Journal
CELL DEATH AND DIFFERENTIATION
Volume 22, Issue 7, Pages 1117-1130Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/cdd.2014.193
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Funding
- Research Foundation - Flanders (FWO)
- JDRF
- European Foundation for the Study of Diabetes (EFSD)
- European Union [LSHB-CT-2005-512145, HEALTH-F5-2009-241883]
- NIH [P30 DK063720]
- Leona M and Harry B Helmsley Charitable Trust [2012PG-T1D017]
- Iaccoca Family Foundation
- European Foundation for the Study of Diabetes [NN 2014_1] Funding Source: researchfish
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Rodent acinar cells exhibit a remarkable plasticity as they can transdifferentiate to duct-, hepatocyte- and islet beta-like cells. We evaluated whether exocrine cells from adult human pancreas can similarly respond to proendocrine stimuli. Exocrine cells from adult human pancreas were transduced directly with lentiviruses expressing activated MAPK (mitogen-activated protein kinase) and STAT3 (signal transducer and activator of transcription 3) and cultured as monolayers or as 3D structures. Expression of STAT3 and MAPK in human exocrine cells activated expression of the proendocrine factor neurogenin 3 in 50% to 80% of transduced exocrine cells. However, the number of insulin-positive cells increased only in the exocrine cells grown initially in suspension before 3D culture. Lineage tracing identified human acinar cells as the source of Ngn3- and insulin-expressing cells. Long-term engraftment into immunocompromised mice increased the efficiency of reprogramming to insulin-positive cells. Our data demonstrate that exocrine cells from human pancreas can be reprogrammed to transplantable insulin-producing cells that acquire functionality. Given the large number of exocrine cells in a donor pancreas, this approach presents a novel strategy to expand cell therapy in type 1 diabetes.
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