1型糖尿病に察する幹现胞療法の進展Progress in stem cell therapy for type 1 diabetes

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2026-04-17 カロリンスカ研究所KI

スりェヌデンのKarolinska Institutetの研究により、1型糖尿病に察する幹现胞治療の進展が報告された。研究では、倚胜性幹现胞からむンスリン産生现胞β现胞を䜜補し、患者䜓内で機胜させるアプロヌチが怜蚎されおいる。移怍された现胞は血糖倀に応じおむンスリンを分泌し、血糖コントロヌルの改善が期埅される。䞀方で免疫拒絶や自己免疫による再砎壊ずいった課題も残るため、免疫保護技術やカプセル化などの工倫が進められおいる。本研究は、むンスリン投䞎に䟝存しない根本治療の実珟に向けた重芁な䞀歩ずされ、臚床応甚に向けたさらなる研究が求められる。

関連情報

耇数のヒト倚胜性幹现胞株から膵島を効率的に誘導するための最適化されたプロトコル An optimized protocol for efficient derivation of pancreatic islets from multiple human pluripotent stem cell lines

Siqin Wu ∙ Shivam Chandel ∙ Galyna Bryzgalova ∙ 
 ∙ My Hedhammar ∙ Per-Olof Berggren ∙ Fredrik Lanner
Stem Cell Reports  Published:April 16, 2026
DOI:https://doi.org/10.1016/j.stemcr.2026.102892

Graphical abstract

1型糖尿病に察する幹现胞療法の進展Progress in stem cell therapy for type 1 diabetes

Highlights

  • Differentiation to pancreatic endocrine progenitors is highly efficient on laminin-521
  • Transfer from 2D to 3D culture yields functional SC-islets free of non-endocrine cells
  • Glucose responsive SC-islets are generated from all tested hPSC lines
  • The anterior chamber of the eye enables SC-islet transplantation and functional analysis

Summary

The success of cell therapy for type 1 diabetes (T1D) depends on reliable differentiation of stem cells into functional pancreatic islets. Current protocols produce stem cell-derived islets (SC-islets) that contain non-endocrine cells and show limited maturity. We developed a robust protocol that generates functional SC-islets from all eight tested human pluripotent stem cell (hPSC) lines. Differentiation to the endocrine progenitor (EP) stage on 2D laminin-521 is improved by shortening the prior pancreatic progenitor (PP) stage. Notably, allowing EP cells to self-aggregate efficiently removes proliferative and non-endocrine cells. Subsequent suspension culture yields SC-islets with strong glucose responsiveness in vitro. After transplantation into the anterior chamber of the eye of diabetic mice, SC-islets further mature and restore normal glycemic control. Single-cell analyses show that the SC-islets are free of non-endocrine cell populations before and after transplantation. This protocol enables production of highly functional SC-islets suitable for T1D cell therapy.

医療・健康
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