear | 2019 |
| Publisher | Elsevier Masson SAS |
| Publisher_xml | – name: Elsevier Masson SAS |
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| Title | Indications for islet or pancreatic transplantation: Statement of the TREPID working group on behalf of the Société francophone du diabète (SFD), Société francaise d’endocrinologie (SFE), Société francophone de transplantation (SFT) and Société française de néphrologie – dialyse – transplantation (SFNDT) |
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