Transplantation of chemically induced pluripotent stem-cell-derived islets under abdominal anterior rectus sheath in a type 1 diabetes patient
2024

Breakthrough in Type 1 Diabetes Therapy with Autologous Islet Transplant

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Wang S, Abou Zaki Ram, El-Osta Assam

Primary Institution: Nankai University

Hypothesis

Can chemically induced pluripotent stem-cell-derived islets provide long-term insulin independence for type 1 diabetes patients?

Conclusion

The study demonstrated that a patient achieved stable insulin independence for over a year following the transplantation of autologous islets derived from her own stem cells.

Supporting Evidence

  • The patient achieved complete insulin freedom at day 75 post-surgery.
  • Fasting blood glucose levels improved from 210 ± 59 mg/dL to 126 mg/dL after surgery.
  • Patient time-in-range increased from 43.18% to over 98% during follow-up.
  • HbA1c levels dropped from 7.57% to 5.37% by day 120.

Takeaway

A patient with type 1 diabetes received a transplant of her own stem cells turned into insulin-producing cells and was able to stop taking insulin for a whole year.

Methodology

The study involved autologous transplantation of chemically induced pluripotent stem-cell-derived islets into a patient, with a focus on minimizing immune rejection.

Limitations

The treatment is still in early stages and not yet ready for widespread use.

Participant Demographics

The participant was a 25-year-old female with type 1 diabetes.

Digital Object Identifier (DOI)

10.1016/j.cell.2024.09.004

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