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Finding a way to replace pancreatic function without lifelong immunosuppression is a major goal in diabetes therapy. The following findings were presented at the European Association for the Study of Diabetes Congress 2025

This study evaluated the ADO12 scaffold using stem cell-derived islets (SCDI) from two cell lines. In vitro testing showed that encapsulated SCDI maintained insulin secretion levels and intracellular insulin content comparable to non-encapsulated cells. Maturation was evident by reduced basal insulin secretion and higher stimulation indexes.

When implanted in mice for 132 days, encapsulated SCDI exhibited a steady increase in human C-peptide secretion over 2–3 months, reaching a plateau similar to known maturation kinetics. Post-explant analysis revealed a threefold increase in insulin secretion, a 1.5-fold rise in stimulation indexes, and a 2.4-fold increase in total insulin content. Cells remained viable with clear nuclei and proper endocrine differentiation into glucagon- or insulin-expressing cells, without transdifferentiation.

These findings demonstrate that ADO12 can support SCDI maturation and function in vivo, representing a significant step toward cell therapy for type 1 diabetes without the need for immunosuppression.

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Key highlights
  • ADO12 maintains viability and functionality of stem cell-derived islets both in vitro and in vivo.
  • Insulin secretion and stimulation indexes increased post-implantation, demonstrating maturation over three months.
  • Histology confirmed endocrine differentiation with no transdifferentiation or non-endocrine cell formation.
  • The scaffold allows immunoprotection without systemic immunosuppression, supporting clinical translation.
Source

 Jouannot O, Martin A, Frelon M, et al. ADO12, a non-fibrotic encapsulation system enables stem cell-derived islets in vivo maturation for type 1 diabetes treatment. Presented at: 61st EASD Annual Meeting of the European Association for the Study of Diabetes; September 15-19, 2025; Vienna, Austria. Diabetologia. 2025:165. https://link.springer.com/article/10.1007/s00125-025-06497-1#Sec28 

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	ADO12 Scaffold Supports Stem Cell-Derived Islet Maturation In Vivo
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Short Description

Permselective hydrogel device enables functional stem cell-derived islets without immunosuppression, advancing diabetes cell therapy.
 

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