Cell replacement strategies aimed at reconstitution of the β-cell compartment in type 1 diabetes

Diabetes. 2014 May;63(5):1433-44. doi: 10.2337/db13-1742.

Abstract

Emerging technologies in regenerative medicine have the potential to restore the β-cell compartment in diabetic patients, thereby overcoming the inadequacies of current treatment strategies and organ supply. Novel approaches include: 1) Encapsulation technology that protects islet transplants from host immune surveillance; 2) stem cell therapies and cellular reprogramming, which seek to regenerate the depleted β-cell compartment; and 3) whole-organ bioengineering, which capitalizes on the innate properties of the pancreas extracellular matrix to drive cellular repopulation. Collaborative efforts across these subfields of regenerative medicine seek to ultimately produce a bioengineered pancreas capable of restoring endocrine function in patients with insulin-dependent diabetes.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus, Type 1 / pathology
  • Diabetes Mellitus, Type 1 / therapy*
  • Humans
  • Insulin-Secreting Cells / pathology
  • Insulin-Secreting Cells / transplantation*
  • Islets of Langerhans Transplantation / methods*
  • Pancreas / pathology
  • Pancreas / physiology*
  • Regeneration
  • Stem Cell Transplantation / methods*