Health

IIT team makes ‘implantable pancreas’

Cutting edge: Biman Mandal (left) and Manishekhar Kumar from IIT Guwahati.

Cutting edge: Biman Mandal (left) and Manishekhar Kumar from IIT Guwahati.   | Photo Credit: Special Arrangement

Researchers at the Indian Institute of Technology (IIT) Guwahati have successfully created an implantable bioartificial pancreas model grown within a 3D silk scaffold. The “pancreas”, which encapsulates insulin-producing cells, is capable of naturally producing insulin in a sustained manner. If successful in animal and human trials, it can be used for treating people with type 1 diabetes.

The silk scaffold was found to be biocompatible (not toxic to living tissue) as it did not trigger any immune reaction or cause any adverse reaction when implanted.

The silk scaffold (6 mm in diameter and 2 mm in thickness) was made porous by using salt grains of specific size to dissolve the silk proteins. The pores — 400-500 micrometre in size — allowed glucose and oxygen to enter the scaffold and insulin released by the beta cells to enter the bloodstream; there was also greater cell survival. Insulin producing beta cells taken from 8- to 10-week-old rats were added to the scaffold.

Permeable membrane

Type 1 diabetes arises when the body’s immune system kills the insulin-producing beta cells.

The team led by Prof. Biman Mandal from the Department of Biosciences and Bioengineering at IIT Guwahati coated the scaffold containing beta cells with a semi-permeable membrane barrier. The membrane allows insulin produced to be released into the blood stream but does not allow the immune cells to cross the membrane and kill the islet cells.

To ensure that the implant is not rejected by the body’s immune system, drugs that suppress the immune system were embedded in the scaffold. “We implanted the membrane-bound scaffold into mice for four weeks and checked for immunocompatibility and barrier function. The scaffold was found to be biocompatible with adequate barrier functions,” says Prof. Mandal.

Studies carried in the lab showed that the beta cells in the scaffold were able to produce adequate amount of insulin in response to different glucose levels within a few seconds. “We expect the islets cells to function for three-four months as the cells regenerate and continuously produce insulin. Even if the cells don’t regenerate and die out we can inject fresh beta cells into the implanted capsule so that the production of insulin is continued,” says Prof. Mandal.

Since type 1 diabetes patients do not have insulin-producing beta cells, the researchers have turned to stem cells to produce beta cells. “We have already used stem cells that have differentiated [produce specialised cells] into beta-like cells producing insulin,” says Manishekhar Kumar, the first author of the paper from the Department of Biosciences and Bioengineering at IIT Guwahati. The results of the study were published in the journal ACS Biomaterials Science & Engineering.

The researchers are planning to carry out trials in animals. “We have already produced diabetic rats and would soon implant the scaffold in these rats to reverse diabetes,” says Prof. Mandal. “In humans the scaffold can be implanted in the fat layer present in the belly.”

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Printable version | Sep 28, 2020 12:22:18 AM | https://www.thehindu.com/sci-tech/health/iit-team-makes-implantable-pancreas/article19583181.ece

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