The promise of stem cell-derived islet replacement therapy
Open accessAbstract
Present-day treatments for people that are insulin dependent require multiple insulin injections, sometimes with an insulin pump, coupled with regular blood glucose monitoring. The availability of modified insulins, each with peaks of activity at varying times, has improved diabetes management. On the other hand, there have been impressive results leading to insulin independence by transplantation of cadaveric islets coupled with immune suppression. This review focuses on the possibility of treating diabetes with cellular transplants, specifically with the use of pluripotent stem cells, to produce a virtually unlimited and uniform supply of human islet-like clusters by directed differentiation. Prospects for improving the in vitro differentiation of human endocrine cells for the study of endocrine function and their possible clinical uses are also discussed. Graphical abstract
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SC-islets generated in vitro remain transcriptionally and functionally immature compared to adult human islets.
“SC-islets generated in vitro remain transcriptionally and functionally immature compared to adult human islets.”
From Developments in stem cell-derived islet replacement therapy for treating type 1 diabetes (2023) · cites this paper as [78]
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- Authors
- Melton, D.
- Affiliations
- Harvard University (US)
- Corresponding author
- Melton, Douglas
- ORCID
- Melton, Douglas
- Venue
- Diabetologia
- Published
- 2021-01-16
- Volume
- 64
- Issue
- 5
- Pages
- 1030-1036
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- PMC
- PMC8012315
- OpenAlex
- W3125204220
- Cited by
- 96
- References
- 46
- Citations by year
- 2026: 12 · 2025: 10 · 2024: 18 · 2023: 22 · 2022: 19 · 2021: 15
- FWCI
- 4.82
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Diabetologia (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Harvard Stem Cell Institute
- JPB Foundation
- JDRF
- Howard Hughes Medical Institute
- NIH
- Topics
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Keywords
- stem cell-derived islets, type 1 diabetes, pluripotent stem cells, directed differentiation, islet-like clusters, endocrine differentiation, insulin independence, islet transplantation, cell transplantation
- MeSH terms
- Animals, Cell Differentiation, Diabetes Mellitus, Humans, Islets of Langerhans, Islets of Langerhans Transplantation, Pluripotent Stem Cells
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