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Health Science

Christopher Rodell is testing whether a gel can teach the immune system to accept new beta cells

A new three-year project tackles immune protection for type 1 diabetes cell transplants; its promised outcomes remain research goals.

A pale pancreatic islet surrounded by darker human pancreas tissue in a stained phase-contrast micrograph
Human pancreatic islet in an archival micrograph, 2019; not a ToleroGel experiment.

Replacing the insulin-producing cells lost in type 1 diabetes is only part of the challenge. The new cells must also survive in a body whose immune system may attack them. A research project beginning this month asks whether an injectable gel can help change that relationship.

Breakthrough T1D lists a three-year award to Drexel University researcher Christopher Rodell, running from 1 November 2026 to 31 October 2029. The project concerns ToleroGel, a material designed to carry transplanted beta cells and a local immune-calming signal. This is a newly funded research programme, rather than a report of a cure in people.

Two immune problems, one transplant

In type 1 diabetes, immune activity destroys beta cells, which normally produce insulin in response to glucose. A transplant of donor-derived cells creates an additional issue: the recipient can recognise those cells as foreign. Protecting a graft therefore means addressing both the original autoimmune response and rejection of donor tissue.

Rodell's proposal describes attaching the checkpoint protein B7x to a gel. The aim is to encourage protective regulatory immune cells around the transplant. Planned experiments include mouse models representing autoimmune diabetes and genetically mismatched donor cells. Success in either model would still require careful interpretation before translation to humans.

Why protection is a consequential question

NIDDK's patient guidance explains that donor-islet transplantation can improve blood-glucose control and reduce severe low-blood-sugar episodes in selected people. Islets contain several cell types, including beta cells. The procedure aims to restore biological insulin production rather than simply deliver insulin from outside the body.

But recipients generally need medicines that prevent rejection for as long as their transplanted donor islets function. These medicines can increase susceptibility to infection and carry other serious risks. The balance is especially important when considering an intervention for a person already managing a lifelong condition.

A local protection strategy would be valuable if it reduced that burden while preserving a functioning graft. That conditional statement is the reason for testing the idea. It should not be mistaken for evidence that the new material already provides safe, lasting protection.

Existing cell therapies provide context

In June 2023, the FDA approved Lantidra, made from deceased-donor pancreatic islets, for a limited group of adults with recurrent severe hypoglycaemia despite intensive management and education. The approval did not make islet transplantation a universal treatment for type 1 diabetes.

The FDA's assessment described both insulin independence in some participants and serious adverse reactions associated with the infusion procedure and immunosuppression. That history shows why replacing cells and protecting them cannot be evaluated separately. A working graft is important, but the whole treatment pathway must be tolerable.

Stem-cell-derived islets offer another route to obtaining replacement cells. A 2025 trial report found insulin independence at one year in ten of twelve full-dose participants. Those interim findings came from a small study using immunosuppression. They are separate evidence, not results for ToleroGel.

How to read the project's promises

The funder's project page sets out anticipated outcomes, including durable protection after the gel has degraded. Readers should recognise the grammatical difference between an aim and a finding. A three-year plan describes what investigators intend to test, even when its rationale is persuasive.

Graymedy's interpretation is that durability will be particularly informative. If a material works only while a signal remains locally present, that raises a different development problem from establishing a lasting change in immune behaviour. Either result could teach researchers something useful, but they would support different claims.

Other questions include whether the cells remain responsive to glucose, whether protection is reproducible and whether safety can be maintained while immune responses change. These are evaluation questions suggested by the goal of transplantation, rather than outcomes demonstrated by this newly started award.

What would count as the next advance?

A convincing next report would state the model used, the comparison treatment, how long graft function persisted and what harms were observed. Subsequent work would need to establish a reliable product and an appropriate route into human studies. A positive animal result would be a step in that process.

For families, the useful update is that a named researcher is tackling a specific obstacle to cell replacement. Current insulin and diabetes-care plans remain matters for the treating team. Hope here rests on a testable question: can new cells be accepted without requiring the same level of systemic immune suppression?

Sources: Breakthrough T1D: Rodell project and aims; NIDDK: islet transplantation; FDA: Lantidra approval; Stem-cell-derived islet trial, 2025.

Photo: Berkshire Community College Bioscience Image Library / Wikimedia Commons, CC0.

Reviewed 5 November 2026. Independently written from public sources; no interview was conducted. General information, not individual medical advice.


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