Covalent attachment of polymers to cells and tissues could be used to solve
a variety of problems associated with cellular therapies. Insulin-dependen
t diabetes mellitus is a disease resulting from the autoimmune destruction
of the beta cells of the islets of Langerhans in the pancreas. Transplantat
ion of islets into diabetic patients would be an attractive form of treatme
nt, provided that the islets could be protected from the host's immune syst
em in order to prevent graft rejection. If reaction of polyethylene glycol
(PEG) segments with the islet surface did not damage function, the immunoge
nicity and cell binding characteristics of the islet could be altered. To d
etermine if this process damages islets, rat islets have been isolated and
treated with protein-reactive PEG-isocyanate (MW 5000) under mild reaction
conditions. An assessment of cell viability using a colorimetric mitochrond
rial activity assay showed that treatment of the islets with PEG-isocyanate
did not reduce cell viability. Insulin release in response to secretagogue
challenge was used to evaluate islet function after treatment with the pol
ymer. The insulin response of the PEG-treated islets was not significantly
different than untreated islets in a static incubation secretagogue challen
ge. In addition, PEG-isocyanate-treated islets responded in the same manner
as untreated islets in a glucose perifusion assay. Finally, the presence o
f PEG on the surface of the islets after treatment with the amine-reactive
N-hydroxysuccinimide-PEG-biotin (not PEG-isocyanate) was confirmed by indir
ect fluorescence staining. These results demonstrate the feasibility of tre
ating pancreatic islets with reactive polymeric segments and provide the fo
undation for further investigation of this novel means of potential immunoi
solation. (C) 2000 Elsevier Science Ltd. All rights reserved.