Immunomodulatory Effects of Insulin-Derived Fibrils from Infusion Pumps: Role of Phenolic Preservatives in Macrophage Activation
This study demonstrates that while insulin-derived fibrils with and without phenolic preservatives share similar structural properties, the presence of preservatives significantly enhances fibril-induced cytotoxicity and ROS production in macrophages, revealing distinct immunomodulatory mechanisms that underscore the need for strategies to improve the biocompatibility of insulin infusion devices.