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Preface - Ous-research.no

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Cell Transplantation<br />

Leader:<br />

Aksel Foss, Professor, MD, PhD, MHA, FEBS (OUH/UiO)<br />

Scientific staff:<br />

Olle Korsgren, Prof, MD, PhD (Uppsala University)<br />

Hanne Scholz, MSc, PhD, Post doc (OUH)<br />

Tormod Lund, MD, PhD (Sørlandet Hospital, Arendal)<br />

Kristine Kloster-Jensen, MD, PhD student (OUH)<br />

Afaf Sahraoui MD, PhD student (OUH)<br />

Tim Scholz, MD, PhD (OUH)<br />

Trond Jenssen, Prof, MD, PhD (OUH)<br />

Stein Bergan, Prof, MSc, PhD (OUH)<br />

Karsten Midtvedt, MD, PhD (OUH)<br />

Geir Hafsahl, MD, PhD (OUH)<br />

Hilde Hestvåg, Study nurse (CIT-01) (NIH)<br />

Professor Aksel Foss<br />

Introduction<br />

Cell transplantation is a fast growing field in medicine. In<br />

front of a broad area of potential therapeutic options for<br />

cell transplantation is transplantation of insulin producing<br />

pancreatic islets as a feasible alternative for treatment of<br />

unstabile type 1 diabetes. As such the treatment is highly<br />

successful, but several hurdles have to be overcome before<br />

islet transplantation can be a routine treatment for patients<br />

with diabetes.<br />

The first clinical islet transplantation in Norway was performed<br />

at Rikshospitalet in 2001 by Foss and co-workers. The<br />

Research Group for Cell Transplantation has been located<br />

at the Institute for Surgical Research, Rikshospitalet since<br />

2005. From that time on, several articles of experimental<br />

islet transplantation have been published. In 2009 the first<br />

doctoral thesis from the work of the <strong>research</strong> group was<br />

published (Tormod Lund). A master degree was published<br />

in 2008 (Ingrid Aursnes Stølen). Currently, two PhD-students<br />

and one post doc is working full time with experimental<br />

islet transplantation. The Research Group for Cell transplantation<br />

is part of the Nordic Network for Clinical Islet Transplantation<br />

and works in close collaboration with Uppsala<br />

University.<br />

During the last years extensive work has been carried out<br />

to establish facilities for isolation and culture of other cell<br />

types such as hepatocytes, neural cells and even xe<strong>no</strong>-cells,<br />

with the aim of creating a ‘Center for Cell Transplantation’ at<br />

Rikshospitalet. A working group of key individuals from IKF,<br />

the University of Uppsala and the Karolinska Institute have<br />

joined to bring forward a robust inter-Scandinavian collaboration<br />

to address new potential cell therapies and a defined<br />

<strong>research</strong> program has been established. The strength in this<br />

organization is that the people involved are active clinicians<br />

who rapidly are able to transfer new k<strong>no</strong>wledge from<br />

the laboratory into the clinic which is essential in modern<br />

medical science.<br />

For further advance in the field of cell transplantation,<br />

k<strong>no</strong>wledge obtained from islet transplantation <strong>research</strong><br />

is important. Inflammatory reactions are key elements in<br />

islet isolation, culture and transplantation as it is in many<br />

other biological processes. Functional and experimental<br />

studies suggest that that the inflammatory status of cells<br />

and tissues as well as at the implantation site is important<br />

determinants for the outcome of cell transplantation. To<br />

understand and control the processes of inflammation is<br />

therefore necessary for further advances in the field of cell<br />

transplantation.<br />

Pancreatic islets<br />

General Objectives<br />

••<br />

To utilize the present k<strong>no</strong>wledge on clinical islet transplantation<br />

and to induce C-peptide production in unstable<br />

type 1 diabetics, thus improving quality of life and reducing<br />

long term complications of type 1 diabetes.<br />

••<br />

To develop strategies to suppress inflammatory reactions<br />

elicited by islet transplantation and to establish <strong>no</strong>n-toxic<br />

immu<strong>no</strong>suppressive protocols in islet transplantation, able<br />

to induce immune tolerance.<br />

••<br />

To explore and develop striated musculature as an alternative<br />

site for islet transplantation.<br />

••<br />

To obtain methods for in vivo surveillance of islet cell<br />

engraftment, distribution and function by bioluminescentand<br />

PET imaging.<br />

31

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