Review Article

Transplantation of Encapsulated Pancreatic Islets as a Treatment for Patients with Type 1 Diabetes Mellitus

Table 2

Product-Release Test for islets before transplantation.

TestTest methodCriteria

PurityDTZ staining is used for islet identity, which is visualized by qualified personnel≥30%
ViabilityFluorescent dye (FDA and PI) staining is used for islet viability, which is determined by qualified personnel≥70%
Islet yieldDTZ staining is used for islet identity and islet number is counted by qualified personnelFirst transplant: ≥5,000 IEQ/kg RBW
Second transplant: ≥10,000 IEQ/kg RBW
Transplant tissue volumeCentrifuge and measure packed cell volume in conical tube≤10 mL
Microbiological testGram stain on 100  L smear with microscopic examination by qualified personnelNo intact organism observed
Endotoxin contentQCL-1000 Chromogenic LAL Test Kit, Cat number 50-647U, (BioWhittaker, Inc.)≤5 EU/kg body weight of the potential recipient
Glucose static incubationIn vitro insulin release in 1.6 mM and 16.7 mM glucose. Expressed by SI≥1.5

DTZ: dithizone.
FDA: fluorescein diacetate, for live cells.
PI: propidium iodide, for dead cells.
RBW: recipient body weight.
SI: stimulation index.