Cell Replacement Strategies Aimed at Reconstitution of the β-Cell Compartment in Type 1 Diabetes
Author(s) -
Giuseppe Orlando,
Pierre Gianello,
Marcus Salvatori,
Robert J. Stratta,
Shay Söker,
Camillo Ricordi,
Juan DomínguezBendala
Publication year - 2014
Publication title -
diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.219
H-Index - 330
eISSN - 1939-327X
pISSN - 0012-1797
DOI - 10.2337/db13-1742
Subject(s) - regenerative medicine , pancreas , reprogramming , compartment (ship) , diabetes mellitus , stem cell , repopulation , endocrine system , immune system , islet , medicine , biology , microbiology and biotechnology , cell , regeneration (biology) , immunology , bioinformatics , endocrinology , hormone , haematopoiesis , oceanography , genetics , geology
Emerging technologies in regenerative medicine have the potential to restore the β-cell compartment in diabetic patients, thereby overcoming the inadequacies of current treatment strategies and organ supply. Novel approaches include: 1) Encapsulation technology that protects islet transplants from host immune surveillance; 2) stem cell therapies and cellular reprogramming, which seek to regenerate the depleted β-cell compartment; and 3) whole-organ bioengineering, which capitalizes on the innate properties of the pancreas extracellular matrix to drive cellular repopulation. Collaborative efforts across these subfields of regenerative medicine seek to ultimately produce a bioengineered pancreas capable of restoring endocrine function in patients with insulin-dependent diabetes.
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