Human pancreatic tissue dissociation enzymes for islet isolation: Advances and clinical perspectives

Abstract

Background and aims: Successful clinical human allo or auto-islet transplantation requires the recovery of a sufficient number of functional islets from either brain-dead or chronic pancreatitis pancreases respectively.

Methods: In the last two decades (2000-2019), significant progress has been made in improving the human islet isolation procedures and in standardizing the use of different tissue dissociation enzyme (TDE; a mixture of collagenase and protease enzymes) blends to recover higher islet yields.

Results and conclusions: This review presents information focusing on properties and role of TDE blends during the islet isolation process, particularly emphasizing on the current developments, associated challenges and future perspectives within the field.

Keywords: BP-Protease; Collagenase; Islet isolation; Islet transplantation; Neutral protease; Thermolysin.