Type 1 diabetes

Characterisation of human pancreatic mesenchymal stromal cells in type 1 diabetes

DiabetologiaPublished Mechanistic study

Authors' conclusion

pMSCs express ANXA1 constitutively, suggesting an islet-protective role in health. The density of pMSCs was increased around insulin-containing islets and lost around insulin-deficient islets in individuals with type 1 diabetes which aligns with this hypothesis. pMSC density at the periphery of insulin-containing islets was preferentially higher in individuals with later-onset type 1 diabetes, correlating with a less intense immune cell infiltration. The reduced ability of pMSCs to survive in the more intense proinflammatory environment around islets in younger-onset type 1 diabetes may contribute to the rapid rate of beta cell loss in these individuals.

Study context

Population
Human pancreas sections from donors (Network for Pancreatic Organ Donors with Diabetes and Exeter Archival Diabetes Biobank) with and without T1D
Participants
38 donors
Comparison
T1D vs no diabetes
  • <13 years at T1D diagnosisn = 8
  • ≥13 years at T1D diagnosisn = 11
Outcome
Number, density and islet-protective phenotype of pMSCs in situ
Methodological detailsmultiplex immunohistochemistry, whole-slide scans, sex-matched controls
  • Multiplex immunohistochemistry
  • Whole-slide scans
  • Sex-matched controls

Main finding

As reported in the abstract

pMSC number, density and phenotype
Pancreatic MSCs (pMSCs) identified
53,375
Individual islets analysed
26,376
pMSCs expressing annexin A1 (ANXA1) (constitutively, with or without diabetes)
33.2%
pMSC density reduced around insulin-deficient vs insulin-containing islets in T1D
p<0.001

Further findings

Culture-expanded mesenchymal stromal cells (MSCs) exposed to aggressive cytokine combination

Increased cell death and reduced proliferation

Original publication

Characterisation of human pancreatic mesenchymal stromal cells in type 1 diabetes. Diabetologia. Published 21 December 2025. doi:10.1007/s00125-025-06634-w

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