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Pancreatic endoderm derived from human embryonic stem cells generates glucose-responsive insulin-secreting cells in vivo
Abstract
Development of a cell therapy for diabetes would be greatly aided by a renewable supply of human beta-cells. Here we show that pancreatic endoderm derived from human embryonic stem (hES) cells efficiently generates glucose-responsive endocrine cells after implantation into mice. Upon glucose stimulation of the implanted mice, human insulin and C-peptide are detected in sera at levels similar to those of mice transplanted with approximately 3,000 human islets. Moreover, the insulin-expressing cells generated after engraftment exhibit many properties of functional beta-cells, including expression of critical beta-cell transcription factors, appropriate processing of proinsulin and the presence of mature endocrine secretory granules. Finally, in a test of therapeutic potential, we demonstrate that implantation of hES cell-derived pancreatic endoderm protects against streptozotocin-induced hyperglycemia. Together, these data provide definitive evidence that hES cells are competent to generate glucose-responsive, insulin-secreting cells.
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“In particular, ViaCyte developed a stem cell-derived pancreatic endoderm cell population known as PEC-01, which they demonstrated to mature over several months in vivo into insulin-producing endocrine cells in rodent models.29–31”
From Developments in stem cell-derived islet replacement therapy for treating type 1 diabetes (2023) · cites this paper as [31]
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Successful Islet Transplantation
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Aigha, I., Memon, B., Elsayed, A., & Abdelalim, E. M. (2018) · Stem cell research & therapeutics · doi:10.1186/s13287-018-0834-0 · Cited by 32
“Generation of the two different MPC populations in vitro has been demonstrated using hPSCs [10, 11, 14].”
A high-content small molecule screen identifies novel inducers of definitive endoderm
Korostylev, A., Mahaddalkar, P. U., Keminer, O., Hadian, K., Schorpp, K., Gribbon, P. M., & Lickert, H. (2017) · Molecular Metabolism · doi:10.1016/j.molmet.2017.04.009 · Cited by 36
“Current problems include the expansion of large quantities of progenitor cells using GMP facilities and the generation of functional mature b-cells for transplantation [1].”
BackgroundSpecification of hepatopancreas progenitors in zebrafish by hnf1ba and wnt2bb
Lancman, J. J., Zvenigorodsky, N., Gates, K. P., Zhang, D., Solomon, K. S., Humphrey, R. K., Kuo, T., Setiawan, L., Verkade, H. M., Chi, Y., et al. (2013) · Development · doi:10.1242/dev.090993 · Cited by 29
“HNF1B+ cells are produced in protocols designed to generate pancreatic endocrine cells from embryonic stem cells (Kroon et al., 2008).”
BackgroundMaking β cells from adult tissues
Efrat, S., & Russ, H. A. (2012) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2012.03.005 · Cited by 31
Stem cell and gene therapies for diabetes mellitus
Calne, R., Gan, S. U., & Lee, K. (2010) · Nature Reviews Endocrinology · doi:10.1038/nrendo.2009.276 · Cited by 32
“The possibility of inducing embryonic stem cells to differentiate via endoderm into pancreatic β cells ( Figure 1a ) seems attractive, but the intermediate stages involved in this pathway are complicated and not fully understood”
BackgroundMason, M. N., Arnold, C. A., & Mahoney, M. (2009) · Tissue Engineering. Part A · doi:10.1089/ten.tea.2009.0148 · Cited by 32
“40 Trans-planting a heterogeneous population of cells that are not fully differentiated poses potential risks to patients, as isolated pockets of unwanted ectoderm, mesoderm, and nonpancreatic endoderm have been found in vivo and contaminating undifferentiated, proliferative cells put the patient…”
Genetic Engineering of Immune Evasive Stem Cell-Derived Islets
Sackett, S. D., Kaplan, S. J., Mitchell, S. A., Brown, M. E., Burrack, A. L., Grey, S., Huangfu, D., & Odorico, J. (2022) · Transplant International · doi:10.3389/ti.2022.10817 · Cited by 32
Recent advances in the design of implantable insulin secreting heterocellular islet organoids.
Akolpoglu, M. B., Inceoğlu, Y., Bozuyuk, U., Sousa, A. R., Oliveira, M. B., Mano, J., & Kızılel, S. (2020) · Biomaterials · doi:10.1016/j.biomaterials.2020.120627 · Cited by 31
Huang, Y. H., Xu, Y., Lu, Y., Zhu, S., Guo, Y., Sun, C., Xu, L., Chen, X., Zhao, Y., Yu, B., et al. (2019) · Biomaterials · doi:10.1016/j.biomaterials.2019.119266 · Cited by 43
Posttransplant Characterization of Long-term Functional hESC-Derived Pancreatic Endoderm Grafts
Pepper, A. R., Bruni, A. D. C., Pawlick, R. L., O’Gorman, D., Kin, T., Thiesen, A., & Shapiro, A. M. J. (2018) · Diabetes · doi:10.2337/db18-0788 · Cited by 34
“This observation was expected, as it is known that S4 PECs are phenotypically and functionally naive compared with mature human b-cells (8) and thus require a period of in vivo differentiation before the establishment of glucosedependent graft insulin secretion (9,23).”
