New Clues to Pancreas and Diabetes

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Study identifies a key role for immune cells in the development of the human pancreas.
Posted On: October 31, 2024
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Artistic representation of human embryonic stem cell-derived endocrine-macrophage organoids as flowers. The aqua-blue petals symbolize the macrophages interacting with the endocrine cells in the center (purple). These flowers are connected by stems that represent blood vessels, emerging from a vase shaped like a pancreas. Image concept by Alex Cho and Adriana Migliorini illustration by Ariadna VillalbĂ­

A recent breakthrough from McEwen Stem Cell Institute has uncovered a key player in pancreatic development: immune cells known as macrophages. These cells were found to play a supportive role in the growth and development of insulin-producing beta-like cells in the pancreas.

The pancreas aids in digestion and releases hormones that regulate blood sugar. However, human pancreas development is highly complex, and little is known about how certain cell populations, including immune cells, contribute to this process. This is crucial because improper immune cell function during pancreatic fetal growth may lead to autoimmune diseases like type 1 diabetes.

While previous evidence suggests that macrophages are important for organ formation, studying this in the human pancreas has been particularly challenging.

In this study, researchers examined the developing pancreas using cutting-edge RNA sequencing techniques. They discovered a variety of hematopoietic (blood forming) cells, including two distinct types of macrophages that appear to be specifically associated with fetal pancreas development.

To explore these findings further, the team created a model using stem cells to grow mini, pancreatic-islet-like structures called organoids. These organoids contained both endocrine (hormone releasing) cells and macrophages, allowing scientists to study their interactions closely.

The results were striking—macrophages helped support the differentiation and survival of the endocrine cells and beta-like cells in particular. Additionally, when the organoids were transplanted into tissue, the presence of macrophages aided the success of the transplant.

These findings suggest that macrophages may be key players in the development of pancreatic endocrine cells, opening new doors for understanding and treating diabetes. By harnessing the power of macrophages, researchers could develop more effective strategies for engineering pancreatic tissue, offering hope for future diabetes therapies.

The first author of this study is Dr. Adriana Migliorini, Scientific Associate at McEwen Stem Cell Institute.

The senior author of this study is Dr. Cristina Nostro, Senior Scientist at McEwen Stem Cell Institute and Associate Professor in the Department of Physiology at the University of Toronto.

This work was supported by the Ontario Institute for Regenerative Medicine, the Howard Webster Foundation, the Canadian Foundation for Innovation and Ontario Research Fund, Breakthrough Type 1 Diabetes International, Canadian Institutes of Health Research, the Banting and Best Diabetes Centre, Canadian Islet Research and Training Network, Medicine by Design, Canada First Research Excellence Fund, and UHN Foundation.

Dr. Adriana Migliorini, Dr. Gordon M. Keller, Dr. Michael H. Atkins, and Dr. Cristina Nostro are co-inventors of one patent application related to this work. Dr. Cristina Nostro also has a patent licensed to Sernova Inc.

Migliorini A, Ge S, Atkins MH, Oakie A, Sambathkumar R, Kent G, Huang H, Sing A, Chua C, Gehring AJ, Keller GM, Notta F, Nostro MC. Embryonic macrophages support endocrine commitment during human pancreatic differentiation. Cell Stem Cell. 2024 Oct 10:S1934-5909(24)00325-4. doi: 10.1016/j.stem.2024.09.011. Epub ahead of print.