Department of Physiology and Biophysics, University of Louisville, Louisville, Kentucky 40202, USA.
Front Biosci (Landmark Ed). 2010 Jan 1;15(2):461-77. doi: 10.2741/3630.
The rapidly increasing number of diabetes patients across the world poses a great challenge to the current therapeutic approach. The traditional method of exogenous supply of insulin has ephemeral effect and often causes lethal hypoglycemia that demands to develop a novel strategy. Recent investigations on regeneration of insulin producing cells (IPCs) revealed that in addition to primary source i.e., pancreatic beta cells, IPCs can be derived from several alternative sources including embryonic, adult, mesenchymal and hematopoietic stem cells via the process of proliferation, dedifferentiation, neogenesis, nuclear reprogramming and transdifferentiation. There is considerable success in insulin independency of diabetes patient after transplantation of whole pancreas and/or the islet cells. However, the major challenge for regenerative therapy is to obtain a large source of islet/beta cells donor. Recent advances in the directed differentiation of stem cells generated a promising hope for a better and permanent insulin independency for diabetes. In this review we discussed stem cells as a potential future therapeutic target for the treatment of diabetes and associated diseases.
目前,全世界糖尿病患者的数量迅速增加,这给传统的治疗方法带来了巨大的挑战。传统的外源性胰岛素供应方法效果短暂,往往会导致致命的低血糖,因此需要开发新的策略。最近对胰岛素产生细胞 (IPC) 再生的研究表明,除了主要来源即胰腺β细胞外,IPC 还可以通过增殖、去分化、新生、核重编程和转分化等过程从几个替代来源中产生,包括胚胎、成人、间充质和造血干细胞。在移植整个胰腺和/或胰岛细胞后,糖尿病患者在胰岛素方面取得了相当大的成功。然而,再生治疗的主要挑战是获得大量的胰岛/β细胞供体。干细胞的定向分化为糖尿病的更好和永久性胰岛素独立性带来了希望。在这篇综述中,我们讨论了干细胞作为治疗糖尿病及相关疾病的潜在未来治疗靶点。