BackgroundMihara, Y., Matsuura, K., Sakamoto, Y., Okano, T., Kokudo, N., & Shimizu, T. (2017) · Journal of Tissue Engineering and Regenerative Medicine · doi:10.1002/term.2228 · Cited by 31
“1-co-expressing cells into a streptozotocin-induced type 1 diabetes mouse model resulted in the formation of mature islet cells and attenuation of hyperglycemia within 2 months (Kroon et al., 2008).”
BackgroundStem cells to restore insulin production and cure diabetes
Sordi, V., Pellegrini, S., Krampera, M., Marchetti, P., Pessina, A., Ciardelli, G., Fadini, G. P., Pintus, C., Pantè, G., & Piemonti, L. (2017) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2017.02.004 · Cited by 30
Epigenetics in formation, function, and failure of the endocrine pancreas
Golson, M. L., & Kaestner, K. H. (2017) · Molecular Metabolism · doi:10.1016/j.molmet.2017.05.015 · Cited by 52
“Mouse or human embryonic stem cells can be differentiated into foregut endoderm, multipotent pancreatic progenitors, and even immature endocrine cells in vitro using precisely defined but still improving combinations of growth factors and other medium additives [69,70].”
BackgroundPancreatic islet differentiation of human embryonic stem cells by microRNA overexpression
Lahmy, R., Soleimani, M., Sanati, M., Behmanesh, M., Kouhkan, F., & Mobarra, N. (2016) · Journal of Tissue Engineering and Regenerative Medicine · doi:10.1002/term.1787 · Cited by 31
“…have coupled culture conditions with sequential addition of up to 10 cytokines and inhibitors that were able to drive hESC differentiation to definitive endoderm, gut-tube endoderm, pancreas and then islet cells (D'Amour et al., 2006; Jiang et al., 2007; Kroon et al., 2008; Chen et al., 2009).”
BackgroundKoblas, T., Leontovyč, I., Loukotová, Š., Košinová, L., & Saudek, F. (2016) · Molecular Therapy — Nucleic Acids · doi:10.1038/mtna.2016.33 · Cited by 35
“(a) Production of DNA template constructs and subsequent mRNA synthesis: (1) homologous recombination of transcription factor cDNA and linearized vector containing the T7 promoter, the 5′UTR (untranslated region) of the rat β-globin gene, and the 3′UTR of the human β-globin gene; (2) PCR amplification of DNA template;…”
MethodTamminen, K., Balboa, D., Toivonen, S., Pakarinen, M., Wiener, Z., Alitalo, K., & Otonkoski, T. (2015) · PLoS ONE · doi:10.1371/journal.pone.0134551 · Cited by 31
Márquez-Aguirre, A. L., Canales-Aguirre, A. A., Padilla‐Camberos, E., Esquivel‐Solís, H., & Diaz-Martinez, N. E. (2015) · Brazilian Journal of Medical and Biological Research · doi:10.1590/1414-431x20154363 · Cited by 34
“It is important to note that the clinical use of ESCs is still hampered by ethical issues as well as the risk of in vivo teratoma formation associated with the transplantation of cells with undifferentiated phenotypes (75).”
BackgroundConcise Review: Manufacturing of Pancreatic Endoderm Cells for Clinical Trials in Type 1 Diabetes
Schulz, T. (2015) · Stem Cells Translational Medicine · doi:10.5966/sctm.2015-0058 · Cited by 31
Reprogramming Mouse Cells With a Pancreatic Duct Phenotype to Insulin-Producing β-Like Cells.
Yamada, T., Cavelti-Weder, C., Caballero, F., Lysy, P., Guo, L., Sharma, A. J., Li, W.-D., Zhou, Q., Bonner-Weir, S., & Weir, G. (2015) · Endocrinology · doi:10.1210/en.2014-1987 · Cited by 31
Stemistry: The Control of Stem Cells in Situ Using Chemistry
Davies, S. G., Kennewell, P. D., Russell, A. J., Seden, P. T., Westwood, R., & Wynne, G. M. (2015) · Journal of Medicinal Chemistry · doi:10.1021/jm500838d · Cited by 32
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β-Cell Differentiation of Human Pancreatic Duct–Derived Cells After In Vitro Expansion
Corritore, E., Dugnani, E., Pasquale, V., Misawa, R., Witkowski, P., Lei, J., Markmann, J., Piemonti, L., Sokal, E. M., Bonner-Weir, S., et al. (2014) · Cellular Reprogramming · doi:10.1089/cell.2014.0025 · Cited by 31
“Currently, embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) can be differentiated toward mature b -cells (Lysy et al., 2012), but their clinical use is still hampered by ethical issues and/or the risk of developing tumors after in vivo transplantation (Kroon et al., 2008).”
