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Updated: Feb 11, 2026

Differentiation of Human Pluripotent Stem Cells Into Pancreatic Beta-Cell Precursors in a 2D Culture System
Published on: December 16, 2021
(Re)generating Human Beta Cells: Status, Pitfalls, and Perspectives
Luc Baeyens1, Marie Lemper1, Willem Staels1
1Beta Cell Neogenesis (BENE), Vrije Universiteit Brussel, Brussels , Belgium ; Diabetes Center, Eli and Edythe Broad Center for Regenerative Medicine and Stem Cell Research, and Department of Medicine, University of California San Francisco , San Francisco, California ; Genentech Safety Assessment, South San Francisco, California ; Investigative Toxicology, UCB BioPharma, Braine-l'Alleud, Belgium ; Department of Pediatrics, Division of Pediatric Endocrinology, Ghent University, Hospital and Department of Pediatrics and Genetics , Ghent , Belgium ; Department of Endocrinology, Universitair Ziekenhuis Brussel, Brussels , Belgium ; and Department of Endocrinology, Algemeen Stedelijk Ziekenhuis Aalst, Aalst, Belgium.
Abstract:
Diabetes mellitus results from disturbed glucose homeostasis due to an absolute (type 1) or relative (type 2) deficiency of insulin, a peptide hormone almost exclusively produced by the beta cells of the endocrine pancreas in a tightly regulated manner. Current therapy only delays disease progression through insulin injection and/or oral medications that increase insulin secretion or sensitivity, decrease hepatic glucose production, or promote glucosuria. These drugs have turned diabetes into a chronic disease as they do not solve the underlying beta cell defects or entirely prevent the long-term complications of hyperglycemia. Beta cell replacement through islet transplantation is a more physiological therapeutic alternative but is severely hampered by donor shortage and immune rejection. A curative strategy should combine newer approaches to immunomodulation with beta cell replacement. Success of this approach depends on the development of practical methods for generating beta cells, either in vitro or in situ through beta cell replication or beta cell differentiation. This review provides an overview of human beta cell generation.
Insights
Generating new human beta cells is key to curing diabetes. This review explores methods for creating beta cells in vitro or in situ to overcome transplant limitations and address underlying defects.
Area of Science:
- Endocrinology
- Regenerative Medicine
- Diabetes Research
Background:
- Diabetes mellitus stems from impaired insulin production by pancreatic beta cells, leading to disturbed glucose homeostasis.
- Current treatments manage symptoms but don't resolve underlying beta cell dysfunction or prevent long-term hyperglycemia complications.
- Beta cell replacement via islet transplantation is limited by donor scarcity and immune rejection.
Purpose of the Study:
- To review current strategies for generating human beta cells.
- To explore methods for in vitro and in situ beta cell generation.
- To highlight the potential of beta cell generation for a curative diabetes therapy.
Main Methods:
- Review of scientific literature on human beta cell generation.
- Analysis of in vitro differentiation and in situ replication approaches.
- Discussion of immunomodulation strategies combined with beta cell replacement.
Main Results:
- Various methods for generating functional beta cells are under development.
- In vitro differentiation and in situ replication show promise for scalable beta cell production.
- Combining beta cell generation with advanced immunomodulation is crucial for therapeutic success.
Conclusions:
- Developing practical methods for human beta cell generation is essential for a curative diabetes treatment.
- Successful beta cell generation could overcome limitations of current therapies and transplantation.
- Future strategies must integrate beta cell generation with effective immunomodulation to achieve long-term diabetes remission.
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