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Stem cell therapy for patients with diabetes: a systematic review and meta-analysis of metabolomics-based risks and
Fakher Rahim1,2, Babak Arjmand3, Kiarash Shirbandi4
1Metabolomics and Genomics Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Background:
There is a general agreement that to ensure promising results of stem cell therapy in patients with diabetes, one must first understand its risks and benefits; thus, if the risk is sufficiently low along with many benefits, it can lead to developing a novel therapeutic approach based on sound science.
Methods:
A systematic review and meta-analysis was performed using all available clinical trials to determine the benefits and risks associated with stem cell therapy in patients with diabetes (both T1DM and T2DM). An extensive search was conducted across several databases using all MeSH words regarding stem cell therapy and diabetes.
Results:
In T2DM, a large body of research has shown that stem cell therapy has improved the insulin daily requirement and glycosylated hemoglobin (HbA1C) levels, and also has a positive effect on these variables, but has a negative impact on c-peptide. Hence, in T1DM, stem cell therapy improves c-peptide and HbA1C levels and has a positive effect on these variables, but has a negative impact on insulin daily requirement.
Conclusions:
A total of 639 cells have the ability to self-renew and differentiate into a variety of cells, including blood, heart, nervous and cartilage cells. Paradoxically, it has been stated that these cells also have the potential to form cancer cells. These possible risks warrant caution by both medical specialists and patients while proceeding with the treatment; thus, it is critically crucial to conduct further research on stem cell therapy but with first considering their risk and benefits.
Insights
Stem cell therapy shows potential benefits for diabetes patients, improving key health markers. However, careful consideration of risks, including potential cancer formation, is crucial before widespread adoption.
Area of Science:
- Regenerative Medicine
- Endocrinology
- Clinical Research
Background:
- Stem cell therapy offers a promising avenue for treating diabetes.
- Understanding the risks and benefits is essential for developing effective therapeutic strategies.
- A balanced risk-benefit profile is key to advancing novel diabetes treatments.
Purpose of the Study:
- To systematically review and analyze clinical trials on stem cell therapy for diabetes (T1DM and T2DM).
- To determine the overall benefits and risks associated with this therapeutic approach.
Main Methods:
- Conducted a systematic review and meta-analysis of all available clinical trials.
- Performed an extensive literature search across multiple databases using relevant MeSH terms for stem cell therapy and diabetes.
Main Results:
- In Type 2 Diabetes Mellitus (T2DM), stem cell therapy improved insulin requirements and HbA1C but negatively impacted c-peptide.
- In Type 1 Diabetes Mellitus (T1DM), it enhanced c-peptide and HbA1C levels but negatively affected insulin requirements.
- Stem cells possess self-renewal and differentiation capabilities but carry a paradoxical risk of cancer formation.
Conclusions:
- Stem cell therapy presents a complex risk-benefit profile for diabetes management.
- The potential for cancer formation necessitates caution among healthcare providers and patients.
- Further research prioritizing risk-benefit assessment is critical for advancing stem cell therapy in diabetes treatment.
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