Successful Islet Transplantation After Purification in Iodixanol-UWS • IPITA 1999 Sydney • @1MEMO 20260326

Pig islets after isolation in Iodixanol-UWS • 7th IPITA World Congress 1999 • 1MEMO_20260326_1 • Michel van der Burg • Miracles•Media • TakeNode 467e773c-fc4b-416e-99d5-c88df76ddff4 • Presentation by Michel van der Burg (Notes #5).

Shortly after our introduction at the previous IPITA World Congress, September 1997 in Milan (Italy) of the novel Iodixanol -UWS solution for isolation of juvenile pig islets (1), we reported successful xeno-transplantation in diabetic Swiss nude (immunodeficient) mice of adult pig islets isolated with this Iodixanol -UWS method, first Tuesday, Jan 27, 1998 at the 17th Workshop of the AIDSPIT Study Group in Igls, Austria (2a), and next April 1998 at the 10th Congress of the Dutch Transplantation Society (2b). We had started these first pig islet xenotransplants in mice also that same month of September 1997 — highlighted in the image below ( 1MEMO_20260326_12 )


First pig islet xeno transplants in mice • 1MEMO_20260326_12 • Michel van der Burg • Miracles•Media • TakeNode d4cc1f11-c107-4011-8dbe-9649da76e3ff • September 1997, we performed our first two pig islet xenotransplants into diabetic Swiss nude mice. The pig islets were isolated with Iodixanol-UWS from an adult pig pancreas (top panel: sample of the islets stained red with dithizone, fresh after isolation and purification). These pure islets were kept 1 week in a culture solution, before transplantation of the islets by injecting the islets under the kidney capsule in 2 diabetic Swiss nude mice. Both mice had normal blood glucose from the day one after transplantation, and upon removal of the kidneys for examination at 1 month after transplantation , we observed excellent islets under the kidney capsule , as shown in the bottom panel image of a kidney section stained with H&E (note : the inserted portrait of the Swiss nude mouse, actually is our #7 pig islet xenograft, alive and kicking, Dec 1997).

Starting with the September 1997 IPITA meeting in Milan, I was sharing in detail the materials and methods of our purification procedure, face to face and in post-congress correspondence, with my colleagues of the other islets centers, thus facilitating fast implementation by Bernhard Hering and Shinichi Matsumoto of the Iodixanol-UWS purification method in the Minneapolis islet center, contributing to their successful single-donor pig islet allo-transplants, as reported by Shinichi Matsumoto May 1998 at the 24th Annual Scientific Meeting of the American Society of Transplant Surgeons, in Chicago (3).

That month, May 1998, I also finished the first series of human islet purifications with the novel Iodixanol-UWS density gradient, while working on human islet isolations in the Miami team at the Diabetes Research Institute (Scientific director Prof. C. Ricordi, MD) of the University of Miami , in Miami, Florida, USA . The successful outcome of the human islet purification work done in Miami was reported from January 1999 in a talk and poster presentations , including a poster presentation at the 7th World Congress of the International Pancreas & Islet Transplant Association, Sydney (Australia) August 1999 (4).

Viability of Fresh vs Cultured Pig Islets for Transplants • 1MEMO_20260326_2


Slideshow presentation by Josephine Rijkelijkhuizen • 7th IPITA World Congress 1999 • Viability of Fresh vs Cultured Pig Islets for Transplants • 1MEMO_20260326_2 • Michel van der Burg • Miracles•Media • TakeNode 7164b724-65bf-4d3f-8a40-89b188957d1b • Notes #6


Handout • PDF (Viability of Fresh vs Cultured Pig Islets for Transplants)
7th IPITA World Congress 1999 • 1MEMO_20260326_3 • Michel van der Burg • Miracles•Media • TakeNode 995e90b3-d797-435c-a510-00a0e35bc424 • Handout presentation by Josephine Rijkelijkhuizen (Notes #6).

