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Stem cell-derived islet therapy: is this the end of the beginning?

The debut of stem cell-derived islets in the clinic for glycaemic control in patients with type 1 diabetes mellitus has garnered much excitement. Ongoing research in this field guarantees to be transformative for modern treatment of diabetes mellitus.

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Fig. 1: ‘Smart’ SC-islets.

References

  1. Banting, F. G. Nobel lecture: diabetes and insulin. The Nobel Prize https://www.nobelprize.org/prizes/medicine/1923/banting/lecture/ (1925).

  2. Balboa, D. et al. Functional, metabolic and transcriptional maturation of human pancreatic islets derived from stem cells. Nat. Biotechnol. 40, 1042–1055 (2022).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Davis, J. C. et al. Glucose response by stem cell-derived β cells in vitro is inhibited by a bottleneck in glycolysis. Cell Rep. 31, 107623 (2020).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Augsornworawat, P. et al. Single-nucleus multi-omics of human stem cell-derived islets identifies deficiencies in lineage specification. Nat. Cell Biol. 25, 904–916 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Zhu, H. et al. Understanding cell fate acquisition in stem-cell-derived pancreatic islets using single-cell multiome-inferred regulomes. Dev. Cell 58, 727–743.e11 (2023).

    Article  CAS  PubMed  Google Scholar 

  6. Tahbaz, M. & Yoshihara, E. Immune protection of stem cell-derived islet cell therapy for treating diabetes. Front. Endocrinol. (Lausanne) 12, 716625 (2021).

    Article  PubMed  Google Scholar 

  7. Hu, X. et al. Human hypoimmune primary pancreatic islets avoid rejection and autoimmunity and alleviate diabetes in allogeneic humanized mice. Sci. Transl. Med. 15, eadg5794 (2023).

    Article  CAS  PubMed  Google Scholar 

  8. Gerace, D. et al. Engineering human stem cell-derived islets to evade immune rejection and promote localized immune tolerance. Cell Rep. Med. 4, 100879 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Nakatsuji, N., Nakajima, F. & Tokunaga, K. HLA-haplotype banking and iPS cells. Nat. Biotechnol. 26, 739–740 (2008).

    Article  CAS  PubMed  Google Scholar 

  10. Shapiro, A. M., Pokrywczynska, M. & Ricordi, C. Clinical pancreatic islet transplantation. Nat. Rev. Endocrinol. 13, 268–277 (2017).

    Article  CAS  PubMed  Google Scholar 

Download references

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Correspondence to Matthias Hebrok.

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Competing interests

M.H. holds stocks in Encellin Inc. and Thymmune Therapeutics Inc. M.H. consults for CV Next and holds stock in the latter. M.H. is the co-founder and SAB member of Minutia Inc. and holds stocks and options in the company. V.A.C. declares no competing interests.

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Cochrane, V.A., Hebrok, M. Stem cell-derived islet therapy: is this the end of the beginning?. Nat Rev Endocrinol 19, 681–682 (2023). https://doi.org/10.1038/s41574-023-00910-8

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