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新型人类血液干细胞:治疗 1 型糖尿病的双刃剑。

New type of human blood stem cell: a double-edged sword for the treatment of type 1 diabetes.

机构信息

Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.

出版信息

Transl Res. 2010 May;155(5):211-6. doi: 10.1016/j.trsl.2010.01.003. Epub 2010 Feb 12.


DOI:10.1016/j.trsl.2010.01.003
PMID:20403575
Abstract

Type 1 diabetes (T1D) is an autoimmune disease caused by an autoimmune destruction of pancreatic islet insulin-producing cells. Autoimmunity and shortage of insulin-producing cells are 2 key issues for the treatment of T1D. To cure T1D in a comprehensive manner, both issues need to be addressed simultaneously. Not only must the islet cells be replaced, the patient's immune system also must be dealt with. Regulatory T cells (Tregs) play a crucial role in maintaining homeostasis and self-tolerance through their inhibitory impacts on autoreactive effector T cells. We identified a novel type of stem cells from human umbilical cord blood, designated cord blood stem cells (CB-SC), which may be able to address immune modulation of the autoimmune process and allow for beta-cell replacement. We are the first group using CB-SC to correct functional defects of CD4(+)CD62L(+) Tregs, leading to a reversal of overt diabetes in an autoimmune-caused diabetic NOD mouse model. Notably, treatment with CB-SC-modulated CD4(+)CD62L(+) Tregs (mCD4CD62L Tregs) simultaneously can overcome the autoimmunity via systemic and local immune modulations and the shortage of insulin-producing cells via stimulating the beta-cell regeneration. These new stem cells will offer a promising avenue for the development of powerful autologous therapeutic products for prevention and reversal of T1D.

摘要

1 型糖尿病(T1D)是一种自身免疫性疾病,由胰腺胰岛产生胰岛素的细胞的自身免疫破坏引起。自身免疫和胰岛素产生细胞的缺乏是治疗 T1D 的两个关键问题。要全面治愈 T1D,需要同时解决这两个问题。不仅要替换胰岛细胞,还必须处理患者的免疫系统。调节性 T 细胞(Tregs)通过对自身反应性效应 T 细胞的抑制作用,在维持体内平衡和自身耐受方面发挥着至关重要的作用。我们从人脐带血中鉴定出一种新型的干细胞,命名为脐带血干细胞(CB-SC),它可能能够解决自身免疫过程中的免疫调节问题,并允许β细胞替代。我们是第一组使用 CB-SC 来纠正 CD4+CD62L+Tregs 的功能缺陷的,从而导致自身免疫性糖尿病 NOD 小鼠模型中明显糖尿病的逆转。值得注意的是,用 CB-SC 调节的 CD4+CD62L+Tregs(mCD4CD62L Tregs)同时治疗,可以通过全身和局部免疫调节以及刺激β细胞再生来克服自身免疫和胰岛素产生细胞的缺乏。这些新的干细胞将为开发用于预防和逆转 T1D 的强大自体治疗产品提供有希望的途径。

相似文献

[1]
New type of human blood stem cell: a double-edged sword for the treatment of type 1 diabetes.

Transl Res. 2010-2-12

[2]
Human cord blood stem cells and the journey to a cure for type 1 diabetes.

Autoimmun Rev. 2010-8-20

[3]
Immune modulation of blood-derived stem cell as a comprehensive tool for treating type 1 diabetes.

Discov Med. 2009-12

[4]
Control of type 1 autoimmune diabetes by naturally occurring CD4+CD25+ regulatory T lymphocytes in neonatal NOD mice.

Ann N Y Acad Sci. 2005-6

[5]
Human cord blood stem cell-modulated regulatory T lymphocytes reverse the autoimmune-caused type 1 diabetes in nonobese diabetic (NOD) mice.

PLoS One. 2009

[6]
Do immunotherapy and beta cell replacement play a synergistic role in the treatment of type 1 diabetes?

Life Sci. 2009-10-7

[7]
A new type of CD4+ suppressor T cell completely prevents spontaneous autoimmune diabetes and recurrent diabetes in syngeneic islet-transplanted NOD mice.

J Autoimmun. 1996-6

[8]
Role of regulatory T cells for the treatment of type 1 diabetes mellitus.

Horm Metab Res. 2008-2

[9]
Modulation of insulin-dependent diabetes mellitus (IDDM) in NOD mice by autoreactive T cells.

Crit Rev Immunol. 1997

[10]
Modulation of Autoimmune T-Cell Memory by Stem Cell Educator Therapy: Phase 1/2 Clinical Trial.

EBioMedicine. 2015-11-5

引用本文的文献

[1]
The efficiency of stem cell differentiation into functional beta cells for treating insulin-requiring diabetes: Recent advances and current challenges.

Endocrine. 2024-10

[2]
Early immunotherapy using autologous adult stem cells reversed the effect of anti-pancreatic islets in recently diagnosed type 1 diabetes mellitus: preliminary results.

Med Sci Monit. 2013-10-14

[3]
Targeting insulin resistance in type 2 diabetes via immune modulation of cord blood-derived multipotent stem cells (CB-SCs) in stem cell educator therapy: phase I/II clinical trial.

BMC Med. 2013-7-9

[4]
Stem cell educator therapy and induction of immune balance.

Curr Diab Rep. 2012-10

[5]
Autologous cord blood harvesting in North Eastern Italy: ethical questions and emerging hopes for curing diabetes and celiac disease.

Int J Gen Med. 2012-6-15

[6]
Reversal of type 1 diabetes via islet β cell regeneration following immune modulation by cord blood-derived multipotent stem cells.

BMC Med. 2012-1-10

[7]
Current status of immunomodulatory and cellular therapies in preclinical and clinical islet transplantation.

J Transplant. 2011

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