Genetic Engineering of Immune Evasive Stem Cell-Derived Islets
Open accessAbstract
Genome editing has the potential to revolutionize many investigative and therapeutic strategies in biology and medicine. In the field of regenerative medicine, one of the leading applications of genome engineering technology is the generation of immune evasive pluripotent stem cell-derived somatic cells for transplantation. In particular, as more functional and therapeutically relevant human pluripotent stem cell-derived islets (SCDI) are produced in many labs and studied in clinical trials, there is keen interest in studying the immunogenicity of these cells and modulating allogeneic and autoimmune immune responses for therapeutic benefit. Significant experimental work has already suggested that elimination of Human Leukocytes Antigen (HLA) expression and overexpression of immunomodulatory genes can impact survival of a variety of pluripotent stem cell-derived somatic cell types. Limited work published to date focuses on stem cell-derived islets and work in a number of labs is ongoing. Rapid progress is occurring in the genome editing of human pluripotent stem cells and their progeny focused on evading destruction by the immune system in transplantation models, and while much research is still needed, there is no doubt the combined technologies of genome editing and stem cell therapy will profoundly impact transplantation medicine in the future.
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Genes targeted include the HLA class I genes either directly or by editing β2-microglobulin, the light chain of the HLA class I dimer.
“Genes targeted include the HLA class I genes either directly or by editing β2microglobulin, the light chain of the HLA class I dimer.”
From The future of type 1 diabetes therapy (2025) · cites this paper as [75]
The genetic-modifications sections (page unavailable) describe both direct knockout of HLA class I genes and B2M editing that disrupts stable MHC class I formation. Our copy does not explicitly identify β2-microglobulin as the light chain of an HLA class I dimer, so that structural detail is not verified by this source. (LLM, conf=0.82)
Experimental — accuracy not yet measuredAdditional steps can also be applied, including reduction in major histocompatibility complex class II expression, protection from natural killer cells, and protection from cytokines.
“Additional steps can also be applied, including reduction in major histocompatibility complex class II expression, protection from natural killer cells, and protection from cytokines.”
From The future of type 1 diabetes therapy (2025) · cites this paper as [75]
The genetic-modifications sections (pages unavailable in our copy) describe reducing MHC class II expression and engineering protection from natural killer cells. The Mechanisms of Islet Destruction section proposes ways to reduce responses to cytokine-related inflammation, but says protection of stem cell-derived islets by cytokine inhibitors has not been studied; it does not establish that this protection can be applied. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe second approach is to generate hypoimmune cells by using genome editing tools, such as CRISPR, to delete genes within the transplanted cells that the immune system uses to recognise foreign cells or to overexpress genes that can reduce immune attack.
“The second approach is to generate hypoimmune cells by using genome editing tools, such as CRISPR, to delete genes within the transplanted cells that the immune system uses to recognise foreign cells or to overexpress genes that can reduce immune attack.75”
From The future of type 1 diabetes therapy (2025) · cites this paper as [75]
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- Authors
- Sackett, S. D., Kaplan, S. J., Mitchell, S. A., Brown, M. E., Burrack, A. L., Grey, S., Huangfu, D., & Odorico, J.
- Affiliations
- University of Wisconsin–Madison (US)
- Memorial Sloan Kettering Cancer Center (US)
- University of Minnesota (US)
- Garvan Institute of Medical Research (AU)
- Corresponding author
- Sackett, Sara D.
- ORCID
- Venue
- Transplant International
- Publisher
- Frontiers Media SA
- Published
- 2022-12-05
- Volume
- 35
- Pages
- 10817-10817
- ISSN
- 0934-0874 (ISSN-L)
- 1432-2277
- PMC
- PMC9762357
- OpenAlex
- W4311624781
- Cited by
- 32
- References
- 121
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 9 · 2023: 2
- FWCI
- 0.62
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Transplant International (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense (W81XWH2010669)
- Wisconsin Alumni Research Foundation
- National Institutes of Health
- National Heart, Lung, and Blood Institute (U01HL134764)
- National Cancer Institute (P30CA008748)
- National Institute of Allergy and Infectious Diseases (75N93021C00004)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK096239)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › CRISPR and Genetic Engineering
- Keywords
- genome editing, stem cell-derived islets, immune evasion, immunomodulatory genes, pluripotent stem cells, islet transplantation, allogeneic response, autoimmunity, regenerative medicine
- MeSH terms
- Gene Editing, Genetic Engineering, Humans, Islets of Langerhans, Stem Cell Transplantation, Pluripotent Stem Cells
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