In our oral presentations at the 7th World Congress of the International Pancreas & Islet Transplant Association, Sydney (Australia) August 1999, we demonstrated both the complete recovery of pure intact pig islets during isolation in UWS and purification in the novel solution of Iodixanol (Optiprep) in UWS, and the superior viability of these islets following short-term storage in culture solution (‘culture’) , allowing successful xeno transplantation of the pig islets in mice (5,6), rats (7), and monkeys (8) .

The 7th IPITA congress abstracts were published online only at the official website of the IPITA, in Oxford at the time (www.jr2.ox.ac.uk/ipita), and cannot be retrieved now (9). However, I kept an archive with photocopies of our abstracts published in print in the Abstract Book of the 7th IPITA , posted below.

One of our papers was included among the top 10 papers selected for submission of a full paper in a special issue of the journal Cell Transplantation — see below.


Josephine Rijkelijkhuizen at the 7th IPITA World Congress 1999 • 1MEMO_20260326_4 • Photo by Michel van der Burg • Miracles•Media • TakeNode 0c2ef6fb-bdff-4895-9dde-eb242f957cb9

Top 10 Paper

Our study — collaborative research of our Surgery Department (LUMC), and workers of the Biomedical Primate Research Centre in Rijswijk (Netherlands) — presented by our student researcher Josephine Rijkelijkhuizen, showing that cultured pig islets, isolated and purified in Iodixanol-UWS, can be transplanted without hyperacute rejection in cynomolgous monkeys , was selected in the top 10 outstanding studies at the memorable Sidney World Congress of the International Pancreas & Islet Transplant Association (9) , and the full paper included in a special issue of the journal Cell Transplantation (10).

Our studies , together, demonstrated the importance of both donor organ selection (choosing adult organs), selection of non-toxic, endotoxin-free media, such as iodixanol and UWS, as the isolation solutions, and selection of islets that survive storage in culture, for a successful outcome after transplantation in this difficult model of xeno-transplantation, grafting porcine islets in other species.

Notes

1) Innovative Islet Purification in Iodixanol-UWS • IPITA 97 • Michel van der Burg • Miracles.Media • @1MEMO 20250128 • URL michelvanderburg.com/2025/01/28/

2a) Iodixanol-UWS Purification for Porcine Islet Transplantation • AIDSPIT 1998 • Michel van der Burg • Miracles.Media • @1MEMO 20250131 • URL michelvanderburg.com/2025/01/31/

2b) Fresh vs Cultured Pig Islets for Xenografts • NTV Bootcongres 1998 • Michel van der Burg • Miracles.Media • @1MEMO 20250201 • URL michelvanderburg.com/2025/02/01/

3) Matsumoto S, Zhang H J, Gilmore T, van der Burg MPM, Sutherland DER, Hering BJ. Large scale isopycnic islet purification utilizing non-toxic, endotoxin-free media facilitate immediate single-donor pig islet allograft function (Abstract). Transplantation 1998; 66: S30 • 1MEMO_20260326_10 • Michel van der Burg • Miracles.Media • TakeNode a7e8ec21-1757-45f4-90c6-1a5f457e0d9f , View/download PDF below.

Presentation at the 24th Annual Scientific Meeting of the American Society of Transplant Surgeons, Chicago (USA) May 1998. 24th ASTS Program book, Abstract #A-120 • 1MEMO_20260326_5 • Michel van der Burg • Miracles.Media • TakeNode 9efdd5cb-f6da-4dec-b9d9-63cf0b254b30


4) Van der Burg MPM, Ranuncoli A, Molano R, Kirlew T, Ringers J, Bouwman E, Terpstra OT, Ricordi C. New powerful tool for human islet purification: OptiPrep-UWS? 7th World Congress of the International Pancreas & Islet Transplant Association, Sydney (Australia) August 22–25, 1999. Abstract in Programme and Abstract Book, page 169, P298 . In : New Powerful Tool For Human Islet Purification • OptiPrep-UWS ? • IPITA 1999 Sydney • @1MEMO 20260325 • Michel van der Burg • Miracles.Media • URL michelvanderburg.com/2026/03/25/

