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In type 2 diabetes, the pancreas's β cells stop making insulin because they revert to progenitor cells, rather than because they die, as has been thought.

A team led by Domenico Accili at Columbia University in New York studied mice lacking the Foxo1 gene, which is involved in cell specialization or differentiation, in their β cells. The animals produced fewer β cells and developed high blood-sugar levels. Moreover, the authors found that the β cells reverted back to endocrine progenitor cells, which are unable to make insulin. Mice in two other models of diabetes also produced such de-differentiated β cells.

Turning these stem cells back into β cells could be a way to treat type 2 diabetes, the authors suggest.

Cell 150, 1223–1234 (2012)