Towards a Functional Cure for Diabetes Using Stem Cell-Derived Beta Cells: Are We There Yet?

Diabetes mellitus is a pandemic metabolic disorder that results from either the autoimmune destruction or the dysfunction of insulin-producing pancreatic beta cells. A promising cure is beta cell replacement through the transplantation of islets of Langerhans. However, donor shortage hinders the wid...

Full description

Bibliographic Details
Main Authors: Stephanie Bourgeois, Toshiaki Sawatani, Annelore Van Mulders, Nico De Leu, Yves Heremans, Harry Heimberg, Miriam Cnop, Willem Staels
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/1/191
_version_ 1811153687848943616
author Stephanie Bourgeois
Toshiaki Sawatani
Annelore Van Mulders
Nico De Leu
Yves Heremans
Harry Heimberg
Miriam Cnop
Willem Staels
author_facet Stephanie Bourgeois
Toshiaki Sawatani
Annelore Van Mulders
Nico De Leu
Yves Heremans
Harry Heimberg
Miriam Cnop
Willem Staels
author_sort Stephanie Bourgeois
collection DOAJ
description Diabetes mellitus is a pandemic metabolic disorder that results from either the autoimmune destruction or the dysfunction of insulin-producing pancreatic beta cells. A promising cure is beta cell replacement through the transplantation of islets of Langerhans. However, donor shortage hinders the widespread implementation of this therapy. Human pluripotent stem cells, including embryonic stem cells and induced pluripotent stem cells, represent an attractive alternative beta cell source for transplantation. Although major advances over the past two decades have led to the generation of stem cell-derived beta-like cells that share many features with genuine beta cells, producing fully mature beta cells remains challenging. Here, we review the current status of beta cell differentiation protocols and highlight specific challenges that are associated with producing mature beta cells. We address the challenges and opportunities that are offered by monogenic forms of diabetes. Finally, we discuss the remaining hurdles for clinical application of stem cell-derived beta cells and the status of ongoing clinical trials.
first_indexed 2024-03-09T04:20:31Z
format Article
id doaj.art-eedeb29f275b4f069ce6af802ec7c1b3
institution Directory Open Access Journal
issn 2073-4409
language English
last_indexed 2024-03-09T04:20:31Z
publishDate 2021-01-01
publisher MDPI AG
record_format Article
series Cells
spelling doaj.art-eedeb29f275b4f069ce6af802ec7c1b32023-12-03T13:48:58ZengMDPI AGCells2073-44092021-01-0110119110.3390/cells10010191Towards a Functional Cure for Diabetes Using Stem Cell-Derived Beta Cells: Are We There Yet?Stephanie Bourgeois0Toshiaki Sawatani1Annelore Van Mulders2Nico De Leu3Yves Heremans4Harry Heimberg5Miriam Cnop6Willem Staels7Beta Cell Neogenesis (BENE) Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, BelgiumULB Center for Diabetes Research, Medical Faculty, Université Libre de Bruxelles, 1070 Brussels, BelgiumBeta Cell Neogenesis (BENE) Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, BelgiumBeta Cell Neogenesis (BENE) Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, BelgiumBeta Cell Neogenesis (BENE) Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, BelgiumBeta Cell Neogenesis (BENE) Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, BelgiumULB Center for Diabetes Research, Medical Faculty, Université Libre de Bruxelles, 1070 Brussels, BelgiumBeta Cell Neogenesis (BENE) Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussels, BelgiumDiabetes mellitus is a pandemic metabolic disorder that results from either the autoimmune destruction or the dysfunction of insulin-producing pancreatic beta cells. A promising cure is beta cell replacement through the transplantation of islets of Langerhans. However, donor shortage hinders the widespread implementation of this therapy. Human pluripotent stem cells, including embryonic stem cells and induced pluripotent stem cells, represent an attractive alternative beta cell source for transplantation. Although major advances over the past two decades have led to the generation of stem cell-derived beta-like cells that share many features with genuine beta cells, producing fully mature beta cells remains challenging. Here, we review the current status of beta cell differentiation protocols and highlight specific challenges that are associated with producing mature beta cells. We address the challenges and opportunities that are offered by monogenic forms of diabetes. Finally, we discuss the remaining hurdles for clinical application of stem cell-derived beta cells and the status of ongoing clinical trials.https://www.mdpi.com/2073-4409/10/1/191beta cellscell therapystem cells
spellingShingle Stephanie Bourgeois
Toshiaki Sawatani
Annelore Van Mulders
Nico De Leu
Yves Heremans
Harry Heimberg
Miriam Cnop
Willem Staels
Towards a Functional Cure for Diabetes Using Stem Cell-Derived Beta Cells: Are We There Yet?
Cells
beta cells
cell therapy
stem cells
title Towards a Functional Cure for Diabetes Using Stem Cell-Derived Beta Cells: Are We There Yet?
title_full Towards a Functional Cure for Diabetes Using Stem Cell-Derived Beta Cells: Are We There Yet?
title_fullStr Towards a Functional Cure for Diabetes Using Stem Cell-Derived Beta Cells: Are We There Yet?
title_full_unstemmed Towards a Functional Cure for Diabetes Using Stem Cell-Derived Beta Cells: Are We There Yet?
title_short Towards a Functional Cure for Diabetes Using Stem Cell-Derived Beta Cells: Are We There Yet?
title_sort towards a functional cure for diabetes using stem cell derived beta cells are we there yet
topic beta cells
cell therapy
stem cells
url https://www.mdpi.com/2073-4409/10/1/191
work_keys_str_mv AT stephaniebourgeois towardsafunctionalcurefordiabetesusingstemcellderivedbetacellsarewethereyet
AT toshiakisawatani towardsafunctionalcurefordiabetesusingstemcellderivedbetacellsarewethereyet
AT annelorevanmulders towardsafunctionalcurefordiabetesusingstemcellderivedbetacellsarewethereyet
AT nicodeleu towardsafunctionalcurefordiabetesusingstemcellderivedbetacellsarewethereyet
AT yvesheremans towardsafunctionalcurefordiabetesusingstemcellderivedbetacellsarewethereyet
AT harryheimberg towardsafunctionalcurefordiabetesusingstemcellderivedbetacellsarewethereyet
AT miriamcnop towardsafunctionalcurefordiabetesusingstemcellderivedbetacellsarewethereyet
AT willemstaels towardsafunctionalcurefordiabetesusingstemcellderivedbetacellsarewethereyet