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Published in: Diabetologia 5/2021

01-05-2021 | Insulins | Review

The promise of stem cell-derived islet replacement therapy

Author: Douglas Melton

Published in: Diabetologia | Issue 5/2021

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Abstract

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

Appendix
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Literature
35.
go back to reference Nair GG, Liu JS, Russ HA et al (2019) Recapitulating endocrine cell clustering in culture promotes maturation of human stem-cell-derived β cells. Nat Cell Biol 21:263–274CrossRefPubMedPubMedCentral Nair GG, Liu JS, Russ HA et al (2019) Recapitulating endocrine cell clustering in culture promotes maturation of human stem-cell-derived β cells. Nat Cell Biol 21:263–274CrossRefPubMedPubMedCentral
Metadata
Title
The promise of stem cell-derived islet replacement therapy
Author
Douglas Melton
Publication date
01-05-2021
Publisher
Springer Berlin Heidelberg
Published in
Diabetologia / Issue 5/2021
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-020-05367-2

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