5) Van der Burg MPM, Rijkelijkhuizen JKRA, Zwaan RP, Bouwman E. Recovery of adult pig islets during isolation using Liberase vs collagenase-P, purification in OptiPrep-UWS, and culture for transplantation in nude mice. 7th World congress of the International Pancreas & Islet Transplant Association, Sydney (Australia) August 22–25, 1999. Programme and Abstract Book, page 164, #281 . 1MEMO_20241203_3 • In : Iodixanol Purification of Porcine Islets • Sydney IPITA 1999 • 1MEMO 20241203 • Michel van der Burg • Miracles.Media • TakeNode 64ace253-d25b-4b6d-af5b-08060712c471 • URL michelvanderburg.com/2024/12/03/


6) Rijkelijkhuizen JKRA, Bouwman E, Van der Burg MPM. Pre-transplant culture markedly improves pig islet graft survival in nude mice. 7th World congress of the International Pancreas & Islet Transplant Association, Sydney (Australia) August 22–25, 1999. Programme and Abstract Book, page 117, #162 . 1MEMO_20260326_6 • Michel van der Burg • Miracles.Media • TakeNode 5ce0c54f-a6a1-4cc9-8f68-9a1cd723badf


7) Rijkelijkhuizen JKRA, Van der Burg MPM, Bouwman E. Longterm survival of porcine islets in the rat. 7th World congress of the International Pancreas & Islet Transplant Association, Sydney (Australia) August 22–25, 1999. Programme and Abstract Book, page 112, #152 . 1MEMO_20260326_7 • Michel van der Burg • Miracles.Media • TakeNode bc9a48ee-23ff-48f1-ab2c-5bcef071ebaa


8) Rijkelijkhuizen JKRA, Bouwman E, Van der Burg MPM, Ringers J, Ossevoort MA, Kuhn EM, Frost P, Jonker M. Successful suppression of the early rejection of pig islets in monkeys. 7th World congress of the International Pancreas & Islet Transplant Association, Sydney (Australia) August 22–25, 1999. Programme and Abstract Book, page 144, #231 . 1MEMO_20260326_8 • Michel van der Burg • Miracles.Media • TakeNode 29bb03b4-8b02-4aa9-9b33-715ca006c28e

9) Ricordi C. Prime Time for Pancreas and Islet Transplantation at the Turn of the Millennium. Cell Transplant. 2000 Nov;9(6):853-855. doi: 10.1177/096368970000900611. PMID: 28886292. URL https://journals.sagepub.com/doi/epdf/10.1177/096368970000900611 (Free Full Paper)

10) Rijkelijkhuizen JK, Bouwman E, van der Burg MP, Ringers J, Ossevoort MA, Kuhn EM, Frost P, Jonker M. Successful suppression of the early rejection of pig islets in monkeys. Cell Transplant. 2000 Nov-Dec;9(6):909-12. doi: 10.1177/096368970000900618. PMID: 11202577. URL https://journals.sagepub.com/doi/epdf/10.1177/096368970000900618 (Free Full Paper) • Collaborative research From Biomedical Primate Research Centre (M.O., E.M.K.,
J.W., K.H., M.J.), Rijswijk, and Leiden University Medical Centre (J.K.R.A.R., J.R., M.vdB., E.B.), Leiden, The Netherlands .


Sydney Convention Center • 1MEMO_20260326_9 • Michel van der Burg • Miracles.Media • TakeNode 1ce6bbf2-adf1-4ce3-8c69-cd2d1339be81 • Sydney Convention Center – Darling Harbour (demolished in 2013)


