Alpha 1-antitrypsin reduces inflammation and enhances mouse pancreatic islet transplant survival Academic Article uri icon


MeSH Major

  • Islets of Langerhans
  • Islets of Langerhans Transplantation
  • alpha 1-Antitrypsin


  • The promise of islet cell transplantation cannot be fully realized in the absence of improvements in engraftment of resilient islets. The marginal mass of islets surviving the serial peritransplant insults may lead to exhaustion and thereby contribute to an unacceptably high rate of intermediate and long-term graft loss. Hence, we have studied the effects of treatment with alpha 1-antitrypsin (AAT) in a syngeneic nonautoimmune islet graft model. A marginal number of syngeneic mouse islets were transplanted into nonautoimmune diabetic hosts and islet function was analyzed in control and AAT treated hosts. In untreated controls, marginal mass islet transplants did not restore euglycemia. Outcomes were dramatically improved by short-term AAT treatment. Transcriptional profiling identified 1,184 differentially expressed transcripts in AAT-treated hosts at 3 d posttransplantation. Systems-biology-based analysis revealed AAT down-regulated regulatory hubs formed by inflammation-related molecules (e.g., TNF-α, NF-κB). The conclusions yielded by the systems-biology analysis were rigorously confirmed by QRT-PCR and immunohistology. These data suggest that short-term AAT treatment of human islet transplant recipients may be worthy of a clinical trial.

publication date

  • September 18, 2012



  • Academic Article



  • eng

PubMed Central ID

  • PMC3458386

Digital Object Identifier (DOI)

  • 10.1073/pnas.1018366109

PubMed ID

  • 22949661

Additional Document Info

start page

  • 15443

end page

  • 8


  • 109


  • 38