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从间充质基质细胞中制造替代β细胞:观点和未来努力。

Making surrogate β-cells from mesenchymal stromal cells: perspectives and future endeavors.

机构信息

Manipal Institute of Regenerative Medicine, GKVK Post, Alalsandra, Yelahanka, Bangalore 560065, India.

Manipal Institute of Regenerative Medicine, GKVK Post, Alalsandra, Yelahanka, Bangalore 560065, India.

出版信息

Int J Biochem Cell Biol. 2014 Jan;46:90-102. doi: 10.1016/j.biocel.2013.11.006. Epub 2013 Nov 22.

Abstract

Generation of surrogate β-cells is the need of the day to compensate the short supply of islets for transplantation to diabetic patients requiring daily shots of insulin. Over the years several sources of stem cells have been claimed to cater to the need of insulin producing cells. These include human embryonic stem cells, induced pluripotent stem cells, human perinatal tissues such as amnion, placenta, umbilical cord and postnatal tissues involving adipose tissue, bone marrow, blood monocytes, cord blood, dental pulp, endometrium, liver, labia minora dermis-derived fibroblasts and pancreas. Despite the availability of such heterogonous sources, there is no substantial breakthrough in selecting and implementing an ideal source for generating large number of stable insulin producing cells. Although the progress in derivation of β-cell like cells from embryonic stem cells has taken a greater leap, their application is limited due to controversy surrounding the destruction of human embryo and immune rejection. Since multipotent mesenchymal stromal cells are free of ethical and immunological complications, they could provide unprecedented opportunity as starting material to derive insulin secreting cells. The main focus of this review is to discuss the merits and demerits of MSCs obtained from human peri- and post-natal tissue sources to yield abundant glucose responsive insulin producing cells as ideal candidates for prospective stem cell therapy to treat diabetes.

摘要

生成替代β细胞是当今的需求,以弥补用于移植到需要每日注射胰岛素的糖尿病患者的胰岛的供应短缺。多年来,已经有几种干细胞来源被声称可以满足产生胰岛素的细胞的需求。这些包括人类胚胎干细胞、诱导多能干细胞、人类围产期组织(如羊膜、胎盘、脐带)和产后组织(涉及脂肪组织、骨髓、血液单核细胞、脐带血、牙髓、子宫内膜、肝脏、小阴唇真皮衍生成纤维细胞和胰腺)。尽管有如此异质的来源,但在选择和实施生成大量稳定的胰岛素产生细胞的理想来源方面,并没有实质性的突破。虽然从胚胎干细胞中衍生出类β细胞的进展取得了更大的飞跃,但由于围绕破坏人类胚胎和免疫排斥的争议,其应用受到限制。由于多能间充质基质细胞没有伦理和免疫方面的并发症,因此它们可以为衍生胰岛素分泌细胞提供前所未有的机会。本篇综述的主要重点是讨论从人围产期和产后组织来源获得的间充质基质细胞的优缺点,以产生大量对葡萄糖有反应的胰岛素产生细胞,作为治疗糖尿病的未来干细胞治疗的理想候选物。

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