Display of CD47 protein on pancreatic islet grafts improves engraftment following intraportal transplantation

Abstract

Abstract Intraportal islet transplantation is a curative therapy for type 1 diabetes. However, early islet engraftment is hampered by a thrombotic and inflammatory reaction defined as an instant blood-mediated inflammatory reaction (IBMIR). The CD47 molecule is an important regulator of IBMIR, by blocking phagocytosis. We hypothesized that the transient display of the CD47 protein on the surface of islet grafts may prevent early islet destruction by IBMIR following intraportal transplantation. We generated a chimeric CD47 fused with a modified streptavidin (SA-CD47). SA-CD47 was transiently displayed on the surface of rat splenocytes that had been modified with biotin taking advantage of the strong affinity between biotin and streptavidin (SA). SA-CD47 protein was also effectively displayed on the surface of biotinylated islets. Importantly, in a syngeneic marginal mass intraportal islet transplantation model, 7/8 streptozotocin-diabetic C57BL/6 mice transplanted with 125 SA-CD47 engineered islets established euglycemia long term (>80 days). In marked contrast, only 1/7 mice achieved euglycemia when transplanted with SA-engineered islet grafts. The engrafted islets in the SA-CD47 group had a comparable response to naïve mice in the intraperitoneal glucose tolerance test. Flow cytometric and qRT-PCR analyses of liver tissues did not reveal significant changes in cellular and molecular immune responses between SA-CD47 and SA-engineered control groups, suggesting that inhibition of islet phagocytosis as underlying mechanism of islet engraftment and survival. Collectively, these results demonstrate the utility of SA-CD47 as a regulator of IBMIR for prevention of early islet graft loss following intraportal transplantation