人胚胎干细胞向胰岛素分泌β细胞分化治疗糖尿病。

Human embryonic stem cell differentiation into insulin secreting β-cells for diabetes.

机构信息

Embryonic Stem Cell Group, Reliance Life Sciences Pvt Ltd, Dhirubhai Ambani Life Sciences Centre, Navi Mumbai, India.

出版信息

Cell Biol Int. 2012 Nov 1;36(11):1013-20. doi: 10.1042/CBI20120210.

Abstract

hESC (human embryonic stem cells), when differentiated into pancreatic β ILC (islet-like clusters), have enormous potential for the cell transplantation therapy for Type 1 diabetes. We have developed a five-step protocol in which the EBs (embryoid bodies) were first differentiated into definitive endoderm and subsequently into pancreatic lineage followed by formation of functional endocrine β islets, which were finally matured efficiently under 3D conditions. The conventional cytokines activin A and RA (retinoic acid) were used initially to obtain definitive endoderm. In the last step, ILC were further matured under 3D conditions using amino acid rich media (CMRL media) supplemented with anti-hyperglycaemic hormone-Glp1 (glucagon-like peptide 1) analogue Liraglutide with prolonged t(½) and Exendin 4. The differentiated islet-like 3D clusters expressed bonafide mature and functional β-cell markers-PDX1 (pancreatic and duodenal homoeobox-1), C-peptide, insulin and MafA. Insulin synthesis de novo was confirmed by C-peptide ELISA of culture supernatant in response to varying concentrations of glucose as well as agonist and antagonist of functional 3D β islet cells in vitro. Our results indicate the presence of almost 65% of insulin producing cells in 3D clusters. The cells were also found to ameliorate hyperglycaemia in STZ (streptozotocin) induced diabetic NOD/SCID (non-obese diabetic/severe combined immunodeficiency) mouse up to 96 days of transplantation. This protocol provides a basis for 3D in vitro generation of long-term in vivo functionally viable islets from hESC.

摘要

hESC(人胚胎干细胞)在分化为胰岛样细胞簇(ILC)后,在 1 型糖尿病的细胞移植治疗方面具有巨大的潜力。我们开发了一种五步方案,其中首先将 EBs(胚状体)分化为确定的内胚层,然后进一步分化为胰腺谱系,随后形成功能性内分泌β胰岛,最后在 3D 条件下有效地成熟。最初使用常规细胞因子激活素 A 和 RA(视黄酸)获得确定的内胚层。在最后一步中,使用富含氨基酸的培养基(CMRL 培养基)在 3D 条件下进一步成熟,补充抗高血糖激素-Glp1(胰高血糖素样肽 1)类似物利拉鲁肽和 Exendin 4,延长半衰期。分化的胰岛样 3D 簇表达真正成熟和功能的β细胞标志物-PDX1(胰腺十二指肠同源盒-1)、C 肽、胰岛素和 MafA。通过体外检测不同浓度葡萄糖以及功能性 3Dβ胰岛细胞激动剂和拮抗剂对培养上清液中 C 肽 ELISA 的反应,证实了胰岛素从头合成。我们的结果表明,3D 簇中存在近 65%的胰岛素产生细胞。还发现这些细胞可改善 STZ(链脲佐菌素)诱导的糖尿病 NOD/SCID(非肥胖型糖尿病/严重联合免疫缺陷)小鼠的高血糖症,直至移植后 96 天。该方案为从 hESC 体外生成长期体内功能存活胰岛提供了基础。

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