Supplying Insulin while Evading Immunity
Abstract
This article explores the challenges and recent advances in beta cell replacement therapy for type 1 diabetes, focusing on immune evasion strategies. Researchers have successfully used stem cell derived islets expressing the immune checkpoint protein PD L1 to protect against allograft rejection and autoimmune destruction in mouse models. While this approach shows promise, concerns remain about teratoma formation and incomplete glycemic normalization. The study highlights the potential of combining robust differentiation protocols with immune tolerance strategies to achieve insulin independence, though further research is needed to ensure long-term safety and efficacy.