Type 1 diabetes

Thyroid Hormone Levels Correlate With the Maturation of Implanted Pancreatic Endoderm Cells in Patients With Type 1 Diabetes

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

These data highlight the relevance of thyroid hormones in the context of PEC therapy in patients with type 1 diabetes and suggest that a thyroid hormone adjuvant therapy may optimize cell outcomes in some PEC recipients.

Study context

Population
Patients with T1D implanted with macroencapsulated pancreatic endoderm cells (PECs), treated at 1 of the 7 sites of an ongoing clinical trial
Outcome
Association of thyroid hormone levels with PEC cell fate and glucagon
Methodological detailssingle site of a 7-site ongoing clinical trial, mouse experiments
  • Single site of a 7-site ongoing clinical trial
  • Mouse experiments

Main finding

As reported in the abstract

  • Triiodothyronine and thyroxine levels significantly associated with the proportion of cells adopting an insulin-producing fate with a mature phenotype
  • Thyroid hormone levels inversely correlated to circulating glucagon levels after implantation

Further findings

PEC maturation in hyperthyroid mice

In mice, hyperthyroidism led to more rapid maturation of PECs into insulin-producing cells similar in phenotype to PECs in euthyroid mice

Original publication

Thyroid Hormone Levels Correlate With the Maturation of Implanted Pancreatic Endoderm Cells in Patients With Type 1 Diabetes. J Clin Endocrinol Metab. Published 6 September 2023. doi:10.1210/clinem/dgad499

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