Vázquez, P., Robles, A., de Pablo, F., & Hernández-Sánchez, C. (2014) · Diabetologia · doi:10.1007/s00125-014-3341-6 · Cited by 31
Hoveizi, E., Khodadadi, S., Tavakol, S., Karima, O., & Nasiri-Khalili, M. (2014) · Applied Biochemistry and Biotechnology · doi:10.1007/s12010-014-0960-9 · Cited by 31
“Several protocols have been developed to differentiate stem cells into endodermal lineages that were based on investigation of endoderm development in vivo [17, 18].”
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McIntyre, B. A. S., Alev, C., Mechael, R., Salci, K. R., Lee, J. B., Fiebig‐Comyn, A., Guezguez, B., Wu, Y., Sheng, G., & Bhatia, M. (2013) · Stem Cells Translational Medicine · doi:10.5966/sctm.2013-0119 · Cited by 34
Stem cell-based strategies for the treatment of type 1 diabetes mellitus
Wen, Y., Chen, B., & Ildstad, S. T. (2010) · Expert Opinion on Biological Therapy · doi:10.1517/14712598.2011.540235 · Cited by 26
“The formation of teratomas or other tumors known to arise from ESC and iPSC is a major safety concern [22,48].”
Embryonic stem cells to beta-cells by understanding pancreas development
Best, M., Carroll, M. A., Hanley, N. A., & Hanley, K. P. (2008) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2008.03.008 · Cited by 30
“However, Kroon and colleagues have demonstrated more successful transplantation of differentiated cells with the restoration of euglycaemia in diabetic mice (Kroon et al., 2008).”
FoxO1 inhibition promotes differentiation of human embryonic stem cells into insulin producing cells
Yu, F., Wei, R., Yang, J., Liu, J., Yang, K., Wang, H.-N., Mu, Y., & Hong, T.-P. (2018) · Experimental Cell Research · doi:10.1016/j.yexcr.2017.11.022 · Cited by 31
Recent trends and advances in type 1 diabetes therapeutics: A comprehensive review
Singh, A. K., Afshan, N., Singh, A., Singh, S. K., Yadav, S., Kumar, M., Sarma, D. K., & Verma, V. (2023) · European Journal of Cell Biology · doi:10.1016/j.ejcb.2023.151329 · Cited by 43
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Pellegrini, S., Piemonti, L., & Sordi, V. (2018) · Current Opinion in Pharmacology · doi:10.1016/j.coph.2018.07.007 · Cited by 31
Kasputis, T., Clough, D. W., Noto, F., Rychel, K., Dye, B. R., & Shea, L. (2018) · ACS Biomaterials Science & Engineering · doi:10.1021/acsbiomaterials.7b00912 · Cited by 30
“The pluripotent cells were differentiated according to a previously established 15-day differentiation protocol 16, in which fresh growth factors are added fresh daily to direct differentiation through the first four stages of embryonic development: (1) definitive endoderm (3 days), (2) primitive gut tube (3 days), (3…”
MethodAn arduous journey from human pluripotent stem cells to functional pancreatic β cells
Loo, L. S. W., Lau, H. H., Jasmen, J., Lim, C. S., & Teo, A. (2018) · Diabetes, obesity and metabolism · doi:10.1111/dom.12996 · Cited by 30
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Lü, J., Xia, Q., & Zhou, Q. (2016) · Science China Life Sciences · doi:10.1007/s11427-016-0211-3 · Cited by 25
“Then Kroon et al. successfully generated pancreatic endoderm from human ESCs that could be further differentiated into glucose-responsive insulin-secreting cells in vivo (Kroon et al., 2008).”
BackgroundCellular Reprogramming Using Defined Factors and MicroRNAs
Eguchi, T., & Kuboki, T. (2016) · Stem Cells International · doi:10.1155/2016/7530942 · Cited by 30
Diabetes and Stem Cell Function
Fujimaki, S., Wakabayashi, T., Takemasa, T., Asashima, M., & Kuwabara, T. (2015) · BioMed Research International · doi:10.1155/2015/592915 · Cited by 34
“Interestingly, implantation of these immature cells into mice promoted the generation of mature β cells and prevented STZ-induced hyperglycemia [177].”
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“been investigated [3–5,7,14,15].”