Cultured pig islets for xenotransplantation • 1MEMO_20260326_11 • Michel van der Burg • Miracles•Media • TakeNode bd15f087-29cd-4e99-a555-9fbfbd1729bc • Reflection contrast microscopy (ultrathin section) of 1-week cultured pig islets . During storage in culture remodeling of the isolated islets occurs, showing rounded islets , with some central necrosis after prolonged culture. Transplantation of 1250 islets (IEQs) from this same 1-week cultured pig islet preparation cured all (n=3) diabetic nude mice indefinitely (over 150 days). In contrast transplants of freshly isolated islets (not cultured) using the same dose of 1250 islets (IEQs) from this same islet preparation, did not cure diabetic nude mice (n=2). Adult pig pancreas procurement by Michel van der Burg from the nearby Westgeest slaughterhouse (in Zoetermeer) facility for large sows processing by Ballering Export (Son, Netherlands; a company of second cousins, of mine).
. Islet isolation (using Iodixanol-UWS) and transplants team work by Josephine Rijkelijkhuizen and Michel van der Burg, Leiden Islet Laboratory (LUMC), May 1998. Reflection contrast microscopy by Frans A. Prins and Michel van der Burg. Not previously published data and photo by Michel van der Burg.

#IPITA #Sydney #surgery #DRI #Miami #clinical #laboratory #purification #optiprep #iodixanol #density #gradient #UWS #pancreas #human #pig #rat #mouse #monkey #xeno #islets #islet #Langerhans #isolation #UW #university #Wisconsin #transplantation #diabetes #man #history #Holland #Netherlands #Leiden #hospital #LUMC #1memo #michelvanderburg #Rijkelijkhuizen #Matsumoto #Hering #Minneapolis #Ricordi

Citation info : Successful Islet Transplantation After Purification in Iodixanol-UWS • IPITA 1999 Sydney • @1MEMO 20260326 • Michel van der Burg • Miracles.Media • URL michelvanderburg.com/2026/03/26/

Islet Isolation Assessment • 4th IPITA Amsterdam 1993 • @1MEMO 20260201

4th IPITA , Amsterdam, 1993 • Michel van der Burg • Miracles•Media • 1MEMO_20260201_11 • TakeNode 1c776460-e3a6-46df-8b8b-f43f30517021

Slideshow (handout slides, partially remastered) of my talk titled ‘Assessment of islet isolation efficacy in dogs’ presented at the 4th International Congress on Pancreas and Islet Transplantation (4th IPITA), Amsterdam (The Netherlands) June 27–30, 1993 • Michel van der Burg • Miracles•Media • 1MEMO_20260201_1 • TakeNode 628b273c-b8e1-4e23-8f8b-1550c7960cb3 • PDF available below.

Text of talk ‘Assessment of islet isolation efficacy in dogs’ presented at the 4th International Congress on Pancreas and Islet Transplantation (4th IPITA), Amsterdam (The Netherlands) June 27–30, 1993 • Michel van der Burg • Miracles•Media • 1MEMO_20260201_12 • TakeNode 9bc525ba-dfdb-4d92-8af4-bdd21ee1faaf • PDF available below.

The proceedings paper delivered at the 4th IPITA is included below in the Notes , as well as references of the related full papers and related chapters of PhD thesis.

This IPITA meeting in Amsterdam was also a good opportunity to catch up with colleague Nick London (see photo) from the Leicester (UK) group discussing our Leiden and Leicester islet isolation work using the University of Wisconsin organ preservation solution (UWS). The Leicester group were one of the first groups to examine and adopt our novel method of islet isolation in UWS.
Several groups reported at this 4th IPITA symposium on the effects of using (modified) UW solution (UWS) during islet isolation : Leicester (pig, human islets), Oxford (rat, rabbit islets), Minneapolis (human islets), Paris, and Giessen (clinical human allo islet transplantation).

Michel van der Burg (Leiden) and Nick London (Leicester) • 4th IPITA , Amsterdam (The Netherlands) June 27–30, 1993 • Photo by Matthias Ohimer , Michel van der Burg • Miracles•Media • @1MEMO_20260201_3 • TakeNode c4451ac4-84fc-4068-823a-b475dc0bb35e • #islets #LUMC #transplant #IPITA #diabetes #Amsterdam #Leicester #Leiden

During the 4th IPITA I discussed in detail the rationale of our UWS work, the important components of UWS, and basal solution for islet purification (Percoll-UWS) with Yoko Mullen (in particular) and her co-worker Charles Brunicardi (see photo) of the UCLA Islet Transplant Team (LA, USA)…contributing to the development of Yoko’s Los Angeles preservation solution #1 (LAP-1) patented in 1997 (see Notes, US5679565A).

