Shareen Forbes (MBChB, PhD, FRCP)
Professor of Diabetic Medicine

Address
- Street
-
The Queen's Medical Research Institute
47 Little France Crescent
Edinburgh BioQuarter - City
- Edinburgh
- Post code
- EH16 4TJ
Background
I work within a multi-disciplinary diabetes, transplant and cell therapy group and my main aim is to help deliver cell therapies to people with Type 1 diabetes in order to cure the disease.
Qualifications
1993 MB ChB, University of Edinburgh Medical School, UK
1996 MRCP (Edin) Royal College of Physician of Edinburgh, UK
2005 Certificate of Completion of Specialist Training Diabetes, Endocrinology and General Internal Medicine
2005 PhD (Novo Nordisk UK Foundation), Imperial College London, UK
2009 Clinical Intermediate Fellowship (Diabetes UK), Imperial College London and University of Edinburgh
2010 FRCP (Edin), Royal College of Physician of Edinburgh, UK
Responsibilities & affiliations
Professor Diabetic Medicine, University of Edinburgh
Lead Physician, Islet Transplant Programme, Scotland
Honorary Consultant Diabetes, Royal Infirmary of Edinburgh; See Consultant - Shareen Forbes — Edinburgh Centre for Endocrinology & Diabetes (edinburghdiabetes.com)
Principal Investigator Islet Transplant Programme, Scotland / UK Islet Transplant Consortium
Visiting Professor Islet Transplantation Programme, Edmonton, Canada
Current committees
Novo Nordisk UK Scientific Advisory Board (2018-)
Diabetes UK, Clinical Studies Group 2, Causes and Prevention of Type 1 diabetes (2017-)
Society for Endocrinology, Clinical Lead Metabolic and Obesity Networks (2019-)
JDRF Scientific Advisory Board Member (2021-)
Open to PhD supervision enquiries?
Yes
Research summary
My laboratory is interested in the pathogenesis of Type 1 and Type 2 diabetes and the potential mechanisms behind beta cell dysregulation and function which contribute to clinical disease. My laboratory also investigates how the progression of complications in diabetes are affected by different therapies. A major research interest is in clinical islet transplantation and my group conducts both cohort studies in humans with diabetes as well as laboratory based research in rodent models with diabetes.
Clinical studies: My group examines the progression of diabetes related complications in Type 1 diabetes in subjects in relation to different treatments including islet transplantation – this work is in collaboration with the Scottish Care Information – Diabetes Collaboration linked/Scottish Diabetes Research Network National dataset, the Islet Transplantation Programme Scotland, the UK Islet Transplant Consortium and the University of Alberta, Clinical Islet Transplant Programme. My research includes the development of scoring systems for the assessment of islet transplantation outcomes.
Rodent studies: A major focus in my research laboratory is of islet transplantation including the underlying mechanisms limiting the success of the procedure. I have established islet transplantation into rodent models including into humanised mice at the University of Edinburgh. I work collaboratively with a number of researchers to gain insights into the mechanisms behind insulin and glucagon secretion (Medical Research Scotland Project: understanding the mechanisms of insulin secretion utilising super high resolution microscopy). I investigate the mechanisms behind islet-graft loss and aim to reduce islet loss and improve engraftment of islets in vivo using innovative therapies including cell therapy and gene-based approaches. I am actively pursuing these approaches at the clinical interface to improve long-term islet transplant outcomes.
Current research interests
Cell Therapy, Growth Factors and Small Molecules As Applied to Islet Transplantation for Type 1 Diabetes Type 1 Diabetes and TechnologyKnowledge exchange
Main Impact in Clinical and Basic Science Fields of Research
Clinical Impact
The BETA-2 score: A composite assessment of islet graft function; adopted internationally and recommended by use by International Pancreas and Islet Transplant Consortium - https://bit.ly/3w2hBMt
BETA-2 score web app: Beta2 Home - Beta2Score Islet Tx Score: Impact Award By University of Edinburgh 2021; Cost Saving Projections by Utilisation of this Score
A Second Islet Transplant Within Three Months of the First is More Effective Than a Second Transplant 3-6 Months after the First: My statistical analyses have changed National Listing Allocations For 2nd Transplants in the UK: https://bit.ly/3EFTp5L
Type 1 diabetes and Impact of Continuous Subcutaneous Insulin Pump Therapy on Microvascular Complications: (Editors Choice): https://bit.ly/3nLTZI8
Basic Science
GMP grade Mesenchymal Stromal Cells in Pre-Clinical Models Improve Effiacy of Islet Transplantation: https://bit.ly/3GGstEE
Conditioning of the Islet Transplant Site with Growth Factors Packaged into Biodegradeable FDA Approved polymers, Improves Effiacy of Islet Transplantation: (Editors Choice): work in collaboration with UK Regenerative Medicine Platform. https://bit.ly/3Bxx6gr
Recent Knowledge Exchange