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Generation of high-yield insulin producing cells from human bone marrow mesenchymal stem cells
Jafarian, A., Taghikhani, M., Abroun, S., Pourpak, Z., Allahverdi, A., & Soleimani, M. (2014) · Molecular Biology Reports · doi:10.1007/s11033-014-3349-5 · Cited by 30
“Activin A and sodium butyrate have important roles in increasing insulin content [23], expressions of sox-17 and hnf-3 beta/foxa2 definitive endodermal markers [24, 25] and pancreatic endocrine differentiation [26].”
Cell therapy for type 1 diabetes
Muir, K. R., Lima, M., Docherty, H., & Docherty, K. (2014) · QJM : monthly journal of the Association of Physicians · doi:10.1093/qjmed/hcu025 · Cited by 30
DELETION OF RETINOIC ACID RECEPTOR β (RARβ) IMPAIRS PANCREATIC ENDOCRINE DIFFERENTIATION
Perez, R., Benoit, Y. D., & Gudas, L. (2013) · Experimental Cell Research · doi:10.1016/j.yexcr.2013.05.032 · Cited by 30
Update on Islet Cell Transplantation for Type 1 Diabetes
Agarwal, A., & Brayman, K. L. (2012) · Seminars in Interventional Radiology · doi:10.1055/s-0032-1312569 · Cited by 45
Induction of differentiation of undifferentiated cells into pancreatic beta cells in vertebrates.
Hosoya, M., Kunisada, Y., Kurisaki, A., & Asashima, M. (2012) · International Journal of Developmental Biology · doi:10.1387/ijdb.123522mh · Cited by 30
“…in the pancreatic primordium compared with surrounding organs, two Hedgehog signal inhibitors (cyclopamine and KADD-cyclopamine) have been used in many other methods (D’Amour et al., 2006, 2007; Kroon et al., 2008; Chen et al., 2009; Thatava et al., 2011; Nostro et al., 2011; Rezania et al., 2011).”
MethodSerafimidis, I., Heximer, S., Beis, D., & Gavalas, A. (2011) · Molecular and Cellular Biology · doi:10.1128/mcb.05702-11 · Cited by 30
“The elucidation of the genetic networks in pancreas morphogenesis could contribute to the efficient generation of cells from embryonic and induced pluripotent stem (ES and iPS, respectively) cells and also to the stimulation of islet clustering after in vivo reprogramming of exocrine cells to endocrine cells (28, 53,…”
BackgroundUsing stem cells to study and possibly treat type 1 diabetes
Melton, D. (2011) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2011.0019 · Cited by 30
The immune boundaries for stem cell based therapies: problems and prospective solutions.
Abdelkrim, H., Juan, D., Jane, W., Mohamed, A., & Bernat, S. (2009) · Journal of Cellular and Molecular Medicine · doi:10.1111/j.1582-4934.2009.00837.x · Cited by 30
Advances and challenges of the cell-based therapies among diabetic patients
Raoufinia, R., Rahimi, H. R., Saburi, E., & Moghbeli, M. (2024) · Journal of Translational Medicine · doi:10.1186/s12967-024-05226-3 · Cited by 29
“To protect the transplanted cells from immune response, retrieval encapsulation devices were also created [160–162].”
BackgroundThe Current Status of Allogenic Islet Cell Transplantation
Czarnecka, Z., Dadheech, N., Razavy, H., Pawlick, R. L., & Shapiro, A. M. J. (2023) · Cells · doi:10.3390/cells12202423 · Cited by 41
“They successfully transplanted these cells into diabetic mice and showed that over several months, these cells differentiated into functional ß-cells and maintained euglycemia by secreting insulin in response to glucose levels [23].”
BackgroundCell therapy for type 1 diabetes
Loretelli, C., Assi, E., Seelam, A. J., Nasr, M. B., & Fiorina, P. (2020) · Expert Opinion on Biological Therapy · doi:10.1080/14712598.2020.1748596 · Cited by 47
“normoglycemia in streptozotocin-induced diabetic mice after 2–3months [60,61].”
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“Pancreatic endoderm differentiation was induced by high concentrations of activin A followed by primitive gut tube, posterior foregut, and pancreatic endoderm/endocrine precursor induction using fetal bovine serum (FBS), KAAD-cyclopamine, and retinoic acid [15].”
