PMID- 30353611 OWN - NLM STAT- MEDLINE DCOM- 20190805 LR - 20190805 IS - 1432-2277 (Electronic) IS - 0934-0874 (Linking) VI - 32 IP - 3 DP - 2019 Mar TI - Assessment of simple indices based on a single fasting blood sample as a tool to estimate beta-cell function after total pancreatectomy with islet autotransplantation - a prospective study. PG - 280-290 LID - 10.1111/tri.13364 [doi] AB - We investigated six indices based on a single fasting blood sample for evaluation of the beta-cell function after total pancreatectomy with islet autotransplantation (TP-IAT). The Secretory Unit of Islet Transplant Objects (SUITO), transplant estimated function (TEF), homeostasis model assessment (HOMA-2B%), C-peptide/glucose ratio (CP/G), C-peptide/glucose creatinine ratio (CP/GCr) and BETA-2 score were compared against a 90-min serum glucose level, weighted mean C-peptide in mixed meal tolerance test (MMTT), beta score and the Igls score adjusted for islet function in the setting of IAT. We analyzed values from 32 MMTTs in 15 patients after TP-IAT with a follow-up of up to 3 years. Four (27%) individuals had discontinued insulin completely prior to day 75, while 6 out of 12 patients (50%) did not require insulin support at 1-year follow-up with HbA1c 6.0% (5.5-6.8). BETA-2 was the most consistent among indices strongly correlating with all reference measures of beta-cell function (r = 0.62-0.68). In addition, it identified insulin independence (cut-off = 16.2) and optimal/good versus marginal islet function in the Igls score well, with AUROC of 0.85 and 0.96, respectively. Based on a single fasting blood sample, BETA-2 score has the most reliable discriminant value for the assessment of graft function in patients undergoing TP-IAT. CI - (c) 2018 Steunstichting ESOT. FAU - Golebiewska, Justyna E AU - Golebiewska JE AUID- ORCID: 0000-0001-5346-8369 AD - Department of Surgery, University of Chicago, Chicago, IL, USA. AD - Department of Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk, Gdansk, Poland. FAU - Bachul, Piotr J AU - Bachul PJ AD - Department of Surgery, University of Chicago, Chicago, IL, USA. AD - Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland. FAU - Fillman, Natalie AU - Fillman N AD - Department of Surgery, University of Chicago, Chicago, IL, USA. FAU - Basto, Lindsay AU - Basto L AD - Department of Surgery, University of Chicago, Chicago, IL, USA. FAU - Kijek, Mark R AU - Kijek MR AD - Department of Surgery, University of Chicago, Chicago, IL, USA. FAU - Golab, Karolina AU - Golab K AD - Department of Surgery, University of Chicago, Chicago, IL, USA. FAU - Wang, Ling-Jia AU - Wang LJ AD - Department of Surgery, University of Chicago, Chicago, IL, USA. FAU - Tibudan, Martin AU - Tibudan M AD - Department of Surgery, University of Chicago, Chicago, IL, USA. FAU - Thomas, Celeste AU - Thomas C AD - Department of Medicine, University of Chicago, Chicago, IL, USA. FAU - Debska-Slizien, Alicja AU - Debska-Slizien A AD - Department of Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk, Gdansk, Poland. FAU - Gelrud, Andres AU - Gelrud A AD - Department of Medicine, University of Chicago, Chicago, IL, USA. FAU - Matthews, Jeffrey B AU - Matthews JB AD - Department of Surgery, University of Chicago, Chicago, IL, USA. FAU - Millis, J Michael AU - Millis JM AD - Department of Surgery, University of Chicago, Chicago, IL, USA. FAU - Fung, John AU - Fung J AD - Department of Surgery, University of Chicago, Chicago, IL, USA. FAU - Witkowski, Piotr AU - Witkowski P AUID- ORCID: 0000-0002-4459-6673 AD - Department of Surgery, University of Chicago, Chicago, IL, USA. LA - eng PT - Journal Article DEP - 20181126 PL - Switzerland TA - Transpl Int JT - Transplant international : official journal of the European Society for Organ Transplantation JID - 8908516 RN - 0 (Blood Glucose) RN - 0 (C-Peptide) MH - Adolescent MH - Adult MH - Blood Glucose/analysis MH - C-Peptide/blood MH - Fasting/*blood MH - Female MH - Humans MH - Insulin-Secreting Cells/*physiology MH - *Islets of Langerhans Transplantation MH - Male MH - Middle Aged MH - *Pancreatectomy MH - Prospective Studies MH - Transplantation, Autologous MH - Young Adult OTO - NOTNLM OT - autologous islet transplantation OT - beta-cell function OT - surrogate indices OT - total pancreatectomy with islet autotransplantation EDAT- 2018/10/26 06:00 MHDA- 2019/08/06 06:00 CRDT- 2018/10/25 06:00 PHST- 2018/08/19 00:00 [received] PHST- 2018/10/05 00:00 [revised] PHST- 2018/10/15 00:00 [accepted] PHST- 2018/10/26 06:00 [pubmed] PHST- 2019/08/06 06:00 [medline] PHST- 2018/10/25 06:00 [entrez] AID - 10.1111/tri.13364 [doi] PST - ppublish SO - Transpl Int. 2019 Mar;32(3):280-290. doi: 10.1111/tri.13364. Epub 2018 Nov 26.