Evidence map›Paper›PMID 40272266›Full record

ReviewDiabetes2025

Advances in Cell Replacement Therapies for Diabetes.

Bernhard J Hering, Michael R Rickels, Melena D Bellin, Jeffrey R Millman, Alice A Tomei, Andrés J García, Haval Shirwan, Cherie L Stabler, Minglin Ma, Peng Yi and 7 more

Abstract readReview
In one paragraph

Review in Diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed.

  1. Immune Biomarkers of Islet Transplant Rejection Revealed by Synthetic Immunological Niche.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Bernhard J HeringDepartment of Surgery, Schulze Diabetes Institute, University of Minnesota Medical School, Minneapolis, MN.ORCID 0000-0002-5962-7284
Michael R RickelsDivision of Endocrinology, Diabetes & Metabolism, Department of Medicine, and Institute for Diabetes, Obesity & Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-9253-838X
Melena D BellinDivision of Endocrinology, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN.ORCID 0000-0002-7324-4837
Jeffrey R MillmanDivision of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0003-0426-3492
Alice A TomeiDiabetes Research Institute, Miller School of Medicine, University of Miami, Miami, FL.
Andrés J GarcíaGeorge W. Woodruff School of Mechanical Engineering and Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA.ORCID 0000-0001-6602-2518
Haval ShirwanDepartment of Pediatrics, Ellis Fischel Cancer Center, University of Missouri School of Medicine, Columbia, MO.
Cherie L StablerJ. Crayton Pruitt Family Department of Biomedical Engineering, Herbert Wertheim College of Engineering, University of Florida, Gainesville, FL.ORCID 0000-0003-0573-0646
Minglin MaDepartment of Biological and Environmental Engineering, Cornell University, Ithaca, NY.
Peng YiSection for Islet Cell and Regenerative Biology, Joslin Diabetes Center, Boston, MA.ORCID 0000-0001-7830-4694
Xunrong LuoDuke Transplant Center, Duke University School of Medicine, Durham, NC.
Qizhi TangDiabetes Center, University of California, San Francisco, San Francisco, CA.
Sabarinathan RamachandranDepartment of Surgery, Schulze Diabetes Institute, University of Minnesota Medical School, Minneapolis, MN.
Jose OberholzerDepartment of Visceral Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
Camillo RicordiDiabetes Research Institute, Miller School of Medicine, University of Miami, Miami, FL.
Timothy J KiefferDepartment of Cellular and Physiological Sciences and Department of Surgery, Life Sciences Institute, and School of Biomedical Engineering, University of British Columbia, Vancouver, British Columbia, Canada.
A M James ShapiroClinical Islet Transplant Program, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.ORCID 0000-0002-6215-0990

