Ahnfelt-Rønne Jonas, Madsen Ole D
a Diabetes Research Unit; Novo Nordisk A/S; Måløv, Denmark.
Islets. 2014;6(2):e28686. doi: 10.4161/isl.28686.
Regenerative therapy in diabetes with the capacity to reconstitute a functional β-cell mass sufficient for glycemic control holds the promise to effectively prevent the development of devastating late complications due to the unique ability of the β-cell to sense and regulate blood-glucose levels. An ability that cannot be mimicked by insulin replacement therapy or any other means of current treatment regiments for very large patient populations. Recently, Douglas A. Melton's group from Harvard University reported the identification of a circulating protein secreted from the liver under insulin resistant states which is sufficient to dramatically and specifically increase the replication rate of β-cells in the mouse resulting in an increased functional β-cell mass over time. They re-named the factor betatrophin and described a number of exciting features of this molecule which suggested that it could be a potential candidate for development as a regenerative medicine in diabetes. The official name of the gene encoding mouse betatrophin is Gm6484, but it has been annotated a number of times under different names: EG624219, RIFL, Lipasin and ANGPTL8. The official human gene name is C19orf80, but it has also been annotated as TD26, LOC55908, as well as RIFL, Lipasin, ANGPTL8 and betatrophin.
糖尿病的再生疗法能够重建足以控制血糖的功能性β细胞群,有望有效预防因β细胞感知和调节血糖水平的独特能力而导致的毁灭性晚期并发症的发生。对于大量患者而言,这种能力是胰岛素替代疗法或当前任何其他治疗方案都无法模拟的。最近,哈佛大学的道格拉斯·A·梅尔顿团队报告称,他们鉴定出一种在胰岛素抵抗状态下由肝脏分泌的循环蛋白,该蛋白足以显著且特异性地提高小鼠β细胞的复制率,随着时间推移导致功能性β细胞群增加。他们将该因子重新命名为β细胞营养因子,并描述了该分子的一些令人兴奋的特性,这表明它可能是一种有潜力开发为糖尿病再生药物的候选物。编码小鼠β细胞营养因子的基因的官方名称是Gm6484,但它曾多次以不同名称注释:EG624219、RIFL、脂肪酶和血管生成素样蛋白8。该基因的官方人类基因名称是C19orf80,但它也被注释为TD26、LOC55908以及RIFL、脂肪酶、血管生成素样蛋白8和β细胞营养因子。