骨髓移植可刺激组织损伤后的胰腺β细胞复制。

Bone marrow transplantation stimulates pancreatic β-cell replication after tissue damage.

机构信息

Clinical Research Center, Section of Islet pathophysiology, Lund University, Malmö, Sweden.

出版信息

Islets. 2009 Jul-Aug;1(1):10-8. doi: 10.4161/isl.1.1.8529.

Abstract

Bone marrow transplantation has been shown to normalize hyperglycemia but the mechanisms underlying pancreatic β-cell regeneration remain elusive. Here, we investigate the capacity of transplanted bone marrow cells to engraft into the pancreas, to adopt an endothelial cell phenotype and to stimulate β-cell regeneration after islet damage. Genetically marked whole bone marrow from Tie2-Cre/ZEG mice was transplanted into lethally irradiated wild-type mice. The fate of the transplanted cells, as well as blood glucose levels and β-cell mass dynamics, was investigated in normal and hyperglycemic recipient mice. Bone marrow transplantation significantly increased β-cell mass and reduced the hyperglycemia of mice subjected to β-cell damage by streptozotocin (STZ). This was associated with enhanced replication of pre-existing β-cells, proportional to the degree of β-cell damage, whereas no evidence was obtained for islet neogenesis. The engrafted bone marrow-derived cells in the pancreas showed little capacity to differentiate into blood vessel endothelium but retained a myeloid cell fate. By contrast, the transplantation evoked pronounced proliferation of recipient endothelial cells. These findings illuminate an important adjuvant function of transplanted bone marrow cells in both angiogenesis and β-cell regeneration. This may have interesting clinical implications, not least for human islet transplantation endeavours, where co-transplantation of islets with bone marrow cells might represent a simple means to improve islet survival and function.

摘要

骨髓移植已被证明可使高血糖正常化,但胰腺β细胞再生的机制仍不清楚。在这里,我们研究了移植的骨髓细胞在胰岛损伤后归巢到胰腺、获得内皮细胞表型和刺激β细胞再生的能力。从 Tie2-Cre/ZEG 小鼠的遗传标记的全骨髓被移植到致死性辐射的野生型小鼠中。在正常和高血糖的受者小鼠中研究了移植细胞的命运、血糖水平和β细胞质量动力学。骨髓移植显著增加了β细胞质量,并降低了链脲佐菌素(STZ)引起的β细胞损伤小鼠的高血糖症。这与现有β细胞的复制增强有关,与β细胞损伤的程度成正比,而没有证据表明胰岛发生。在胰腺中移植的骨髓来源细胞几乎没有分化为血管内皮细胞的能力,但保留了髓样细胞命运。相比之下,移植引起了受者内皮细胞的明显增殖。这些发现阐明了移植的骨髓细胞在血管生成和β细胞再生中的重要辅助功能。这可能具有有趣的临床意义,特别是对于人类胰岛移植的努力,其中胰岛与骨髓细胞的共移植可能是改善胰岛存活和功能的一种简单方法。

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