MethodMatsushita, M., Nakatake, Y., Arai, I., Ibata, K., Kohda, K., Goparaju, S., Murakami, M., Sakota, M., Chikazawa-Nohtomi, N., Ko, S., et al. (2017) · Biochemical and Biophysical Research Communications - BBRC · doi:10.1016/j.bbrc.2017.06.039 · Cited by 29
Immunological Issues After Stem Cell-Based β Cell Replacement
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Vázquez-Zapién, G. J., Mata-Miranda, M. M., Sánchez-Monroy, V., Delgado-Macuil, R., Pérez-Ishiwara, D. G., & Rojas-López, M. (2016) · Stem Cells International · doi:10.1155/2016/6709714 · Cited by 29
“Experimental studies in animals and some clinical trials employing SCs have shown the therapeutic potential of SCs and have brought hope to patients suffering devastating pathologies of different organs and systems as diabetes, renal failure, and ocular diseases, among others [4–6].”
The Human Endocrine Pancreas: New Insights on Replacement and Regeneration
Domínguez‐Bendala, J., Lanzoni, G., Klein, D., Álvarez-Cubela, S., & Pastori, R. L. (2016) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2015.12.003 · Cited by 36
“Cell product exhibits glucose responsiveness before transplantation [6–8] Cell product is not functional before transplantation [5,14,22,23]”
InfluentialDerivation of Endodermal Progenitors From Pluripotent Stem Cells
Ikonomou, L., & Kotton, D. N. (2014) · Journal of Cellular Physiology · doi:10.1002/jcp.24771 · Cited by 34
“Use of Noggin at the posterior foregut endoderm stage increased the derivation efficiency of PDX1þ progenitors (Jiang et al., 2007; Kroon et al., 2008; Zhang et al., 2009), putatively by blocking hepatic specification (Nostro et al., 2011).”
Jaramillo, M., Mathew, S., Mamiya, H., Goh, S.-K., & Banerjee, I. (2014) · Tissue Engineering. Part A · doi:10.1089/ten.tea.2014.0013 · Cited by 29
“These cells also have the potential for functional maturation upon implantation in diabetic mice models.(12) However, maturing these cells into functional isletlike cells in an in vitro setting is yet to be demonstrated.”
BackgroundSong, W., An, D., Kao, D.-I., Lu, Y.-C., Dai, G., Chen, S.-B., & Ma, M.-L. (2014) · ACS Applied Materials and Interfaces · doi:10.1021/am502046h · Cited by 29
Preventing p38 MAPK-mediated MafA degradation ameliorates β-cell dysfunction under oxidative stress.
Khattabi, I. E., & Sharma, A. J. (2013) · Molecular Endocrinology · doi:10.1210/me.2012-1346 · Cited by 29
Sui, L., Mfopou, J. K., Chen, B., Sermon, K., & Bouwens, L. (2012) · Cell Transplantation · doi:10.3727/096368912x636812 · Cited by 27
“(12) in vivo, similar results could not be replicated by other research groups with different hESC lines in vitro (3,17,22) or a different animal model in vivo (15).”
BackgroundResultDifferentiation of Stem Cells into Insulin-Producing Cells: Current Status and Challenges
Pokrywczyńska, M., Krzyzanowska, S., Jundziłł, A., Adamowicz, J., & Drewa, T. A. (2013) · Archivum Immunologiae et Therapiae Experimentalis · doi:10.1007/s00005-012-0213-y · Cited by 38
He, D. (2011) · International Journal of Molecular Medicine · doi:10.3892/ijmm.2011.774 · Cited by 29
“Recent studies described differentiation protocols to produce insulin-positive cells from embryonic stem cells (1,9), hepatic stem cells (10), bone marrow-derived cells (11,12), umbilical cord blood cells (13), human umbilical cord cells (14), or genetically modified stem cells using several…”
Stem cell-derived islet cells for transplantation
Domínguez‐Bendala, J., Inverardi, L., & Ricordi, C. (2010) · Current Opinion in Organ Transplantation · doi:10.1097/mot.0b013e32834252b5 · Cited by 29
“Inasmuch as the formation of teratomas is a common occurrence in pre-clinical experiments [18, 19], safety remains a concern.”
BackgroundDifferentiation of Mouse Embryonic Stem Cells into Endoderm without Embryoid Body Formation
Kim, P., Hoffman, B., Plesner, A., Helgason, C., Verchere, C. B., Chung, S., Warnock, G., Mui, A., & Ong, C. (2010) · PLoS ONE · doi:10.1371/journal.pone.0014146 · Cited by 29
“In addition, fluorescence immunohistochemistry was performed to determine cellular protein levels of insulin, glucagon, C-peptide, PDX-1, Ngn-3, carboxypeptidase E (CPE), pan-cytokeratin (pan-CK), somatostatin, pancreatic polypeptide and ghrelin.”
BackgroundInfluentialAbraham, E., Baghbaderani, B. A., Holderness, K., Levinson, Y., & McAfee, E. (2017) · Advances in biochemical engineering, biotechnology · doi:10.1007/10_2017_14 · Cited by 37
“Functional insulinsecreting beta islet cells have been generated from iPSCs using a multistage directed differentiation process [49, 50].”
