Human insulin versus porcine insulin in rhesus monkeys with diabetes mellitus

J Med Primatol. 2013 Feb;42(1):1-9. doi: 10.1111/jmp.12025. Epub 2012 Oct 29.

Abstract

Background: Monkeys with insulin-dependent diabetes are important preclinical animal models for islet transplantation. Exogenous insulin should be administered to achieve good glycemic control and minimize the long-term vascular complications associated with diabetes until the graft function recovered completely. However, the effect of multiple daily injections of porcine or human insulin and the long-term effects of porcine insulin have not been studied in diabetic rhesus monkeys.

Methods: Diabetic rhesus monkeys, using a 6-month self-control insulin comparison experiment, were used to detect the incidence of adverse events and long-term diabetes complication events after long-term administration of porcine insulin.

Results: In this study, we found that a 20% higher dose of porcine insulin results in similar glycemic control as the human insulin regimen, and adverse events were seldom reported when porcine insulin was administered. Moreover, long-term injection with porcine insulin could delay the rate and severity of diabetes-related complications.

Conclusions: Porcine insulin as a competent candidate for regular insulin therapy to maintain blood glucose levels in insulin-dependent diabetic monkeys during preclinical studies of islet transplantation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Glucose
  • Diabetes Mellitus, Experimental / drug therapy*
  • Diabetes Mellitus, Type 1 / drug therapy
  • Diabetes Mellitus, Type 1 / veterinary*
  • Diabetic Nephropathies
  • Diabetic Retinopathy
  • Glycated Hemoglobin
  • Hypoglycemic Agents / adverse effects
  • Hypoglycemic Agents / economics
  • Hypoglycemic Agents / therapeutic use*
  • Insulin, Isophane / adverse effects
  • Insulin, Isophane / economics
  • Insulin, Isophane / therapeutic use*
  • Insulin, Regular, Human / adverse effects
  • Insulin, Regular, Human / economics
  • Insulin, Regular, Human / therapeutic use*
  • Insulin, Regular, Pork / adverse effects
  • Insulin, Regular, Pork / economics
  • Insulin, Regular, Pork / therapeutic use*
  • Macaca mulatta
  • Monkey Diseases / drug therapy

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Hypoglycemic Agents
  • Insulin, Regular, Human
  • Insulin, Regular, Pork
  • Insulin, Isophane