University of Massachusetts Medical School, Program in Molecular Medicine, Worcester, Massachusetts, USA.
Cold Spring Harb Perspect Med. 2012 May;2(5):a007757. doi: 10.1101/cshperspect.a007757.
Despite decades of studying rodent models of type 1 diabetes (T1D), no therapy capable of preventing or curing T1D has successfully been translated from rodents to humans. This inability to translate otherwise promising therapies to clinical settings likely resides, to a major degree, from significant species-specific differences between rodent and human immune systems as well as species-related variances in islets in terms of their cellular composition, function, and gene expression. Indeed, taken collectively, these differences underscore the need to define interactions between the human immune system with human β cells. Immunodeficient mice engrafted with human immune systems and human β cells represent an interesting and promising opportunity to study these components in vivo. To meet this need, years of effort have been extended to develop mice depleted of undesirable components while at the same time, allowing the introduction of constituents necessary to recapitulate physiological settings as near as possible to human T1D. With this, these so-called "humanized mice" are currently being used as a preclinical bridge to facilitate identification and translation of novel discoveries to clinical settings.
尽管几十年来一直在研究 1 型糖尿病(T1D)的啮齿动物模型,但没有一种能够预防或治愈 T1D 的疗法成功地从啮齿动物转化为人类。这种无法将其他有前途的疗法转化为临床环境的能力,在很大程度上可能源于啮齿动物和人类免疫系统之间存在显著的物种特异性差异,以及在胰岛的细胞组成、功能和基因表达方面存在物种相关的差异。事实上,这些差异共同强调了需要定义人类免疫系统与人类 β 细胞之间的相互作用。用人免疫系统和人类 β 细胞移植的免疫缺陷小鼠代表了一个有趣且有前途的机会,可以在体内研究这些成分。为了满足这一需求,多年的努力已经投入到开发去除不需要成分的小鼠中,同时允许引入必要的成分来尽可能接近地再现生理环境,就像人类 T1D 一样。有了这些,所谓的“人源化小鼠”目前正被用作临床前桥梁,以促进新发现向临床环境的识别和转化。