MethodNew Bioprocessing Strategies: Development and Manufacturing of Recombinant Antibodies and Proteins
Pohlscheidt, M., & Gottschalk, U. (2018) · doi:10.1007/978-3-319-97110-0 · Cited by 29
Update on islet cell transplantation
Verhoeff, K., Marfil-Garza, B. A., & Shapiro, A. M. J. (2021) · Current Opinion in Organ Transplantation · doi:10.1097/mot.0000000000000891 · Cited by 29
“All rights rese concept’, whereas hESC-derived islets attest to a well described pathway to differentiate stem cells into islets [30].”
BackgroundEpigenetic Memory: Lessons From iPS Cells Derived From Human β Cells
Efrat, S. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2020.614234 · Cited by 29
Engineering Strategies to Improve Islet Transplantation for Type 1 Diabetes Therapy
White, A. M., Shamul, J. G., Xu, J., Stewart, S., Bromberg, J. S., & He, X. (2019) · ACS Biomaterials Science & Engineering · doi:10.1021/acsbiomaterials.9b01406 · Cited by 33
Applications of stem cells and bioprinting for potential treatment of diabetes
Kumar, S. A., Delgado, M. A. T., Mendez, V. E., & Joddar, B. (2019) · World Journal of Stem Cells · doi:10.4252/wjsc.v11.i1.13 · Cited by 30
β‐cell differentiation status in type 2 diabetes
Jeffery, N. M., & Harries, L. W. (2016) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12778 · Cited by 30
Chen, F., Zhang, G., Yu, L.-J., Feng, Y., Li, X., Zhang, Z., Wang, Y.-T., Sun, D., & Pradhan, S. (2016) · Stem cell research & therapeutics · doi:10.1186/s13287-016-0358-4 · Cited by 28
“For pancreatic islet differentiation [21–23]: day 1, RPMI (without FBS), activin A (100 ng/ml), and Wnt3a (25 ng/ml); days 2–3, RPMI with 0.”
MethodDifferentiation of pluripotent stem cells for regenerative medicine
Li, K., Kong, Y., Zhang, M., Xie, F., Liu, P., & Xu, S. (2016) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2016.01.182 · Cited by 34
Improvement of Cell Survival During Human Pluripotent Stem Cell Definitive Endoderm Differentiation
Wang, H., Luo, X., Yao, L., Lehman, D. M., & Wang, P. (2015) · Stem Cells and Development · doi:10.1089/scd.2015.0018 · Cited by 29
“(A) Schematic of IPCs differentiated through optimized DE protocols subsequent to the pancreatic hormone– expressing endocrine cell differentiation protocol [19].”
MethodInfluentialWang, H., Zhao, T., Xu, F., Li, Y., Wu, M., Zhu, D., Cong, X., & Liu, Y.-J. (2013) · Cytotherapy · doi:10.1016/j.jcyt.2013.07.011 · Cited by 26
Diabetes treatment: A rapid review of the current and future scope of stem cell research
Abdulazeez, S. S. (2013) · Saudi Pharmaceutical Journal · doi:10.1016/j.jsps.2013.12.012 · Cited by 36
“Later, this response was achieved by Kroon et al.(2008) as the hyperglycaemic responsiveness is a crucial characteristic that is needed for any potential cellular diabetic therapy.”
Role of BMP Signaling in Pancreatic Progenitor Differentiation from Human Embryonic Stem Cells
Sui, L., Geens, M., Sermon, K., Bouwens, L., & Mfopou, J. K. (2013) · Stem Cell Reviews and Reports · doi:10.1007/s12015-013-9435-6 · Cited by 28
“However, the functional beta cells obtained upon in vivo implantation of these progenitors are indirect evidence of their pancreatic nature [3, 14].”
BackgroundCaballero, F., Siniakowicz, K., Hollister‐Lock, J., Duran, L., Katsuta, H., Yamada, T., Lei, J., Deng, S., Westermark, G. T., Markmann, J. F., et al. (2013) · Cell Transplantation · doi:10.3727/096368912x659916 · Cited by 27
“Impressive progress has been made in directing human embryonic stem cells to mature functional b-cells (12).”
Concise Review: In Search of Unlimited Sources of Functional Human Pancreatic Beta Cells
Scharfmann, R., Rachdi, L., & Ravassard, P. (2012) · Stem Cells Translational Medicine · doi:10.5966/sctm.2012-0120 · Cited by 34
Lima, M. J., Docherty, H. M., Chen, Y., & Docherty, K. (2012) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2012.02.024 · Cited by 27
“An understanding of the transcription factors that control the developing pancreas (Gittes, 2009) has provided protocols that reproducibly generate pancreatic progenitors from embryonic stem cells which can develop into functional b-cells when engrafted in mice (Kroon et al., 2008).”
