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Stem cell | Function | Mechanism |
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Mesenchymal stem cells | Immunomodulation | Decreased activation and proliferation of T cells, dendritic cells, and NK cells, thereby decreasing secretion of inflammatory cytokines including interferon gamma, granulocyte-macrophage colony-stimulating factor, tumor necrosis factor-α, and monocyte chemoattractant protein-1 [31–36] Induction of regulatory T cell activation and IL-10 production [35, 37, 38] Modulation of neutrophil and B cell function and differentiation [35, 37] |
Establishment of graft vascular network | Secretion of angiogenic paracrine factors VEGF, IL-6, IL-8, HGF, PDGF, and TGF-β [39–44] Secretion of matrix metalloproteinases [31, 45] |
Antiapoptotic | Secretion of paracrine factors including HGF, IL-6, and TGF-β resulting in increased expression of genes protective against hypoxia [46–48] |
Improved β cell architecture | Unknown [49] |
β cell replacement | Differentiation into insulin-producing cells [50–54] |
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Adipose-derived stem cells | Establishment of graft vascular network | Secretion of angiogenic paracrine factors VEGF, HGF, bFGF, GMCSF, and TGF-β [37, 55, 56] Differentiation into endothelial cells [57] |
Antiapoptotic | Secretion of antiapoptotic growth factors, including HGF, GM-CSF, and TGF-β [56] |
β cell replacement | Differentiation into insulin producing cells [58–60] |
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Adipose-derived stem cells + endothelial progenitor cells | Establishment a vascular network within grafts | Direct differentiation into vasculature and pericytes [61] Release of paracrine factors [61] |
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Neural crest stem cells | Improved graft innervation | Neuronal differentiation [62, 63] |
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Human embryonic stem cells | β cell replacement | Differentiation into insulin producing cells [64–72] |
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Induced pluripotent stem cells | β cell replacement | Differentiation into insulin producing cells [73–75] |
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