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Updated: Feb 7, 2026

Differentiation of Human Pluripotent Stem Cells Into Pancreatic Beta-Cell Precursors in a 2D Culture System
Published on: December 16, 2021
MANF protects human pancreatic beta cells against stress-induced cell death
Elina Hakonen1,2, Vikash Chandra3, Christopher L Fogarty4
1Research Programs Unit, Molecular Neurology, Biomedicum Helsinki, University of Helsinki, PO Box 63, (Haartmaninkatu 8), 00014, Helsinki, Finland.
Aims/Hypothesis:
There is a great need to identify factors that could protect pancreatic beta cells against apoptosis or stimulate their replication and thus prevent or reverse the development of diabetes. One potential candidate is mesencephalic astrocyte-derived neurotrophic factor (MANF), an endoplasmic reticulum (ER) stress inducible protein. Manf knockout mice used as a model of diabetes develop the condition because of increased apoptosis and reduced proliferation of beta cells, apparently related to ER stress. Given this novel association between MANF and beta cell death, we studied the potential of MANF to protect human beta cells against experimentally induced ER stress.
Methods:
Primary human islets were challenged with proinflammatory cytokines, with or without MANF. Cell viability was analysed and global transcriptomic analysis performed. Results were further validated using the human beta cell line EndoC-βH1.
Results:
There was increased expression and secretion of MANF in human beta cells in response to cytokines. Addition of recombinant human MANF reduced cytokine-induced cell death by 38% in human islets (p < 0.05). MANF knockdown in EndoC-βH1 cells led to increased ER stress after cytokine challenge. Mechanistic studies showed that the protective effect of MANF was associated with repression of the NF-κB signalling pathway and amelioration of ER stress. MANF also increased the proliferation of primary human beta cells twofold when TGF-β signalling was inhibited (p < 0.01).
Conclusions/Interpretation:
Our studies show that exogenous MANF protein can provide protection to human beta cells against death induced by inflammatory stress. The antiapoptotic and mitogenic properties of MANF make it a potential therapeutic agent for beta cell protection.
Insights
Mesencephalic astrocyte-derived neurotrophic factor (MANF) protects human beta cells from inflammatory stress and promotes proliferation. This suggests MANF is a potential therapeutic agent for diabetes by safeguarding pancreatic beta cells.
Area of Science:
- Cell Biology
- Endocrinology
- Immunology
Background:
- Pancreatic beta cell loss contributes to diabetes development.
- Endoplasmic reticulum (ER) stress is implicated in beta cell apoptosis.
- Mesencephalic astrocyte-derived neurotrophic factor (MANF) is an ER stress-inducible protein with potential roles in cell survival.
Purpose of the Study:
- To investigate the protective potential of MANF against ER stress-induced apoptosis in human beta cells.
- To explore MANF's effects on beta cell proliferation and underlying mechanisms.
Main Methods:
- Human islets and EndoC-βH1 cells were challenged with proinflammatory cytokines, with or without recombinant human MANF.
- Cell viability, ER stress markers, and proliferation were assessed.
- Global transcriptomic analysis and pathway analysis were performed.
Main Results:
- MANF significantly reduced cytokine-induced beta cell death by 38%.
- MANF inhibited ER stress and NF-κB signaling pathway activation.
- MANF treatment doubled primary human beta cell proliferation when TGF-β signaling was inhibited.
Conclusions:
- Exogenous MANF protein protects human beta cells from inflammatory stress-induced apoptosis.
- MANF exhibits antiapoptotic and mitogenic properties, positioning it as a potential therapeutic agent for beta cell protection in diabetes.
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