BackgroundLeung, K.-K., Liang, J., Ma, M.-T., & Leung, P. (2012) · Stem Cells · doi:10.1002/stem.1008 · Cited by 28
The functional performance of microencapsulated human pancreatic islet-derived precursor cells.
Montanucci, P., Pennoni, I., Pescara, T., Blasi, P., Bistoni, G., Basta, G., & Calafiore, R. (2011) · Biomaterials · doi:10.1016/j.biomaterials.2011.08.052 · Cited by 28
Clinical Allogeneic and Autologous Islet Cell Transplantation: Update
Matsumoto, S. (2011) · Diabetes & Metabolism Journal · doi:10.4093/dmj.2011.35.3.199 · Cited by 31
“[55] demonstrated that pancreatic endoderm derived from human embryonic stem cells generated glucose-responsive insulin-secreting cells in vivo.”
BackgroundYechoor, V. K., & Chan, L. (2010) · Molecular Endocrinology · doi:10.1210/me.2009-0311 · Cited by 26
G-protein Coupled Receptors in Stem Cell Self-Renewal and Differentiation
Kobayashi, N., Hawes, S. M., Crook, J. M., & Pébay, A. (2010) · Stem Cell Reviews and Reports · doi:10.1007/s12015-010-9167-9 · Cited by 30
“A number of studies have included Wnt3a in protocols to differentiate hESC towards definitive endoderm and subsequent hepaocytes and pancreatic β-cells, although its requirement/inclusion remain controversial [69, 79, 80].”
BackgroundLi, L., Du, G., Wang, D.-J., Zhou, J., Jiang, G.-M., & Jiang, H. (2017) · Stem Cells International · doi:10.1155/2017/4985323 · Cited by 27
“Furthermore, the developing technologies of cell culture and genetic engineering [17, 18] further promote the therapeutic application of MSC through integrating other positive treatments [19, 20], which also can overcome the possible side effects from monotherapy in clinical practice [21].”
BackgroundMass production of functional human pancreatic β‐cells: why and how?
Scharfmann, R., Didiesheim, M., Richards, P., Chandra, V., Oshima, M., & Albagli, O. (2016) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12728 · Cited by 31
“pancreatic progenitors derived from hESC can give rise to functional β-cells.(30) Specifically, the authors transplanted cultures enriched in hESC-derived pancreatic progenitors into immune-deficient mice”
BackgroundLiang, D. S., Zhang, Y., Han, J., Wang, W., Liu, Y., Li, J., & Jiang, X. (2015) · Endocrine Journal · doi:10.1507/endocrj.ej15-0186 · Cited by 30
Endothelium-derived essential signals involved in pancreas organogenesis
Talavera‐Adame, D. (2015) · World Journal of Experimental Medicine · doi:10.5493/wjem.v5.i2.40 · Cited by 26
The fetal liver as cell source for the regenerative medicine of liver and pancreas.
Semeraro, R., Cardinale, V., Carpino, G., Gentile, R., Napoli, C., Venere, R., Gatto, M., Brunelli, R., Gaudio, E., & Alvaro, D. (2013) · Annals of Translational Medicine · doi:10.3978/j.issn.2305-5839.2012.10.02 · Cited by 27
Baragli, L., Grande, C., Gesmundo, I., Settanni, F., Taliano, M., Gallo, D. J., Gargantini, E., Ghigo, E., & Granata, R. (2013) · PLoS ONE · doi:10.1371/journal.pone.0064374 · Cited by 27
“Pancreatic b-cells obtained from human and rodent isletderived pancreatic progenitors have shown deficient insulin synthesis and glucose-induced insulin/C-peptide secretion [1,11,12,14,15,40].”
BackgroundGenerating insulin-producing cells for diabetic therapy: Existing strategies and new development
Shen, J., Cheng, Y., Han, Q., Mu, Y., & Han, W. (2013) · Ageing Research Reviews · doi:10.1016/j.arr.2013.01.001 · Cited by 23
In vivo imaging of embryonic stem cell therapy
Jiang, H., Cheng, Z., Tian, M., & Zhang, H. (2011) · European Journal of Nuclear Medicine and Molecular Imaging · doi:10.1007/s00259-010-1667-y · Cited by 27
“Currently, in order to realize this goal, the only stem cell population with sufficient proliferative capacity is hESCs, which proliferate in culture at a rate of >250 population doublings per year [71–73].”
BackgroundSumi, S. (2010) · Journal of Hepato-Biliary-Pancreatic Sciences · doi:10.1007/s00534-010-0303-3 · Cited by 31
“[42] recently reported that pancreatic endoderm derived from human ESCs efficiently generates glucose-responsive endocrine cells after implantation into mice.”
