4.7 Review

Islet organoid as a promising model for diabetes

Journal

PROTEIN & CELL
Volume 13, Issue 4, Pages 239-257

Publisher

OXFORD UNIV PRESS
DOI: 10.1007/s13238-021-00831-0

Keywords

islet organoid; diabetes; pluripotent; adult stem cell; pancreatic β cell; disease model

Categories

Funding

  1. Ministry of Science and Technology of the People's Republic of China [2018YFA0507101, 2016YFA0500203]
  2. National Natural Science Foundation of China [31770900, 31730054]
  3. Beijing Natural Science Foundation [5212016]
  4. Youth Innovation Promotion Association of the Chinese Academy of Sciences [2011087]

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Islet organoids have great potential as disease models for diabetes, but currently established models are generally immature and need further improvement in heterogeneity and functionality. The focus is on advancing islet organoids derived from human pluripotent stem cells and their potential applications in disease modeling and regenerative therapies for diabetes.
Studies on diabetes have long been hampered by a lack of authentic disease models that, ideally, should be unlimited and able to recapitulate the abnormalities involved in the development, structure, and function of human pancreatic islets under pathological conditions. Stem cell-based islet organoids faithfully recapitulate islet development in vitro and provide large amounts of three-dimensional functional islet biomimetic materials with a morphological structure and cellular composition similar to those of native islets. Thus, islet organoids hold great promise for modeling islet development and function, deciphering the mechanisms underlying the onset of diabetes, providing an in vitro human organ model for infection of viruses such as SARS-CoV-2, and contributing to drug screening and autologous islet transplantation. However, the currently established islet organoids are generally immature compared with native islets, and further efforts should be made to improve the heterogeneity and functionality of islet organoids, making it an authentic and informative disease model for diabetes. Here, we review the advances and challenges in the generation of islet organoids, focusing on human pluripotent stem cell-derived islet organoids, and the potential applications of islet organoids as disease models and regenerative therapies for diabetes.

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