Advances and complications of regenerative medicine in diabetes therapy

The rapid development of technologies in regenerative medicine indicates clearly that their common application is not a matter of if, but of when. However, the regeneration of beta-cells for diabetes patients remains a complex challenge due to the plurality of related problems. Indeed, the generatio...

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Main Authors: Olga Brovkina, Erdem Dashinimaev
Format: Article
Language:English
Published: PeerJ Inc. 2020-09-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/9746.pdf
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author Olga Brovkina
Erdem Dashinimaev
author_facet Olga Brovkina
Erdem Dashinimaev
author_sort Olga Brovkina
collection DOAJ
description The rapid development of technologies in regenerative medicine indicates clearly that their common application is not a matter of if, but of when. However, the regeneration of beta-cells for diabetes patients remains a complex challenge due to the plurality of related problems. Indeed, the generation of beta-cells masses expressing marker genes is only a first step, with maintaining permanent insulin secretion, their protection from the immune system and avoiding pathological modifications in the genome being the necessary next developments. The prospects of regenerative medicine in diabetes therapy were promoted by the emergence of promising results with embryonic stem cells (ESCs). Their pluripotency and proliferation in an undifferentiated state during culture have ensured the success of ESCs in regenerative medicine. The discovery of induced pluripotent stem cells (iPSCs) derived from the patients’ own mesenchymal cells has provided further hope for diabetes treatment. Nonetheless, the use of stem cells has significant limitations related to the pluripotent stage, such as the risk of development of teratomas. Thus, the direct conversion of mature cells into beta-cells could address this issue. Recent studies have shown the possibility of such transdifferentiation and have set trends for regeneration medicine, directed at minimizing genome modifications and invasive procedures. In this review, we will discuss the published results of beta-cell regeneration and the advantages and disadvantages illustrated by these experiments.
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spelling doaj.art-8eeef82db4df41e1a7b0333eac3ed0ae2023-12-03T10:58:32ZengPeerJ Inc.PeerJ2167-83592020-09-018e974610.7717/peerj.9746Advances and complications of regenerative medicine in diabetes therapyOlga Brovkina0Erdem Dashinimaev1Federal Research Clinical Center for Specialized Types of Health Care and Medical Technologies of Federal Medical and Biology Agency, Moscow, RussiaKoltzov Institute of Developmental Biology of Russian Academy of Sciences, Moscow, RussiaThe rapid development of technologies in regenerative medicine indicates clearly that their common application is not a matter of if, but of when. However, the regeneration of beta-cells for diabetes patients remains a complex challenge due to the plurality of related problems. Indeed, the generation of beta-cells masses expressing marker genes is only a first step, with maintaining permanent insulin secretion, their protection from the immune system and avoiding pathological modifications in the genome being the necessary next developments. The prospects of regenerative medicine in diabetes therapy were promoted by the emergence of promising results with embryonic stem cells (ESCs). Their pluripotency and proliferation in an undifferentiated state during culture have ensured the success of ESCs in regenerative medicine. The discovery of induced pluripotent stem cells (iPSCs) derived from the patients’ own mesenchymal cells has provided further hope for diabetes treatment. Nonetheless, the use of stem cells has significant limitations related to the pluripotent stage, such as the risk of development of teratomas. Thus, the direct conversion of mature cells into beta-cells could address this issue. Recent studies have shown the possibility of such transdifferentiation and have set trends for regeneration medicine, directed at minimizing genome modifications and invasive procedures. In this review, we will discuss the published results of beta-cell regeneration and the advantages and disadvantages illustrated by these experiments.https://peerj.com/articles/9746.pdfPluripotent stem cellsTransdifferentiationDiabetes mellitusBeta-cellsRegenerative medicineReprogramming
spellingShingle Olga Brovkina
Erdem Dashinimaev
Advances and complications of regenerative medicine in diabetes therapy
PeerJ
Pluripotent stem cells
Transdifferentiation
Diabetes mellitus
Beta-cells
Regenerative medicine
Reprogramming
title Advances and complications of regenerative medicine in diabetes therapy
title_full Advances and complications of regenerative medicine in diabetes therapy
title_fullStr Advances and complications of regenerative medicine in diabetes therapy
title_full_unstemmed Advances and complications of regenerative medicine in diabetes therapy
title_short Advances and complications of regenerative medicine in diabetes therapy
title_sort advances and complications of regenerative medicine in diabetes therapy
topic Pluripotent stem cells
Transdifferentiation
Diabetes mellitus
Beta-cells
Regenerative medicine
Reprogramming
url https://peerj.com/articles/9746.pdf
work_keys_str_mv AT olgabrovkina advancesandcomplicationsofregenerativemedicineindiabetestherapy
AT erdemdashinimaev advancesandcomplicationsofregenerativemedicineindiabetestherapy