Published in:
01-05-2009 | Commentary
A role for islet neogenesis in curing diabetes
Authors:
G. L. Pittenger, D. Taylor-Fishwick, A. I. Vinik
Published in:
Diabetologia
|
Issue 5/2009
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Excerpt
Endogenous insulin deficiency is the tie that binds all forms of diabetes. Definitive treatment or cure of type 1 and type 2 diabetes cannot occur without a durable reversal of relative or absolute endogenous insulin deficiency. Current efforts to restore physiological insulin secretion include (1) islet or pancreas transplant; (2) exogenous cell therapies, including differentiation of bone marrow cells and embryonic stem cells (ESCs); and (3) islet regeneration from endogenous pancreatic cells. Although they would represent advances, islet or beta cell transplant [
1,
2], the artificial pancreas [
3,
4], gene therapy [
5], and even stem cell therapy [
6,
7] cannot be considered restorative approaches unless the results are durable and have an acceptable safety profile. …