Evidence mapPaperPMID 39227741Full record

ReviewNature reviews. Endocrinology2025

Harnessing cellular therapeutics for type 1 diabetes mellitus: progress, challenges, and the road ahead.

Alessandro Grattoni, Gregory Korbutt, Alice A Tomei, Andrés J García, Andrew R Pepper, Cherie Stabler, Michael Brehm, Klearchos Papas, Antonio Citro, Haval Shirwan and 20 more

Abstract readReview
In one paragraph

Review in Nature reviews. Endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
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

53 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

30 authors.

Alessandro GrattoniDepartment of Nanomedicine, Houston Methodist Research Institute, Houston, TX, USA. agrattoni@houstonmethodist.org.ORCID http://orcid.org/0000-0001-7888-422X
Gregory KorbuttAlberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada.
Alice A TomeiDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Andrés J GarcíaWoodruff School of Mechanical Engineering and Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-6602-2518
Andrew R PepperDepartment of Surgery, University of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0002-2227-4446
Cherie StablerJ. Crayton Pruitt Family Department of Biomedical Engineering, Herbert Wertheim College of Engineering, University of Florida, Gainesville, FL, USA.
Michael BrehmProgram in Molecular Medicine, Diabetes Center of Excellence, University of Massachusetts Chan Medical School, Worcester, MA, USA.ORCID http://orcid.org/0000-0001-6813-3262
Klearchos PapasDepartment of Surgery, The University of Arizona, Tucson, AZ, USA.ORCID http://orcid.org/0000-0002-4554-0911
Antonio CitroDiabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Haval ShirwanDepartment of Pediatrics, Ellis Fischel Cancer Center, School of Medicine, University of Missouri, Columbia, MO, USA.ORCID http://orcid.org/0000-0002-1657-9470
Jeffrey R MillmanDivision of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO, USA.
Juan Melero-MartinDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-4689-8149
Melanie GrahamDepartment of Surgery, University of Minnesota, Minneapolis, MN, USA.
Michael SeftonInstitute of Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.
Minglin MaDepartment of Biological and Environmental Engineering, Cornell University, Ithaca, NY, USA.
Norma KenyonDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Omid VeisehDepartment of Bioengineering, Rice University, Houston, TX, USA.ORCID http://orcid.org/0000-0003-1153-8079
Tejal A DesaiUniversity of California, San Francisco, Department of Bioengineering and Therapeutic Sciences, San Francisco, CA, USA.ORCID http://orcid.org/0000-0003-3409-9208
M Cristina NostroMcEwen Stem Cell Institute, University Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-1166-8252
Marjana MarinacAdvocacy Department, Breakthrough T1D, Washington, DC, USA.
Megan SykesDepartment of Medicine, Columbia Center for Translational Immunology, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0002-4947-4376
Holger A RussDiabetes Institute, University of Florida, Gainesville, FL, USA.
Jon OdoricoUW Health Transplant Center, Madison, WI, USA.ORCID http://orcid.org/0000-0003-1096-464X
Qizhi TangDiabetes Center, University of California San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0001-7313-3574
Camillo RicordiDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Esther LatresResearch Department, Breakthrough T1D, New York, NY, USA.
Nicholas E Mamrak *Research Department, Breakthrough T1D, New York, NY, USA.
Jaime Giraldo *Research Department, Breakthrough T1D, New York, NY, USA. jgiraldo@breakthrought1d.org.
Mark C Poznansky *Vaccine and Immunotherapy Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. mark_poznansky@dfci.harvard.edu.ORCID http://orcid.org/0000-0003-1344-7103
Paul de Vos *Immunoendocrinology, Division of Medical Biology, Department of Pathology and Medical Biology, University of Groningen and University Medical Center Groningen, Groningen, Netherlands. p.de.vos@umcg.nl.

Funding

Renewal of the Human Islet Research Enhancement Center (HIREC) for the Type-1-Diabetes-Focused Human Islet Research Network (HIRN).U24DK104162 · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · 2025 to 2025
$1.6M
Hydrogels for human beta cell survival, function and evasion of immune rejectionR01DK133702 · GEORGIA INSTITUTE OF TECHNOLOGY · 2025 to 2025
$785k
Vascularized NICHE with local immunosuppression for cell replacement for Type 1 diabetesR01DK133610 · METHODIST HOSPITAL RESEARCH INSTITUTE · 2025 to 2025
$754k
Vascularized Islet transplantation NICHE with local immunosuppression for the treatment of type 1 diabetesR01DK132104 · METHODIST HOSPITAL RESEARCH INSTITUTE · 2025 to 2025
$697k
Mechanistic analysis of TDP-43-mediated RNA localization in neurons and its misregulation in ALSR01NS122911 · UNIVERSITY OF COLORADO DENVER · 2025 to 2025
$579k
Local immune modulation for beta cell replacement therapy in type 1 diabetesR01DK132387 · UNIVERSITY OF FLORIDA · 2025 to 2025
$485k
Studying the Role of the Microenvironment on Differentiation and Maturation of Beta CellsR01DK114233 · WASHINGTON UNIVERSITY · 2025 to 2025
$477k
BIOMATERIALS FOR STEM CELL-DERIVED BETA CELL TRANSPLANTATIONR01DK128840 · GEORGIA INSTITUTE OF TECHNOLOGY · 2025 to 2025
$250k
NIDDK NIH HHS R01 DK114233NIDDK NIH HHS R01 DK120444NIDDK NIH HHS R01 DK128840NIDDK NIH HHS R01 DK132104NIDDK NIH HHS R01 DK132387NIDDK NIH HHS R01 DK133610NIDDK NIH HHS R01 DK133702NIDDK NIH HHS U01 DK104218NIDDK NIH HHS U24 DK104162NIDDK NIH HHS UC4 DK104218NINDS NIH HHS R01 NS122911
6 · The paper itself

Abstract

Type 1 diabetes mellitus (T1DM) is a growing global health concern that affects approximately 8.5 million individuals worldwide. T1DM is characterized by an autoimmune destruction of pancreatic β cells, leading to a disruption in glucose homeostasis. Therapeutic intervention for T1DM requires a complex regimen of glycaemic monitoring and the administration of exogenous insulin to regulate blood glucose levels. Advances in continuous glucose monitoring and algorithm-driven insulin delivery devices have improved the quality of life of patients. Despite this, mimicking islet function and complex physiological feedback remains challenging. Pancreatic islet transplantation represents a potential functional cure for T1DM but is hindered by donor scarcity, variability in harvested cells, aggressive immunosuppressive regimens and suboptimal clinical outcomes. Current research is directed towards generating alternative cell sources, improving transplantation methods, and enhancing cell survival without chronic immunosuppression. This Review maps the progress in cell replacement therapies for T1DM and outlines the remaining challenges and future directions. We explore the state-of-the-art strategies for generating replenishable β cells, cell delivery technologies and local targeted immune modulation. Finally, we highlight relevant animal models and the regulatory aspects for advancing these technologies towards clinical deployment.

Indexed as

Diabetes Mellitus, Type 1Insulin-Secreting CellsIslets of Langerhans TransplantationAnimalsCell- and Tissue-Based TherapyHumans

Identifiers

PMID39227741
PMCPMC11938328

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.