Michel van der Burg (Leiden), Charles Brunicardi (LA), and (? Norm Kneteman, Edmonton) • 4th IPITA , Amsterdam (The Netherlands) June 27–30, 1993 • Photo by Matthias Ohimer , Michel van der Burg • Miracles•Media • @1MEMO_20260201_4 • TakeNode 93930fd4-ee21-4b18-90ca-83e1731102e1 • #islets #LUMC #transplant #IPITA #diabetes #Amsterdam #Leiden #LosAngeles #LA #Edmonton

The official founding meeting of the IPITA was actually at this 4th International Congress on Pancreas and Islet Transplantation — June 27–30, 1993 in Amsterdam (The Netherlands) hosted by Dr. Reinout van Schilfgaarde (see photo).

Reinout van Schilfgaarde (Groningen) • 4th IPITA , Amsterdam (The Netherlands) June 27–30, 1993 • Photo by Matthias Ohimer , Michel van der Burg • Miracles•Media • @1MEMO_20260201_5 • TakeNode 9a713895-1dc6-462a-9621-1160ddeb2d8e • #islets #LUMC #transplant #IPITA #diabetes #Amsterdam #Leiden

Below some of the photos I took during a break at the 4th IPITA in Amsterdam, near the Rijksmuseum (corner Spiegelgracht / Tweede Weteringdwarsstraat) , and at the congress venue (RAI Amsterdam).

Garth Warnock (Edmonton), Bernhard Hering (Giessen), Nick London (Leicester) • 4th IPITA , Amsterdam (The Netherlands) June 27–30, 1993 • Photo by Michel van der Burg • Miracles•Media • @1MEMO_20260201_6 • TakeNode 4a31bed0-8308-4a51-9291-06d53549ef3d • #islets #LUMC #transplant #IPITA #diabetes #Amsterdam #Leiden #Edmonton #Giessen #Leicester

Garth Warnock (Edmonton), Bernhard Hering (Giessen), Nick London (Leicester) • 4th IPITA , Amsterdam (The Netherlands) June 27–30, 1993 • Photo by Michel van der Burg • Miracles•Media • @1MEMO_20260201_7 • TakeNode ea3824e8-23da-4cbb-aeaa-04cbc1903c2b • #IPITA #Amsterdam #islets #LUMC #transplant #diabetes #Leiden #Edmonton #Giessen #Leicester

Garth Warnock (Edmonton), Bernhard Hering (Giessen) • 4th IPITA , Amsterdam (The Netherlands) June 27–30, 1993 • Photo by Michel van der Burg • Miracles•Media • @1MEMO_20260201_8 • TakeNode ffbe0d97-be31-4dc9-bc94-9e2b708ccb47 • #IPITA #Amsterdam #islets #LUMC #transplant #diabetes #Edmonton #Giessen #Leiden

Jane Field (Minneapolis) • 4th IPITA , Amsterdam (The Netherlands) June 27–30, 1993 • Photo by Michel van der Burg • Miracles•Media • @1MEMO_20260201_9 • TakeNode d1921eb6-2c38-49c2-9693-d288d940268d • #IPITA #Amsterdam #islets #LUMC #transplant #diabetes #Minneapolis #Leiden

Notes

Oral presentation 4th IPITA : Van der Burg MPM, Guicherit OR, Frölich M, Scherft JP, Prins FA, Bruijn JA, Gooszen HG. Assessment of islet isolation efficacy in dogs. 4th International Congress on Pancreas and Islet Transplantation, Amsterdam (The Netherlands) June 27–30, 1993.

