β-Cell Replacement Strategies: The Increasing Need for a “β-Cell Dogma”

Type 1 diabetes is an auto-immune disease resulting in the loss of pancreatic β-cells and, consequently, in chronic hyperglycemia. Insulin supplementation allows diabetic patients to control their glycaemia quite efficiently, but treated patients still display an overall shortened life expectancy an...

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Main Authors: Andhira Vieira, Noémie Druelle, Fabio Avolio, Tiziana Napolitano, Sergi Navarro-Sanz, Serena Silvano, Patrick Collombat
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-06-01
Series:Frontiers in Genetics
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fgene.2017.00075/full
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author Andhira Vieira
Noémie Druelle
Fabio Avolio
Tiziana Napolitano
Sergi Navarro-Sanz
Serena Silvano
Patrick Collombat
author_facet Andhira Vieira
Noémie Druelle
Fabio Avolio
Tiziana Napolitano
Sergi Navarro-Sanz
Serena Silvano
Patrick Collombat
author_sort Andhira Vieira
collection DOAJ
description Type 1 diabetes is an auto-immune disease resulting in the loss of pancreatic β-cells and, consequently, in chronic hyperglycemia. Insulin supplementation allows diabetic patients to control their glycaemia quite efficiently, but treated patients still display an overall shortened life expectancy and an altered quality of life as compared to their healthy counterparts. In this context and due to the ever increasing number of diabetics, establishing alternative therapies has become a crucial research goal. Most current efforts therefore aim at generating fully functional insulin-secreting β-like cells using multiple approaches. In this review, we screened the literature published since 2011 and inventoried the selected markers used to characterize insulin-secreting cells generated by in vitro differentiation of stem/precursor cells or by means of in vivo transdifferentiation. By listing these features, we noted important discrepancies when comparing the different approaches for the initial characterization of insulin-producing cells as true β-cells. Considering the recent advances achieved in this field of research, the necessity to establish strict guidelines has become a subject of crucial importance, especially should one contemplate the next step, which is the transplantation of in vitro or ex vivo generated insulin-secreting cells in type 1 diabetic patients.
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spelling doaj.art-dd386b7f45c14b0eabcb0355c7aa5ef82022-12-21T23:01:10ZengFrontiers Media S.A.Frontiers in Genetics1664-80212017-06-01810.3389/fgene.2017.00075237279β-Cell Replacement Strategies: The Increasing Need for a “β-Cell Dogma”Andhira VieiraNoémie DruelleFabio AvolioTiziana NapolitanoSergi Navarro-SanzSerena SilvanoPatrick CollombatType 1 diabetes is an auto-immune disease resulting in the loss of pancreatic β-cells and, consequently, in chronic hyperglycemia. Insulin supplementation allows diabetic patients to control their glycaemia quite efficiently, but treated patients still display an overall shortened life expectancy and an altered quality of life as compared to their healthy counterparts. In this context and due to the ever increasing number of diabetics, establishing alternative therapies has become a crucial research goal. Most current efforts therefore aim at generating fully functional insulin-secreting β-like cells using multiple approaches. In this review, we screened the literature published since 2011 and inventoried the selected markers used to characterize insulin-secreting cells generated by in vitro differentiation of stem/precursor cells or by means of in vivo transdifferentiation. By listing these features, we noted important discrepancies when comparing the different approaches for the initial characterization of insulin-producing cells as true β-cells. Considering the recent advances achieved in this field of research, the necessity to establish strict guidelines has become a subject of crucial importance, especially should one contemplate the next step, which is the transplantation of in vitro or ex vivo generated insulin-secreting cells in type 1 diabetic patients.http://journal.frontiersin.org/article/10.3389/fgene.2017.00075/fullβ-cellsdifferentiationstem cellstype 1 diabetesβ-cell markers
spellingShingle Andhira Vieira
Noémie Druelle
Fabio Avolio
Tiziana Napolitano
Sergi Navarro-Sanz
Serena Silvano
Patrick Collombat
β-Cell Replacement Strategies: The Increasing Need for a “β-Cell Dogma”
Frontiers in Genetics
β-cells
differentiation
stem cells
type 1 diabetes
β-cell markers
title β-Cell Replacement Strategies: The Increasing Need for a “β-Cell Dogma”
title_full β-Cell Replacement Strategies: The Increasing Need for a “β-Cell Dogma”
title_fullStr β-Cell Replacement Strategies: The Increasing Need for a “β-Cell Dogma”
title_full_unstemmed β-Cell Replacement Strategies: The Increasing Need for a “β-Cell Dogma”
title_short β-Cell Replacement Strategies: The Increasing Need for a “β-Cell Dogma”
title_sort β cell replacement strategies the increasing need for a β cell dogma
topic β-cells
differentiation
stem cells
type 1 diabetes
β-cell markers
url http://journal.frontiersin.org/article/10.3389/fgene.2017.00075/full
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