Implantation to replace lost beta-cells is an attractive treatment option for Type 1 diabetes (T1D). However, the autoimmune disorder in patients necessitates immunosuppression, which is undesirable. Any successful approach must protect implanted cells from autoimmune destruction. Encapsulation is a promising solution. Several challenges remain: long-term maintenance of implanted cell function, and poor vascularisation and fibrotic rejection of implants. We address these issues by generating a synthetic capsule to provide an optimal environment for beta-cell implantation.
We biofunctionalised polymers by depositing basement membrane (BM) proteins using plasma ion immersion implantation (PIII), a treatment that allows strong, non-toxic adhesion of proteins onto surfaces. Using microcontact-printing, we patterned polymer surfaces with fibronectin and BSA. PIII-treatment increases specific binding of the proteins on surfaces compared to untreated controls.
As a proof-of-concept, we selected hollow PIII-treated polymer fibres containing 10µm pores. These pores allow insulin secretion and nutrient exchange, but prevent immune cell penetration. We coated fibre interiors with BM-protein fibronectin for enhancement of cell survival and growth (1), then injected MIN6 beta-cells. Secretion assays show that cells grown in fibronectin-coated capsules secrete insulin in a glucose-dependent manner similar to controls on coated glass-coverslips. Furthermore, microscopy of fibre interiors show similar morphology to controls.
Next, fibres were PIII-treated and exteriorly coated with tropoelastin. Fibres were bundled and implanted subcutaneously in mice. Implants were retrieved at multiple timepoints. Fluorescent microscopy of tissue slices shows that tropoelastin-exterior coated capsules show no fibrosis and improved vascularisation compared to uncoated controls. Finally, immune cell staining showed no luminal invasion.
This work has provided evidence for a novel encapsulation technique for beta-cell implants in T1D-patients. Ongoing work is refining these methods and will lead to testing of beta cell-containing implants in animal disease models, including streptozotocin-treated and non-obese-diabetic mice, to examine long-term beta cell function, survival and reversal of the diabetic phenotype.