Perinatal Stem Cell Therapy to Treat Type 1 Diabetes Mellitus: A Never-Say-Die Story of Differentiation and Immunomodulation

Int J Mol Sci. 2022 Nov 23;23(23):14597. doi: 10.3390/ijms232314597.

Abstract

Human term placenta and other postpartum-derived biological tissues are promising sources of perinatal cells with unique stem cell properties. Among the massive current research on stem cells, one medical focus on easily available stem cells is to exploit them in the design of immunotherapy protocols, in particular for the treatment of chronic non-curable human diseases. Type 1 diabetes is characterized by autoimmune destruction of pancreatic beta cells and perinatal cells can be harnessed both to generate insulin-producing cells for beta cell replenishment and to regulate autoimmune mechanisms via immunomodulation capacity. In this study, the strong points of cells derived from amniotic epithelial cells and from umbilical cord matrix are outlined and their potential for supporting cell therapy development. From a basic research and expert stem cell point of view, the aim of this review is to summarize information regarding the regenerative medicine field, as well as describe the state of the art on possible cell therapy approaches for diabetes.

Keywords: Wharton’s jelly; amniotic epithelial cells; amniotic membrane; cell therapy; diabetes; perinatal cells; placenta stem cells; regenerative medicine; umbilical cord.

Publication types

  • Review

MeSH terms

  • Cell Differentiation / physiology
  • Diabetes Mellitus, Type 1* / metabolism
  • Diabetes Mellitus, Type 1* / therapy
  • Female
  • Humans
  • Mesenchymal Stem Cells* / metabolism
  • Pregnancy
  • Stem Cell Transplantation
  • Umbilical Cord
  • Wharton Jelly*

Grants and funding

This work was supported by the Associazione Giovani Diabetici AGD BOLOGNA.