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Updated: Jul 7, 2026

Prospective, Randomized, and Controlled Study of a Human Umbilical Cord Mesenchymal Stem Cell Injection for Treating Diabetic Foot Ulcers
Published on: March 3, 2023
Cell therapy for diabetes mellitus: an opportunity for stem cells?
B Soria1, F J Bedoya, J R Tejedo
1CABIMER (Andalusian Center for Molecular Biology and Regenerative Medicine), Isla de la Cartuja, Seville, Spain. bernat.soria@cabimer.es
Abstract:
Diabetes is a chronic disease characterized by a deficit in beta cell mass and a failure of glucose homeostasis. Both circumstances result in a variety of severe complications and an overall shortened life expectancy. Thus, diabetes represents an attractive candidate for cell therapy. Reversal of diabetes can be achieved through pancreas and islet transplantation, but shortage of donor organs has prompted an intensive search for alternative sources of beta cells. This achievement has stimulated the search for appropriate stem cell sources. Both embryonic and adult stem cells have been used to generate surrogate beta cells or otherwise restore beta cell functioning. In this regard, several studies have reported the generation of insulin-secreting cells from embryonic and adult stem cells that normalized blood glucose values when transplanted into diabetic animal models. Due to beta cell complexity, insulin-producing cells generated from stem cells do not possess all beta cell attributes. This indicates the need for further development of methods for differentiation and selection of completely functional beta cells. While these problems are overcome, diabetic patients may benefit from therapeutic strategies based on autologous stem cell therapies addressing late diabetic complications. In this article, we discuss the recent progress in the generation of insulin-producing cells from embryonic and adult stem cells, together with the challenges for the clinical use of diabetes stem cell therapy.
Insights
Stem cell therapy shows promise for diabetes treatment by generating insulin-producing cells. Further research is needed to create fully functional beta cells for clinical applications in managing diabetes complications.
Area of Science:
- Endocrinology
- Regenerative Medicine
- Cell Therapy
Background:
- Diabetes mellitus is a chronic condition marked by insufficient beta cell mass and impaired glucose homeostasis.
- These issues lead to severe complications and reduced life expectancy, making diabetes a prime target for cell therapy.
- Current treatments like pancreas and islet transplantation face donor organ shortages, driving the search for alternative beta cell sources.
Purpose of the Study:
- To review recent advancements in generating insulin-producing cells from embryonic and adult stem cells for diabetes treatment.
- To discuss the challenges and future directions for the clinical application of stem cell-based diabetes therapy.
Main Methods:
- Utilizing embryonic and adult stem cells to generate insulin-producing cells.
- Transplanting these generated cells into diabetic animal models to assess efficacy.
- Evaluating the functional attributes of stem cell-derived insulin-producing cells.
Main Results:
- Studies have successfully generated insulin-secreting cells from various stem cell sources.
- Transplantation of these cells into diabetic animal models has shown normalization of blood glucose levels.
- Stem cell-derived insulin-producing cells currently lack the full complexity and functionality of native beta cells.
Conclusions:
- Stem cell-derived cells offer a potential alternative to traditional transplantation for diabetes.
- Further refinement in differentiation and selection methods is crucial for developing fully functional beta cells.
- Autologous stem cell therapies may offer future benefits for managing late-stage diabetic complications.
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