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体外从人胚胎干细胞生成功能性胰岛素分泌细胞。

Generation of functional insulin-producing cells from human embryonic stem cells in vitro.

作者信息

Shi Yan

机构信息

Laboratory of Chemical Genomics, Shenzhen Graduate School of Peking University, Shenzhen, Guangdong, China.

出版信息

Methods Mol Biol. 2010;636:79-85. doi: 10.1007/978-1-60761-691-7_5.

Abstract

Human pancreatic islet transplantation at present is the preferred therapeutic option for type I diabetes treatment. However, this therapy is not widely utilized because of the severe shortage of donor islets. The capacity for self-renewal and differentiation of human embryonic stem (hES) cells makes them a potential new source for generation of functional pancreatic islet cells for treating type I diabetes mellitus. Here, we report a simple and effective protocol, carried out in a serum-free system, which could induce human ES cells to differentiate into functional insulin-producing cells. Activin A was first used in the initial stage to induce definitive endoderm lineage differentiation from human ES cells. And all-trans Retinoic Acid (RA) was then utilized to promote pancreatic differentiation. After maturation in the final induction stage with bFGF and Nicotinamide, the differentiated cells expressed islet specific markers. The secretion of insulin and C-peptide by these cells corresponded to the variations in glucose levels. Our method provides a promising in vitro differentiation model for studying the mechanisms of human pancreas development and illustrates the potential of using human ES cells for the treatment of type I diabetes mellitus.

摘要

目前,人类胰岛移植是治疗I型糖尿病的首选治疗方法。然而,由于供体胰岛严重短缺,这种疗法并未得到广泛应用。人类胚胎干细胞(hES)的自我更新和分化能力使其成为生成功能性胰岛细胞以治疗I型糖尿病的潜在新来源。在此,我们报告了一种在无血清系统中进行的简单有效的方案,该方案可诱导人类胚胎干细胞分化为功能性胰岛素分泌细胞。首先在初始阶段使用激活素A诱导人类胚胎干细胞分化为确定的内胚层谱系。然后使用全反式视黄酸(RA)促进胰腺分化。在最后诱导阶段用碱性成纤维细胞生长因子(bFGF)和烟酰胺使其成熟后,分化的细胞表达胰岛特异性标志物。这些细胞分泌的胰岛素和C肽与葡萄糖水平的变化相对应。我们的方法为研究人类胰腺发育机制提供了一个有前景的体外分化模型,并说明了使用人类胚胎干细胞治疗I型糖尿病的潜力。

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