Review
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World J Diabetes. Dec 15, 2014; 5(6): 777-786
Published online Dec 15, 2014. doi: 10.4239/wjd.v5.i6.777
Diabetes mellitus and cellular replacement therapy: Expected clinical potential and perspectives
Alexander E Berezin
Alexander E Berezin, Department of Internal Medicine, State Medical University, 69035 Zaporozhye, Ukraine
Author contributions: Berezin AE solely contributed to this paper.
Correspondence to: Alexander E Berezin, MD, PhD, Professor, Chief of Cardiology Unit, Department of Internal Medicine, State Medical University, 26, Mayakovsky av., 69035 Zaporozhye, Ukraine. dr_berezin@mail.ru
Telephone: +380-6-12894585 Fax: +380-6-12894585
Received: May 29, 2014
Revised: July 16, 2014
Accepted: September 23, 2014
Published online: December 15, 2014
Processing time: 197 Days and 21.8 Hours
Abstract

Diabetes mellitus (DM) is the most prevailing disease with progressive incidence worldwide. Despite contemporary treatment type one DM and type two DM are frequently associated with long-term major microvascular and macrovascular complications. Currently restoration of failing β-cell function, regulation of metabolic processes with stem cell transplantation is discussed as complements to contemporary DM therapy regimens. The present review is considered paradigm of the regenerative care and the possibly effects of cell therapy in DM. Reprogramming stem cells, bone marrow-derived mononuclear cells; lineage-specified progenitor cells are considered for regenerative strategy in DM. Finally, perspective component of stem cell replacement in DM is discussed.

Keywords: Diabetes mellitus; Regenerative medicine; Stem cells; Cellular reprogramming; Transplantation

Core tip: Modern approaches to stem cell therapy are discussed a promising component of treatment program in diabetes mellitus. It is important to emphasize that the new technology that is associated with reprogramming of stem cells has a couple of disputes in accordance with the ethical considerations and practical issues. However, the extremely high cost of novel methods toward preventing immune rejection of graft tissue and the high risk of oncogenesis retain their value as major constraints to the implementation into routine clinical practice. The purpose of the review was to summarize and analyze data for existing knowledge and prospects for future researches in the field of regenerative therapy in patients with diabetes mellitus.