Human islet transplantation confers a significant improvement in glycemic control and prevents life-threatening severe hypoglycemia in type 1 diabetes (T1D) and late-stage of type 2 diabetic (T2D) patients. However, there are two limitations to this approach: 1) the chronic shortage of human islets; and 2) immunosuppression, which is associated with an increased risk of cancer and infections, is required to avoid rejection of transplanted islets. Together, these limitations create an unmet medical need. We investigate the mechanism underlying generation of immune evasive fully functional human pancreatic islets from human pluripotent stem cells (hPSCs). If we can create universally immune-tolerant, fully functional glucose-responsive human pancreatic islets from infinite cell resources, such as human pluripotent stem cells, this technology will benefit all who suffer from T1D and severe T2D, regardless of patient age, sex or genetic background. To the end, we study about human islet organogenesis by using in vitro organoids models created by hPSCs. During the development, lineage specification toward endocrine islet cell types (Insulin producing β cells, glucagon producing α cells, somatostatin producing δ cells etc) and maturation (Enhancing glucose sensitivity/mitochondrial metabolism) is required for functional islets. We study how cell fate determination and functionality is regulated by transcriptional factors and related environmental cues. In addition, we study the fundamental mechanism how functional β cells can be transformed immune evasive status through epigenetic memory system.
Key Technology; Human pluripotent stem cells, human islet-like organoids, Genome Engineering, Hormone Secretion Assay, bulk RNA-seq, scRNA-seq, ATAC-seq, Cut & Tag, Spatial Genes Expression, islet transplantation