BackgroundKahan, B. W., Magliocca, J., Merriam, F., Treff, N., Budde, M. L., Nelson, J., Browning, V., Ziehr, B., & Odorico, J. (2010) · Stem Cell Research · doi:10.1016/j.scr.2010.10.003 · Cited by 27
“Recent studies, however, have yielded both encouragement and caution, with restoration of function evident to some degree in many cases, but coexisting in others with the troubling finding that the grafts contained evidence of cancerous growth (Fujikawa et al., 2005; Ishii et al., 2007; Kroon et al., 2008; Leor et al.…”
InfluentialLi, H., Lam, A. K. M., Xu, A.-M., Lam, K. S., & Kim-Chung, S. (2010) · Acta Pharmacologica Sinica · doi:10.1038/aps.2010.38 · Cited by 27
Hori, Y. (2009) · Medical Molecular Morphology · doi:10.1007/s00795-009-0471-x · Cited by 28
“Recent reports have shown the effi cient differentiation of pancreatic lineage from ESCs.18,19 The fi rst step from ESCs toward the pancreatic lineage is defi nitive endoderm (DE) formation.”
BackgroundMethodResultInfluentialEfficient differentiation of insulin‐producing cells from skin‐derived stem cells
Guo, W., Miao, C., Liu, S., Qiu, Z., Li, J., & Duan, E. (2009) · Cell Proliferation · doi:10.1111/j.1365-2184.2008.00573.x · Cited by 24
Slow and steady is the key to β‐cell replication
Brennand, K., & Melton, D. A. (2008) · Journal of Cellular and Molecular Medicine · doi:10.1111/j.1582-4934.2008.00635.x · Cited by 29
“First, -cells might be differentiated in vitro from embryonic stem (ES) cells [24, 25].”
BackgroundStem Cells, Self-Renewal, and Lineage Commitment in the Endocrine System
Mariniello, K., Ruiz‐Babot, G., McGaugh, E. C., Nicholson, J. G., Gualtieri, A., Gaston‐Massuet, C., Nostro, M. C., & Guasti, L. (2019) · Frontiers in Endocrinology · doi:10.3389/fendo.2019.00772 · Cited by 33
“Pancreatic progenitors offer an appealing source of cells for transplantation as they give rise to all cells of the pancreas following transplantation in mice and can normalize glycemia in an streptozotocin-induced diabetic mouse model of diabetes (367, 368, 371).”
BackgroundNavarro-Tableros, V., Gai, C., Gomez, Y., Giunti, S., Pasquino, C., Deregibus, M., Tapparo, M., Pitino, A., Tetta, C., Brizzi, M., et al. (2018) · Stem Cell Reviews and Reports · doi:10.1007/s12015-018-9845-6 · Cited by 26
“[35] the observation of a latency in reduction of glycemia may depend on a further in vivo maturation of transplanted islet-like structures and/or on the need of a longer”
BackgroundKondo, Y., Toyoda, T., Ito, R., Funato, M., Hosokawa, Y., Matsui, S., Sudo, T., Nakamura, M., Okada, C., Zhuang, X., et al. (2017) · Diabetologia · doi:10.1007/s00125-017-4302-7 · Cited by 33
Metadata
- Authors
- Kroon, E., Martinson, L. A., Kadoya, K., Bang, A. G., Kelly, O. G., Eliazer, S., Young, H., Richardson, M., Smart, N. G., Cunningham, J., Agulnick, A. D., D'Amour, K. A., Carpenter, M. K., & Baetge, E. E.
- Venue
- Nature Biotechnology
- Published
- 2008-02-20
- Volume
- 26
- Issue
- 4
- Pages
- 443-452
- ISSN
- 0733-222X (ISSN-L)
- 1087-0156
- 1546-1696
- OpenAlex
- W2106219965
- Cited by
- 1,843
- References
- 0
- Citations by year
- 2026: 26 · 2025: 44 · 2024: 46 · 2023: 88 · 2022: 67 · 2021: 81 · 2020: 85 · 2019: 76 · 2018: 87 · 2017: 98 · 2016: 122 · 2015: 116 · 2014: 156 · 2013: 168 · 2012: 154
- FWCI
- 150.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Biotechnology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › 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
- human embryonic stem cells, beta cell differentiation, glucose-dependent insulin secretion, islet transplantation, diabetes cell therapy, C-peptide, proinsulin processing, streptozotocin-induced hyperglycemia
- MeSH terms
- Animals, Cell Differentiation, Cells, Cultured, Endoderm, Glucose, Humans, Insulin, Cell Culture Techniques, Pancreas, Artificial, Tissue Engineering, Cell Proliferation, Insulin-Secreting Cells, Mice, Embryonic Stem Cells
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