New frontiers in type I diabetes treatment: the impact of mesenchymal stromal cells on long-term complications

Type 1 diabetes (T1D) is not only a disorder of insulin production from beta cell destruction, but also a progressive condition that brings about life-threatening complications such as diabetic nephropathy, impaired wound recovery, and cardiovascular disease. Mesenchymal stromal cell (MSC) use has r...

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Main Authors: Deeptha Bejugam, Sarah Bu, Athena N. Nguyen, Mariam Yaltaghian, Kinga K Smolen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Clinical Diabetes and Healthcare
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcdhc.2025.1586061/full
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author Deeptha Bejugam
Sarah Bu
Athena N. Nguyen
Mariam Yaltaghian
Kinga K Smolen
Kinga K Smolen
author_facet Deeptha Bejugam
Sarah Bu
Athena N. Nguyen
Mariam Yaltaghian
Kinga K Smolen
Kinga K Smolen
author_sort Deeptha Bejugam
collection DOAJ
description Type 1 diabetes (T1D) is not only a disorder of insulin production from beta cell destruction, but also a progressive condition that brings about life-threatening complications such as diabetic nephropathy, impaired wound recovery, and cardiovascular disease. Mesenchymal stromal cell (MSC) use has recently become an encouraging new way to treat these complications and can result in better health outcomes for T1D patients. Some research has shown that MSC injections into mice and rat models have resulted in reduced mesangial cell thickening, inflammatory mediator recruitment, proteinuria, and fibrosis normally seen in diabetic nephropathy. Other studies have demonstrated that MSCs aid wound healing by increasing anti-inflammatory M2 macrophage differentiation, stimulating angiogenesis and collagen synthesis, and signaling the proliferation and migration of dermal fibroblasts toward injury sites. Additionally, there is evidence that MSCs are capable of activating the PI3K pathway and exhibiting antioxidant effects in murine models experiencing diabetic-related heart disease. However, given these efforts, further research is needed to establish the prolonged safety and efficacy of MSC use in humans to treat T1D.
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series Frontiers in Clinical Diabetes and Healthcare
spelling doaj-art-4f4bb866a6f64475934a2b3e1596b7d52025-08-20T01:51:35ZengFrontiers Media S.A.Frontiers in Clinical Diabetes and Healthcare2673-66162025-05-01610.3389/fcdhc.2025.15860611586061New frontiers in type I diabetes treatment: the impact of mesenchymal stromal cells on long-term complicationsDeeptha Bejugam0Sarah Bu1Athena N. Nguyen2Mariam Yaltaghian3Kinga K Smolen4Kinga K Smolen5Georgetown University School of Medicine, Washington, DC, United StatesGeorgetown University School of Medicine, Washington, DC, United StatesGeorgetown University School of Medicine, Washington, DC, United StatesGeorgetown University School of Medicine, Washington, DC, United StatesPrecision Vaccines Program, Department of Pediatrics, Boston Children’s Hospital, Boston, MA, United StatesHarvard Medical School, Boston, MA, United StatesType 1 diabetes (T1D) is not only a disorder of insulin production from beta cell destruction, but also a progressive condition that brings about life-threatening complications such as diabetic nephropathy, impaired wound recovery, and cardiovascular disease. Mesenchymal stromal cell (MSC) use has recently become an encouraging new way to treat these complications and can result in better health outcomes for T1D patients. Some research has shown that MSC injections into mice and rat models have resulted in reduced mesangial cell thickening, inflammatory mediator recruitment, proteinuria, and fibrosis normally seen in diabetic nephropathy. Other studies have demonstrated that MSCs aid wound healing by increasing anti-inflammatory M2 macrophage differentiation, stimulating angiogenesis and collagen synthesis, and signaling the proliferation and migration of dermal fibroblasts toward injury sites. Additionally, there is evidence that MSCs are capable of activating the PI3K pathway and exhibiting antioxidant effects in murine models experiencing diabetic-related heart disease. However, given these efforts, further research is needed to establish the prolonged safety and efficacy of MSC use in humans to treat T1D.https://www.frontiersin.org/articles/10.3389/fcdhc.2025.1586061/fulltype I diabetesstem cellsdiabetic nephropathydiabetic wound healingdiabetic cardiovascular diseasemesenchymal stromal cells
spellingShingle Deeptha Bejugam
Sarah Bu
Athena N. Nguyen
Mariam Yaltaghian
Kinga K Smolen
Kinga K Smolen
New frontiers in type I diabetes treatment: the impact of mesenchymal stromal cells on long-term complications
Frontiers in Clinical Diabetes and Healthcare
type I diabetes
stem cells
diabetic nephropathy
diabetic wound healing
diabetic cardiovascular disease
mesenchymal stromal cells
title New frontiers in type I diabetes treatment: the impact of mesenchymal stromal cells on long-term complications
title_full New frontiers in type I diabetes treatment: the impact of mesenchymal stromal cells on long-term complications
title_fullStr New frontiers in type I diabetes treatment: the impact of mesenchymal stromal cells on long-term complications
title_full_unstemmed New frontiers in type I diabetes treatment: the impact of mesenchymal stromal cells on long-term complications
title_short New frontiers in type I diabetes treatment: the impact of mesenchymal stromal cells on long-term complications
title_sort new frontiers in type i diabetes treatment the impact of mesenchymal stromal cells on long term complications
topic type I diabetes
stem cells
diabetic nephropathy
diabetic wound healing
diabetic cardiovascular disease
mesenchymal stromal cells
url https://www.frontiersin.org/articles/10.3389/fcdhc.2025.1586061/full
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