Production of insulin producing cells

Abstract

The invention provides methods for differentiating stem cells along the pancreatic lineage as well as large scale culture methods. The present invention further provides pancreatic progenitor cells derived from stern cells to provide pancreatic cells to a subject.

1 . (canceled) 
     
     
         2 . A method to provide pancreatic cells to a subject in need thereof comprising:
 a) contacting embryonic or adult stem cells with at least one member of the TGFβ family of cytokines and at least one member of the Wnt family of proteins,   b) contacting the cells obtained from step a) with at least one member of the TGFβ family of cytokines, at least one member of the Wnt family of proteins, and an agent that inhibits sonic hedgehog activity; and   c) contacting the cells obtained from step b) with a member of the Epidermal growth factor (EGF) family of proteins; and   administering the cells so as to provide pancreatic cells in the subject.   
     
     
         3 . The method of  claim 2 , wherein the at least one member of the TGFβ family of cytokines is activinA or nodal. 
     
     
         4 . The method of  claim 2 , wherein the at least one member of the Wnt family is Wnt3 or Wnt3A. 
     
     
         5 . The method of  claim 2 , wherein the at least one member of the EGF family is EGF. 
     
     
         6 . A method to provide pancreatic cells to a subject in need thereof comprising:
 a) contacting embryonic or adult stem cells with Activin A and Wnt 3a;   b) contacting the cells obtained from step a) with Activin-A, Wnt3a, and an agent that inhibits sonic hedgehog activity;   c) contacting the cells obtained from step b) with EGF; and   administering the cells so as to provide pancreatic cells in the subject.   
     
     
         7 . The method of  claim 2  further comprising contacting the cells obtained from step c) with at least one member of the TGFβ family of cytokines, at least one member of the Wnt family of proteins, exendin4 or a combination thereof to yield cells expressing insulin prior to administration to the subject. 
     
     
         8 . The method of  claim 7 , wherein the at least one member of the TGFβ family of cytokines is GDF-11. 
     
     
         9 . The method of  claim 7 , wherein the at least one member of the Wnt family or proteins is betacellulin. 
     
     
         10 . A method to provide insulin expressing cells to a subject in need thereof comprising:
 a) contacting embryonic or adult stem cells with Activin A and Wnt 3a;   b) contacting the cells obtained from step a) with Activin-A, Wnt3a, and an agent that inhibits sonic hedgehog activity;   c) contacting the cells obtained from step b) with EGF;   d) contacting the cells obtained from step c) with GDF-11, betacellulin, exendin4 or a combination thereof so as to yield cells expressing insulin or having increased expression of insulin; and   e) administering the cells expressing insulin or having increased expression of insulin to the subject.   
     
     
         11 . The method of  claim 2 , wherein the subject is a mammal. 
     
     
         12 . The method of  claim 11 , wherein the mammal is a human. 
     
     
         13 . The method of  claim 2 , wherein the subject has a pancreatic disorder or injury. 
     
     
         14 . The method of  claim 13 , wherein the disorder comprises diabetes, obesity, pancreatic atresia, pancreas inflammation, alpha1-antitrypsin deficiency, hereditary pancreatitis, pancreatic cancer, pancreatic enzyme deficiency or hyperinsulinism. 
     
     
         15 . The method of  claim 14 , wherein the diabetes is Type I or Type II diabetes. 
     
     
         16 . The method of  claim 13 , wherein the injury is a result of physical trauma, chemical, radiation, aging, disease or combination thereof.