The efficacy of two methods of Langerhans islets immunoisolation was c
ompared. For this purpose the function of islets encapsulated with alg
inate/polyethylenimine/protamine/heparin (APPH) or with alginate/poly-
L-lisine/alginate (APA) membranes was assessed: in vitro according to
their survival and response to glucose challenges, and in vivo accordi
ng to their capability to provide sufficient insulin delivery to maint
ain normal fasting blood glucose following xenotransplantation to stre
ptozotocin diabetic mice. In vitro insulin secretion and the response
to glucose challenge of APPH and APA encapsulated islets were comparab
le to free islets. In vivo intraperitoneal concordant xenotransplantat
ion of APA encapsulated rat islets reversed the diabetic state of stre
ptozotocin diabetic mice for a longer period, than APPH islet grafts.
This study clearly demonstrated the inadequacy of in vitro methods in
the prediction of in vivo results of islets transplantation.