byInternational Society for Stem Cell Research

Grafted hGO-NPM generates insulin+ cells. Credit: Hyunkee Kim

Type 1 diabetes is caused by an insufficient production of the hormone insulin by cells in the pancreas called beta cells and is estimated to affect 9.5 million people worldwide.

Lowinsulinlevels allowglucose levelsto remain elevated, which in the long term can damage organs such as the kidneys, the eyes, and the cardiovascular system. People with diabetes require lifelong monitoring of blood sugar levels coupled withinsulin injectionsto keep blood sugar levels at a stable, healthy level.

A potential new treatment option for those patients is the replacement of lost or dysfunctional pancreatic beta cells, either bycell transplantation, or by the generation of new beta cells from existing cells within the body.

This latter strategy was pursued by the team of Xiaofeng Huang from Weill Cornell Medicine, U.S. and Qing Xia from Peking University, China, who previously discovered that cells in the mouse stomach can be transformed into pancreatic beta cells bygenetic engineering.

In their workpublishedin the journalStem Cell Reports, the researchers tested if the same can be done with the human stomach within the body.

To test this, the researchers started off by making human stomach organoids, microscopic structures that model aspects of a normal stomach function. The stomach organoids were genetically engineered so that they could be transformed intopancreatic beta cellsupon turning on a genetic switch.

The stomach organoids were then transplanted into the abdominal region of mice where they survived and matured for up to six months and established connections with the surrounding tissues and the blood system. Upon turning on the genetic switch, the human stomach cells were converted to insulin secreting cells within the mice and resembled pancreaticbeta cellswith respect to gene and protein expression.

Encouragingly, when those experiments were done with diabetic mice, insulin secreted from the transformed human cells helped control blood sugar levels and ameliorated diabetes.

The scientists hope that a similar approach can be taken to convert cells from a patient's own stomach into insulin secreting cells directly within the body. Importantly, additional studies are needed to address whether this approach is safe and effective to be used in patients.

More information: Modeling in vivo induction of gastric insulin-secreting cells using transplanted human stomach organoids, Stem Cell Reports (2025). www.cell.com/stem-cell-reports … 2213-6711(25)00312-1 Journal information: Stem Cell Reports

Provided by International Society for Stem Cell Research