100 years of Insulin Series - Public Lecture - October 2021; YouTube (lecture from 32mins) https://bit.ly/3nTtYH8
Affiliated research centres
Research activities
- Society for Endocrinology on line
- BBC radio
- MSP visit to Islet Transplant Programme Scotland
- Expert Interview - Islet Transplants
- Islet Transplantation and stem cell therapy
- Diabetes and Stem Cell Therapy
- Diabetes UK - improving islet transplant outcomes with mesenchymal stem cells
- Chief Scientist Office - presentation to public engagement group
- Diabetes UK to
- British Transplantation Society (External organisation)
- Society for Endocrinology Science Committee Board
- Diabetes UK, Scottish Council of Healthcare Professionals Board
- External Examiner for the University of Dundee on the PG Cert/Dip/MSc in Diabetes Care, Education and Management
- New Therapies for Type 1 diabetes
- University of Glasgow
- UK Islet Transplant Consortium (External organisation)
- Lead Physician Islet Transplant Programme, Scotland
- Tommy's the Baby Charity- Principal Investigator
Project activity
1. Islet Delivery in Preclinical Diabetic Models
2. GMP grade Mesenchymal Stromal Cells to Improve Effiacy of Islet Transplantation - Safety and Efficacy Studies in Development
3. Growth Factors to Condition the Liver To Improve Islet Transplantation Outcomes
4. Novel Assessments of Islet Viability
5. Super-high Resolution Microscopy of Islets
-
Interest in hybrid closed loop is high across the socioeconomic spectrum despite current inequalities in provision in a large UK diabetes centre
In:
Diabetic Medicine
DOI: https://doi.org/10.1111/dme.15058
Research output: Contribution to Journal › Letter (Published) -
Estimation of Early Graft Function Using the BETA-2 Score Following Clinical Islet Transplantation
In:
Transplant international, vol. 35
DOI: https://doi.org/10.3389/ti.2022.10335
Research output: Contribution to Journal › Article (Published) -
Considerations and Challenges of Islet Transplantation and Future Therapies on the Horizon
In:
AJP - Endocrinology and Metabolism
DOI: https://doi.org/10.1152/ajpendo.00310.2021
Research output: Contribution to Journal › Review article (Published) -
The impact of islet mass, number of transplants, and time between transplants on graft function in a national islet transplant program
In:
American Journal of Transplantation
DOI: https://doi.org/10.1111/ajt.16785
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Continuous subcutaneous insulin infusion therapy is associated with reduced retinopathy progression compared with multiple daily injections of insulin
In:
Diabetologia
DOI: https://doi.org/10.1007/s00125-021-05456-w
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Review Article: Effects of Islet Transplantation on Microvascular and Macrovascular Complications in Type 1 Diabetes
In:
Diabetic Medicine
DOI: https://doi.org/10.1111/dme.14570
Research output: Contribution to Journal › Review article (E-pub ahead of print) -
The BETA-2 score web app calculator: https://www.beta2score.com/ for assessment of graft function following islet transplantation.
In:
American Journal of Transplantation
DOI: https://doi.org/10.1111/ajt.16551
Research output: Contribution to Journal › Letter (E-pub ahead of print) -
Substantial HbA1c reduction following intermittent-scanning continuous glucose monitoring commencement was not associated with early worsening of retinopathy in adults with type 1 diabetes and high baseline HbA1c
In:
Journal of Diabetes Science and Technology
DOI: https://doi.org/10.1177/1932296821994091
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Fibroblast Growth Factor 7 Releasing Particles Enhance Islet Engraftment and Improve Metabolic Control Following Islet Transplantation in Mice with Diabetes
In:
American Journal of Transplantation
DOI: https://doi.org/10.1111/ajt.16488
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Assessment of the effect of the COVID-19 lockdown on glycaemic control in people with type 1 diabetes using flash glucose monitoring
In:
Diabetic Medicine, vol. 38
DOI: https://doi.org/10.1111/dme.14374
Research output: Contribution to Journal › Article (E-pub ahead of print) -
A framework for the discovery of retinal biomarkers in Optical Coherence Tomography Angiography (OCTA)
(10 pages)
DOI: https://doi.org/10.1007/978-3-030-63419-3_16
Research output: Contribution to Workshop › Conference contribution (Published) -
HbA1c reduction following flash monitoring commencement is not independently associated with adverse diabetic eye disease outcomes in type 1 diabetes
In:
BMJ Open Diabetes Research and Care
DOI: https://doi.org/10.1136/bmjdrc-2020-001668
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Socioeconomic deprivation, technology use, C-peptide, smoking and other predictors of glycaemic control in adults with type 1 diabetes
In:
Diabetic Medicine
DOI: https://doi.org/10.1111/dme.14445
Research output: Contribution to Journal › Article (E-pub ahead of print) -
HbA1c is disproportionately higher in women and older people with type 1 diabetes compared with flash glucose monitoring metrics of glycemic control.