Funding

The Risks and Opportunities of Homeostatic RepopulationU19AI131471 · NIAID · DUKE UNIVERSITY · PI Stuart Johnston Knechtle · 2017 to 2026
$30.4M
Promoting Kidney Transplantation Tolerance Through Novel Immunomodulation and Cellular TherapyU19AI174966 · NIAID · UNIVERSITY OF MINNESOTA · PI Mandy L Ford · 2023 to 2026
$18.2M
Neonatal Porcine Islet Xenografts for the Treatment of Type 1 DiabetesU01AI090956 · NIAID · EMORY UNIVERSITY · PI KIRK, ALLAN D., LUO, XUNRONG · 2010 to 2024
$14.8M
Determining the mechanism of IFIH1 disease-associated variants on beta-cell and immune responses in Type 1 diabetesR01DK127497 · NIDDK · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MATHEWS, CLAYTON E, MILLMAN, JEFFREY ROBERT · 2020 to 2023
$4.7M
Vascularized NICHE with local immunosuppression for cell replacement for Type 1 diabetesR01DK133610 · NIDDK · METHODIST HOSPITAL RESEARCH INSTITUTE · PI Alessandro Grattoni, NORMA S. KENYON · 2022 to 2026
$4.3M
Conformal islet encapsulation for transplantation at vascularized sites to allow physiological insulin secretionR01DK109929 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Alice Tomei · 2018 to 2026
$3.9M
iSTAR TregsU01DK137140 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MICHAEL T MCMANUS, Audrey Parent · 2023 to 2026
$3.9M
Glucose Counterregulation in Long Standing Type 1 DiabetesR01DK091331 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI RICKELS, MICHAEL R · 2011 to 2020
$3.8M
STUDYING THE ROLE OF THE MICROENVIRONMENT ON DIFFERENTIATION AND MATURATION OF BETA CELLSR01DK114233 · NIDDK · WASHINGTON UNIVERSITY · PI Jeffrey Robert Millman · 2017 to 2026
$3.6M
Genome editing of human pancreatic islets to withstand ischemic injuries and promote immune evasionR01DK133645 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Gregory Michael Ku, MICHAEL T MCMANUS · 2022 to 2026
$3.5M
Hydrogels for human beta cell survival, function and evasion of immune rejectionR01DK133702 · NIDDK · GEORGIA INSTITUTE OF TECHNOLOGY · PI GARCIA, ANDRES J, LEI, JI · 2022 to 2025
$3.3M
Long-Term Islet Function and Impact after Total Pancreatectomy with Islet Autotransplant (LIFT)R01DK126728 · NIDDK · UNIVERSITY OF MINNESOTA · PI BELLIN, MELENA D. · 2021 to 2025
$3.2M
NIAID NIH HHS R01 AI121281NIAID NIH HHS R21 AI166163NIAID NIH HHS U01 AI090956NIAID NIH HHS U19 AI131471NIAID NIH HHS U19 AI174966NIDDK NIH HHS R01 DK091331NIDDK NIH HHS R01 DK105967NIDDK NIH HHS R01 DK109929NIDDK NIH HHS R01 DK114233NIDDK NIH HHS R01 DK120445NIDDK NIH HHS R01 DK126413NIDDK NIH HHS R01 DK126728NIDDK NIH HHS R01 DK127497NIDDK NIH HHS R01 DK128840NIDDK NIH HHS R01 DK129343NIDDK NIH HHS R01 DK131209NIDDK NIH HHS R01 DK132889NIDDK NIH HHS R01 DK133610NIDDK NIH HHS R01 DK133645NIDDK NIH HHS R01 DK133702NIDDK NIH HHS R01 DK138469NIDDK NIH HHS R01 DK138809NIDDK NIH HHS R01 DK141150NIDDK NIH HHS R01 DK141374NIDDK NIH HHS U01 DK133709NIDDK NIH HHS U01 DK137140NIDDK NIH HHS UG3 DK122638NIDDK NIH HHS UG3 DK142188NIDDK NIH HHS UH3 DK122638
6 · The paper itself

Abstract

Islet cell replacement therapies have evolved as a viable treatment option for type 1 diabetes complicated by problematic hypoglycemia and glycemic lability. Refinements of islet manufacturing, islet transplantation procedures, peritransplant recipient management, and immunosuppressive protocols allowed most recipients to achieve favorable outcomes. Subsequent phase 3 trials of transplantation of deceased donor islets documented the effectiveness of transplanted islets in restoring near-normoglycemia, glycemic stability, and protection from severe hypoglycemia, with an acceptable safety profile for the enrolled high-risk population. Health authorities in several countries have approved deceased donor islet transplantation for treating patients with type 1 diabetes and recurrent severe hypoglycemia. These achievements amplified academic and industry efforts to generate pluripotent stem cell-derived β-cells through directed differentiation for β-cell replacement. Preliminary results of ongoing clinical trials suggest that the transplantation of stem cell-derived β-cells can consistently restore insulin independence in immunosuppressed recipients with type 1 diabetes, thus signaling the profound progress made in generating an unlimited and a uniform supply of cells for transplant. Avoiding the risks of chronic immunosuppression represents the next frontier. Several strategies have entered or are approaching clinical investigation, including immune-isolating islets, engineering immune-privileged islet implantation sites, rendering islets immune evasive, and inducing immune tolerance in transplanted islets. Capitalizing on high-dimensional, multiomic technologies for deep profiling of graft-directed immunity and the fate of the graft will provide new insights that promise to translate into sustaining functional graft survival long-term. Leveraging these parallel progression paths will facilitate the wider clinical adoption of cell replacement therapies in diabetes care. ARTICLE HIGHLIGHTS: Transplantation of deceased donor-derived primary human islets has restored near-normoglycemia and protection from severe hypoglycemia in immunosuppressed recipients with type 1 diabetes. Transplantation of embryonic stem cell-derived β-cells has restored insulin independence in immunosuppressed recipients with type 1 diabetes. Clinical trials are underway and planned to evaluate the safety and efficacy of transplantation of mature stem cell-derived β-cells with transient, local, minimal, and/or no-maintenance immunosuppression in recipients with type 1 diabetes. The high-dimensional, multiomic monitoring of immunity to transplanted islets and of the fate of the islet graft will faciliate the identification of determinants of sustained islet graft function and of patients most likely to benefit from cell replacement therapies.

Indexed as

Diabetes Mellitus, Type 1Insulin-Secreting CellsIslets of Langerhans TransplantationAnimalsHumans

Identifiers

PMID40272266
PMCPMC12185959

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.