Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
Transl Res. 2010 May;155(5):211-6. doi: 10.1016/j.trsl.2010.01.003. Epub 2010 Feb 12.
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.
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。
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