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Updated: Jul 14, 2026

Differentiation of Human Pluripotent Stem Cells into Insulin-Producing Islet Clusters
Published on: June 23, 2023
Stem/Progenitor cell sources of insulin-producing cells for the treatment of diabetes
Lye T Lock1, Emmanuel S Tzanakakis
1Department of Chemical and Biological Engineering, State University of New York at Buffalo, Buffalo, New York 14260, USA.
Abstract:
Patients with diabetes experience decreased insulin secretion that is linked to a significant reduction in the number of islet cells. Reversal of diabetes can be achieved through islet transplantation, but the scarcity of donor islets severely hinders wide application of this therapeutic modality. Toward that end, embryonic stem cells, adult tissue-residing progenitor cells, and regenerating native beta-cells may serve as sources of islet cell surrogates. Insulin-producing cells generated from stem or progenitor cells display subsets of native beta-cell attributes, indicating the need for further development of methods for differentiation to completely functional beta-cells. Pharmacological approaches aiming at stimulating the in vivo/ex vivo regeneration of beta-cells have also been proposed as a way of augmenting islet cell mass. We review the current state of the generation of insulin-producing cells from different sources with emphasis on embryonic stem cells and adult progenitor cells. Challenges for the clinical use of these sources are also discussed.
Insights
Diabetes treatment via islet transplantation is limited by donor scarcity. Researchers are exploring stem cells and progenitor cells to generate insulin-producing cells, aiming to overcome this challenge for diabetes reversal.
Area of Science:
- Regenerative Medicine
- Endocrinology
- Stem Cell Biology
Background:
- Diabetes mellitus is characterized by reduced insulin secretion due to a loss of pancreatic islet cells.
- Islet transplantation offers a potential cure for diabetes, but is severely limited by the shortage of donor islets.
Purpose of the Study:
- To review current strategies for generating insulin-producing cells from various sources.
- To discuss the potential of embryonic stem cells and adult progenitor cells for beta-cell replacement therapy.
- To highlight challenges hindering the clinical application of these novel cell sources.
Main Methods:
- Review of scientific literature on stem cell differentiation and progenitor cell expansion for beta-cell generation.
- Analysis of studies focusing on in vivo and ex vivo beta-cell regeneration.
- Discussion of the characteristics of generated insulin-producing cells compared to native beta-cells.
Main Results:
- Embryonic stem cells and adult progenitor cells show promise as sources for generating insulin-producing cells.
- Current methods yield cells with partial beta-cell functions, necessitating further refinement.
- Pharmacological strategies for stimulating beta-cell regeneration are also being investigated.
Conclusions:
- Generating functional beta-cells from stem or progenitor cells is a key area of research for diabetes therapy.
- Significant challenges remain in achieving complete functional maturity and ensuring clinical safety.
- Continued research is crucial to overcome limitations and advance islet cell replacement strategies.
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