Pancreatic islets are neuroendocrine organs that control blood glucose home
ostasis. The precise interplay of a heterogeneous group of cell populations
(beta, alpha, delta and PP cells) results in the fine-tuned release of cou
nterbalanced hormones (insulin, glucagon, somatostatin and pancreatic polyp
eptide respectively). Under the premises of detailed knowledge of the physi
ological basis underlying this behaviour, two lines of investigation might
be inferred: generating computational and operational models to explain and
predict this behaviour and engineering islet cells to reconstruct pancreat
ic endocrine function. Whilst the former is being fuelled by new computatio
nal strategies, giving biophysicists the possibility of modelling a system
in which new "emergent" properties appear, the latter is benefiting from th
e useful tools and strategic knowledge achieved by molecular, cell and deve
lopmental biologists. This includes using tumour cell lines, engineering is
let cell precursors, knowledge of the mechanisms of differentiation, regene
ration and growth and, finally, therapeutic cloning of human tissues. Gaini
ng deep physiological understanding of the basis governing these processes
is instrumental for engineering new pancreatic islets.