Oral presentation (selection of slides Assessment of islet isolation efficacy in dogs). Van der Burg MPM. Workshop: Guidelines for the standardized assessment of retrieval and transplantation of islets. 4th International Congress on Pancreas and Islet Transplantation, Amsterdam (The Netherlands) June 27–30, 1993.

Proceedings paper 4th IPITA : Van der Burg MPM, Guicherit OR, Frölich M, Scherft JP, Prins FA, Bruijn JA, Gooszen HG. Morphometry of native and isolated islets: a new approach to isolation assessment. Transplant Proc. 1994 Apr;26(2):632-3. PMID: 7513459 . PDF available below

This slideshow had been presented earlier that year with a different title at the 12th Workshop of the AIDSPIT Study Group in Igls :
Oral presentation 12th AIDSPIT : Van der Burg MPM, Guicherit OR, Frölich M, Scherft JP, Bruijn JA, Prins FA, Gooszen HG. Quantification of islet isolation efficiency in dogs. 12th Workshop of the AIDSPIT Study Group of the European Association for the Study of Diabetes, Igls (Austria) January 24–26, 1993.

Title Slide (remastered) 12th AIDSPIT, Igls (Austria), 1993 • Michel van der Burg • Miracles•Media • 1MEMO_20260201_2 • TakeNode 2cfe23eb-cbb0-4942-afcb-56755ebcb467

Abstract 12th AIDSPIT : Van der Burg MPM, Guicherit OR, Frölich M, Scherft JP, Bruijn JA, Prins FA, Gooszen HG. Quantification of islet isolation efficiency in dogs (Abstract). Horm Metab Res 1993; 25: 52. 1MEMO_20260201_10 PDF available below.

Corresponding Full Papers (Thesis chapters)

Van der Burg MPM, Guicherit OR, Frölich M, Scherft JP, Bruijn JA, Gooszen HG. Impact of donor-related variables on islet isolation outcome in dogs. Diabetologia. 1994 Jan;37(1):111-4. doi: 10.1007/BF00428786. PMID: 8150223 . Article PDF free download

Van der Burg MPM, Guicherit OR, Frölich M, Scherft JP, Prins FA, Bruijn JA, Gooszen HG. Assessment of islet isolation efficacy in dogs. Cell Transplant. 1994 Jan-Feb;3(1):91-101. doi: 10.1177/096368979400300113. PMID: 8162296

Chapters (2,3) Doctoral Thesis (corresponding with full papers) : Van der Burg MPM. Pancreatic islet transplantation: studies on the technique and efficacy of islet isolation and transplantation. (Doctoral Thesis, Leiden University, 1994), Paperback (1994, Nov 9) Boskoop: Van der Burg (ISBN 9080216410); E-book (2022, Oct 25) Boskoop: Michel van der Burg | Miracles•Media ( ISBN 9789080216402). Retrieved (Dec 4th, 2025) from Leiden University Scholarly Publications, Persistent URL https://hdl.handle.net/1887/3486604 . PDF available via link.

Method of Preserving Pancreatic Islets , Mullen et al. United States Patent US5679565 . Download PDF https://patentimages.storage.googleapis.com/80/60/f6/744731dd250c48/US5679565.pdf

Patent US5679565

Online history of patent :
US5679565A – Method of preserving pancreatic islets – Google Patents URL https://patents.google.com/patent/US5679565A

Portfolio

Online Portfolio – Science : https://michelvanderburg.com/category/science/

#islet #IPITA #AIDPIT #Amsterdam #Igls #Innsbruck #UWS #density #purification #history #AIDSPIT #Leiden #Leicester #Netherlands #Austria #Langerhans #isolation #transplantation #pancreas #diabetes #insulin #donor #assessment #michelvanderburg #symposium #workshop #science #EPITAsymposium #EASD #ESOT #Edmonton #Giessen #Minneapolis

Citation info : Islet Isolation Assessment • 4th IPITA Amsterdam 1993 • Michel van der Burg • Miracles•Media • @1MEMO 20260201 • URL https://michelvanderburg.com/2026/02/01