4.5 Article

Stem cells as a therapeutic target for diabetes

Journal

FRONTIERS IN BIOSCIENCE-LANDMARK
Volume 15, Issue -, Pages 461-477

Publisher

FRONTIERS IN BIOSCIENCE INC
DOI: 10.2741/3630

Keywords

Diabetes mellitus; Mesenchymal stem cells; adult stem cells; insulin producing cells; induced pluripotent stem cells; human embryonic stem cells; nuclear reprogramming; MicroRNAs; stem cell therapy; pancreas development; beta-cells regeneration; Review

Funding

  1. NIH [HL-71010, HL-74185, HL-88012, NS-51568]
  2. NATIONAL HEART, LUNG, AND BLOOD INSTITUTE [R01HL088012, R01HL074185, R01HL071010] Funding Source: NIH RePORTER
  3. NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE [R01NS051568] Funding Source: NIH RePORTER

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The rapidly increasing number of diabetes patients across the world poses a great challenge to the current therapeutic approach. The traditional method of exogenous supply of insulin has ephemeral effect and often causes lethal hypoglycemia that demands to develop a novel strategy. Recent investigations on regeneration of insulin producing cells (IPCs) revealed that in addition to primary source i.e., pancreatic beta cells, IPCs can be derived from several alternative sources including embryonic, adult, mesenchymal and hematopoietic stem cells via the process of proliferation, dedifferentiation, neogenesis, nuclear reprogramming and transdifferentiation. There is considerable success in insulin independency of diabetes patient after transplantation of whole pancreas and / or the islet cells. However, the major challenge for regenerative therapy is to obtain a large source of islet / beta cells donor. Recent advances in the directed differentiation of stem cells generated a promising hope for a better and permanent insulin independency for diabetes. In this review we discussed stem cells as a potential future therapeutic target for the treatment of diabetes and associated diseases.

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