In:
Journal of Diabetes Science and Technology
DOI: https://doi.org/10.1177/1932296820967335
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Autoreactive T-cell profiles are altered following allogeneic islet transplantation with alemtuzumab induction and re-emerging phenotype is associated with graft function
In:
American Journal of Transplantation
DOI: https://doi.org/10.1111/ajt.16285
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Characterization of pre-transplant psychosocial burden in an integrated national islet transplant programme
In:
Islets
DOI: https://doi.org/10.1080/19382014.2020.1736740
Research output: Contribution to Journal › Article (Published) -
Pancreas-derived mesenchymal stromal cells share immune response-modulating and angiogenic potential with bone marrow mesenchymal stromal cells and can be grown to therapeutic scale under GMP conditions
In:
Cytotherapy
DOI: https://doi.org/10.1016/j.jcyt.2020.07.010
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Manganese-enhanced MRI: comparison of agents in the rat pancreas
In:
Journal of Magnetic Resonance Open, pp. 100002
DOI: https://doi.org/10.1016/j.jmro.2020.100002
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Donor insulin use predicts beta‐cell function after islet transplantation
In:
Diabetes, Obesity and Metabolism
DOI: https://doi.org/10.1111/dom.14088
Research output: Contribution to Journal › Article (Published) -
Human umbilical cord perivascular cells improve human pancreatic islet transplant function by increasing vascularization
In:
Science Translational Medicine, vol. 12
DOI: https://doi.org/10.1126/scitranslmed.aan5907
Research output: Contribution to Journal › Article (Published)
Conference details
100 Years of Insulin - Friday 28th January. Royal College of Physicians, Edinburgh.
Islet Transplantation and Stem Cell Therapies: Now and the Future.
Diabetes 2022.pdf (rcpe.ac.uk)
Diabetes UK - QEII Centre, London, UK. March 28th 2022. Practical masterclass: What will diabetes services look like in 10 years time. Human embryonic stem cell delivery in the Future. https://eu.eventscloud.com/ehome/index.php?eventid=200232173&tabid=200540609
Diabetes UK. On Line Conference. April 1st 2022. Chair of Progress in regenerative medicine and stem cell therapy in diabetes: Prof. Doug Melton and Prof. James Shaw. https://eu.eventscloud.com/ehome/index.php?eventid=200232173&tabid=200540609
More video
- Diabetes UK Scotland 100 years of insulin (October 2021)
- World Diabetes Day: 14 November 2021
- Changing Islet Transplantation Guidelines in The UK
- Islet transplant means no fear of collapse for forensic scientist
- Developing and harnessing Technology so diabetes can do no harm - 9th February 2022
- Diabetes: past and present
- 100 years reflection
In the press
https://en-gb.facebook.com/DiabetesScot/videos/917345548901615/
Diabetes Discoveries: present | Diabetes UK; Islet transplant assessment technologies - YouTube
100 years reflection February 2022 100 years of insulin reflections 1080p - YouTube
Scottish National Blood Transfusion Service
(Prof. John Campbell, Prof. Marc Turner, Prof. Jo Mountford, Dr. Neil McGowan) http://temp.crm.ed.ac.uk/research/associate/snbts-cellular-therapy-development-centre
Cell and Gene Therapy Catapult
(Dr Jacqueline Barry, Dr Lee Coney) https://md.catapult.org.uk/partners/cell-and-gene-therapy-catapult/
Heriot Watt University: Professor Rory Duncan, Dr Euan Brown: https://www.hw.ac.uk/
Edmonton Islet Transplant Programme - Prof. James Shapiro and Prof. Peter Senior: https://www.islet.ca/
Queens Medical Research Institute:
Prof. Nik Morton: https://www.research.ed.ac.uk/en/persons/nicholas-morton and Dr Rod Carter
Prof. Sarah Walmsley: https://www.ed.ac.uk/inflammation-research/people/principal-investigators/prof-sarah-walmsley,
Prof. Moira Whyte: https://www.ed.ac.uk/inflammation-research/people/principal-investigators/professor-moira-whyte
Dr Mairi Brittan 2nd Supervisor to 4yr BHF Programme PhD Student (Sophie Walker) Mairi Brittan | The University of Edinburgh
Scottish Centre for Regenerative Medicine:
Prof. Stuart Forbes: https://www.ed.ac.uk/regenerative-medicine/research/stuart-forbes,
Prof. David Hay: https://www.ed.ac.uk/profile/david-hay
MRC UK Regenerative Medicine Platform The brightest scientific minds from across the UK · UK Regenerative Medicine Platform (ukrmp.org.uk)
Prof. Kevin Shakesheff and Prof. Lisa White, Dept. Pharmacy, University of Nottingham (FDA compatible, biodegradeable polymer work); https://www.nottingham.ac.uk/pharmacy/people/lisa.white
Scottish Health Technologies Group
Dr Fraser Gibb: http://www.edinburghdiabetes.com/frasergibb
Dr Anna Dover: http://www.edinburghdiabetes.com/annadover
Dr Mark Strachan: http://www.edinburghdiabetes.com/markstrachan-1
Dr Bal Dhillon: Professor Baljean Dhillon | The University of Edinburgh