Evidence map›Paper›PMID 40994084›Full record

ArticleDiabetes, obesity & metabolism2025

Boosting the engraftment of subcutaneously transplanted pancreatic islets by nanofat.

Selina Wrublewsky, Caroline Bickelmann, Lea Stefanie Meßmer, Cedric Wilden, Charlotte Berhorst, Leticia Prates-Roma, Bruce Morgan, Sandra Rother, Michael D Menger, Matthias W Laschke and 2 more

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Selina WrublewskyInstitute for Clinical and Experimental Surgery, Saarland University, PharmaScienceHub (PSH), Homburg, Germany.
Caroline BickelmannInstitute for Clinical and Experimental Surgery, Saarland University, PharmaScienceHub (PSH), Homburg, Germany.
Lea Stefanie MeßmerInstitute for Clinical and Experimental Surgery, Saarland University, PharmaScienceHub (PSH), Homburg, Germany.
Cedric WildenInstitute for Clinical and Experimental Surgery, Saarland University, PharmaScienceHub (PSH), Homburg, Germany.
Charlotte BerhorstBiophysics Department, Center for Human and Molecular Biology (ZHMB), Saarland University, Homburg, Germany.
Leticia Prates-RomaBiophysics Department, Center for Human and Molecular Biology (ZHMB), Saarland University, Homburg, Germany.
Bruce MorganInstitute of Biochemistry, Center for Human and Molecular Biology (ZHMB), Saarland University, Saarbrücken, Germany.
Sandra RotherBiophysics Department, Center for Human and Molecular Biology (ZHMB), Saarland University, Homburg, Germany.
Michael D MengerInstitute for Clinical and Experimental Surgery, Saarland University, PharmaScienceHub (PSH), Homburg, Germany.
Matthias W LaschkeInstitute for Clinical and Experimental Surgery, Saarland University, PharmaScienceHub (PSH), Homburg, Germany.
Andrea WeinzierlDepartment of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.
Emmanuel AmpofoInstitute for Clinical and Experimental Surgery, Saarland University, PharmaScienceHub (PSH), Homburg, Germany.ORCID 0000-0002-1886-5657

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIn the therapy of type 1 diabetes mellitus, the subcutaneous space has been suggested to be a clinically preferable transplantation site for pancreatic islets due to its easy accessibility. However, its poor vascularisation capacity and, thus, challenging environment typically result in islet engraftment failure. In the present proof-of-principle study, we demonstrate that this problem can be overcome by nanofat, an emulsified fat derivative already used in clinical practice. MATERIALS AND

methodsThe cellular composition of nanofat was assessed by immunohistochemistry. The angiogenic activity of the soluble and cellular nanofat fraction was analyzed by an angiogenic protein array, tube formation and spheroid sprouting assays. The viability and endocrine function of islets exposed to the nanofat fractions was investigated by flow cytometry, qRT-PCR and ELISA. In vivo, islets and nanofat were co-transplanted under the kidney capsule as well as into the subcutaneous space of diabetic animals.

resultsIn a panel of in vitro assays, we showed that the soluble and cellular nanofat fraction improve the viability, hormone release, and angiogenic activity of islets. The beneficial effects of these two fractions were validated in vivo in the murine diabetic kidney capsule model, as indicated by an accelerated restoration of normoglycaemia. The co-transplantation of islets with nanofat resulted in successful islet engraftment within the subcutaneous space of diabetic mice.

conclusionsThese findings demonstrate that nanofat markedly boosts the vascularisation and endocrine function of islet grafts. Hence, its co-transplantation with pancreatic islets represents a simple, clinically feasible approach to make the subcutaneous space available for future islet transplantation.

Indexed as

Diabetes Mellitus, ExperimentalDiabetes Mellitus, Type 1Islets of LangerhansIslets of Langerhans TransplantationAnimalsGraft SurvivalHumansMaleMiceMice, Inbred C57BLNeovascularization, PhysiologicSubcutaneous Tissuediabetesinsulinislet transplantationnanofatvascularization

Identifiers

PMID40994084
PMCPMC12587261

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.