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The Scientist 14[23]:20, Nov. 27, 2000
http://www.thescientist.com/yr2000/nov/research_001127.html

Pancreas
Goal: To replace insulin-producing islet ß cells destroyed in some types of
diabetes.

Stem cell research involving the pancreas seemed to score two home runs
this year. In February, Bernat Soria and colleagues at the Universidad
Miguel Hernandez in San Juan, Spain, reported that they had obtained
insulin-secreting cells from mouse ESCs by using antibiotic selection under
the control of the insulin gene's regulatory regions.13 Soria says he is now
trying to replicate his results using human ESCs. (A poster at a recent
diabetes meeting, meanwhile, is said to have announced that human ESCs
differentiate spontaneously into insulin-positive cells.)

A month after the Soria paper came out, a team of researchers led by
Ammon B. Peck, a professor of pathology, immunology, and laboratory
medicine at the University of Florida College of Medicine in Gainesville,
reported a second major advance. They claimed to have reversed diabetes
in non-obese diabetic (NOD) mice by transplanting islets generated in vitro
from pancreatic ASCs, which had not been previously isolated.14 NOD mice
are the best current model for autoimmune diabetes.

Nora D. Sarvetnick, a professor of immunology at Scripps Research Institute,
is puzzled by Peck's results. "Unless you immunosuppress the mouse"
--which wasn't done--"the mouse is just going to reject the ß cells,"
she contends. Peck responds that cells grown in culture, such as his
ASC-derived islets, sometimes exhibit lower antigenicity for unknown reasons.

Susan Bonner-Weir, an associate professor of medicine at Harvard Medical
School, objects that the amount of insulin in Peck's ASC-derived islet cells
was "orders of magnitude" too low. "What they were putting in [the NOD mice]
would have been a very minuscule amount," she says, though she concedes
that more insulin might have been made if the islet cells differentiated further
inside the mice. Bonner-Weir's own work involves expanding human pancreatic
duct cells in vitro, then turning them into insulin-producing islet cells.15 She
calls the duct cells, which are differentiated, "functional stem cells" because
they undergo scores of doublings in culture and help to regrow pancreas after
a portion is removed.

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