Beta Cell Therapies for Preventing Type 1 Diabetes: From Bench to Bedside

Type 1 diabetes (T1D) is a chronic metabolic disease characterized by insulin deficiency, generally resulting from progressive autoimmune-mediated destruction of pancreatic beta cells. While the phenomenon of beta cell autoimmunity continues to be an active area of investigation, recent evidence sug...

Full description

Bibliographic Details
Main Authors: Gabriel Brawerman, Peter J. Thompson
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/10/12/1681
_version_ 1827699988189151232
author Gabriel Brawerman
Peter J. Thompson
author_facet Gabriel Brawerman
Peter J. Thompson
author_sort Gabriel Brawerman
collection DOAJ
description Type 1 diabetes (T1D) is a chronic metabolic disease characterized by insulin deficiency, generally resulting from progressive autoimmune-mediated destruction of pancreatic beta cells. While the phenomenon of beta cell autoimmunity continues to be an active area of investigation, recent evidence suggests that beta cell stress responses are also important contributors to disease onset. Here we review the pathways driving different kinds of beta cell dysfunction and their respective therapeutic targets in the prevention of T1D. We discuss opportunities and important open questions around the effectiveness of beta cell therapies and challenges for clinical utility. We further evaluate ways in which beta cell drug therapy could be combined with immunotherapy for preventing T1D in light of our growing appreciation of disease heterogeneity and patient endotypes. Ultimately, the emergence of pharmacologic beta cell therapies for T1D have armed us with new tools and closing the knowledge gaps in T1D etiology will be essential for maximizing the potential of these approaches.
first_indexed 2024-03-10T14:02:11Z
format Article
id doaj.art-88cc7942e6bb4a3784d3b999e8986406
institution Directory Open Access Journal
issn 2218-273X
language English
last_indexed 2024-03-10T14:02:11Z
publishDate 2020-12-01
publisher MDPI AG
record_format Article
series Biomolecules
spelling doaj.art-88cc7942e6bb4a3784d3b999e89864062023-11-21T01:01:01ZengMDPI AGBiomolecules2218-273X2020-12-011012168110.3390/biom10121681Beta Cell Therapies for Preventing Type 1 Diabetes: From Bench to BedsideGabriel Brawerman0Peter J. Thompson1Department of Physiology and Pathophysiology, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 3P4, CanadaDepartment of Physiology and Pathophysiology, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 3P4, CanadaType 1 diabetes (T1D) is a chronic metabolic disease characterized by insulin deficiency, generally resulting from progressive autoimmune-mediated destruction of pancreatic beta cells. While the phenomenon of beta cell autoimmunity continues to be an active area of investigation, recent evidence suggests that beta cell stress responses are also important contributors to disease onset. Here we review the pathways driving different kinds of beta cell dysfunction and their respective therapeutic targets in the prevention of T1D. We discuss opportunities and important open questions around the effectiveness of beta cell therapies and challenges for clinical utility. We further evaluate ways in which beta cell drug therapy could be combined with immunotherapy for preventing T1D in light of our growing appreciation of disease heterogeneity and patient endotypes. Ultimately, the emergence of pharmacologic beta cell therapies for T1D have armed us with new tools and closing the knowledge gaps in T1D etiology will be essential for maximizing the potential of these approaches.https://www.mdpi.com/2218-273X/10/12/1681pancreatic beta cellstype 1 diabetesapoptosissenescenceimmunotherapy
spellingShingle Gabriel Brawerman
Peter J. Thompson
Beta Cell Therapies for Preventing Type 1 Diabetes: From Bench to Bedside
Biomolecules
pancreatic beta cells
type 1 diabetes
apoptosis
senescence
immunotherapy
title Beta Cell Therapies for Preventing Type 1 Diabetes: From Bench to Bedside
title_full Beta Cell Therapies for Preventing Type 1 Diabetes: From Bench to Bedside
title_fullStr Beta Cell Therapies for Preventing Type 1 Diabetes: From Bench to Bedside
title_full_unstemmed Beta Cell Therapies for Preventing Type 1 Diabetes: From Bench to Bedside
title_short Beta Cell Therapies for Preventing Type 1 Diabetes: From Bench to Bedside
title_sort beta cell therapies for preventing type 1 diabetes from bench to bedside
topic pancreatic beta cells
type 1 diabetes
apoptosis
senescence
immunotherapy
url https://www.mdpi.com/2218-273X/10/12/1681
work_keys_str_mv AT gabrielbrawerman betacelltherapiesforpreventingtype1diabetesfrombenchtobedside
AT peterjthompson betacelltherapiesforpreventingtype1diabetesfrombenchtobedside