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Updated: Feb 6, 2026

Differentiation of Human Pluripotent Stem Cells into Insulin-Producing Islet Clusters
Published on: June 23, 2023
Human islet-derived precursor cells can cycle between epithelial clusters and mesenchymal phenotypes.
Behrous Davani1, Sahar Ariely1,2, Laertis Ikonomou1
1Clinical Endocrinology Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA.
Human islet precursor cells implanted in mice can revert to a mesenchymal state, a process called epithelial-to-mesenchymal transition (EMT). This de-differentiation potential must be considered for diabetes cell replacement therapies.
Area of Science:
- Cell Biology
- Stem Cell Research
- Endocrinology
Background:
- Human islet precursor cells (hIPCs) are mesenchymal stem/stromal cells (MSCs) that differentiate into endocrine cells in vitro and in vivo.
- Previous studies showed inconsistent differentiation of hIPCs in vivo, suggesting potential de-differentiation.
- The potential for de-differentiation to a mesenchymal phenotype was investigated in implanted hIPCs.
Purpose of the Study:
- To investigate the de-differentiation of human islet precursor cells (hIPCs) and adult human islets after implantation in mice.
- To determine the role of serum factors and proliferation in the epithelial-to-mesenchymal transition (EMT) of hIPCs.
- To assess the implications of EMT for cell replacement therapy in diabetes.
Main Methods:
- Implantation of hIPCs cultured as epithelial cell clusters (ECCs) under mouse kidney capsules.
- In vitro culture of ECCs with various sera (fetal bovine serum, mouse serum, human serum) to induce de-differentiation.
- Treatment of hIPCs with mitomycin to inhibit proliferation and assess its role in EMT.
- Analysis of cell phenotypes in grafts and in vitro cultures.
- Examination of grafts from adult human islets implanted in mice.
Main Results:
- Mesenchymal cells were found in grafts of implanted hIPCs, indicating de-differentiation.
- Exposure to fetal bovine serum and mouse serum induced a transition from epithelial cell clusters (ECCs) to de-differentiated mesenchymal cells in vitro.
- Mouse serum and fetal bovine serum were more effective than human serum in stimulating mesenchymal hIPC migration.
- Proliferation was not required for the transition from ECCs to de-differentiated cells, as shown by mitomycin-treated cells.
- Mesenchymal cells were also observed in grafts of adult human islets implanted in mice.
Conclusions:
- Epithelial-to-mesenchymal transition (EMT) occurs in human islet precursor cells (hIPCs) and potentially in adult human islets after implantation in mice.
- Serum factors, particularly from non-human sources, can induce EMT in hIPCs.
- The potential for EMT in cells used for cell replacement therapy needs careful consideration for successful diabetes treatment.
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