Department of Applied Chemistry, Government College University, Faisalabad, Pakistan.
Institute of Pharmacy, Physiology and Pharmacology, University of Agriculture, Faisalabad, Pakistan.
Adv Exp Med Biol. 2019;1084:95-107. doi: 10.1007/5584_2018_195.
Type 1 diabetes mellitus (T1DM) is classified as an autoimmune disease which progressively results in the depletion of insulin-secreting β-cells. Consequently, the insulin secretion stops leading to hyperglycemic situations within the body. Under severe conditions, it also causes multi-organ diabetes-associated dysfunctionalities notably hypercoagulability, neuropathy, nephropathy, retinopathy, and sometimes organ failures. The prevalence of this disease has been noticed about 3% that has highlighted the serious concerns for healthcare professionals around the globe. For the treatment of this disease, the cell therapy is considered as an important therapeutic approach for the replacement of damaged β-cells. However, the development of autoantibodies unfortunately reduces their effectiveness with the passage of time and finally with the recurrence of diabetes mellitus. The development of new techniques for extraction and transplantation of islets failed to support this approach due to the issues related to major surgery and lifelong dependence on immunosuppression. For T1DM, such cells are supposed to produce, store, and supply insulin to maintain glucose homeostasis. The urgent need of much-anticipated substitute for insulin-secreting β-cells directed the researchers to focus on stem cells (SCs) to produce insulin-secreting β-cells. For being more specific and targeted therapeutic approaches, SC-based strategies opened up the new horizons to cure T1DM. This cell-based therapy aimed to produce functional insulin-secreting β-cells to cure diabetes on forever basis. The intrinsic regenerative potential along with immunomodulatory abilities of SCs highlights the therapeutic potential of SC-based strategies. In this article, we have comprehensively highlighted the role of SCs to treat diabetes mellitus.
1 型糖尿病(T1DM)被归类为一种自身免疫性疾病,它会逐渐导致胰岛素分泌β细胞的耗竭。因此,胰岛素的分泌停止,导致体内出现高血糖情况。在严重的情况下,它还会导致多器官糖尿病相关的功能障碍,特别是高凝状态、神经病变、肾病、视网膜病变,有时还会导致器官衰竭。这种疾病的患病率约为 3%,这引起了全球医疗保健专业人员的严重关注。对于这种疾病的治疗,细胞疗法被认为是替代受损β细胞的重要治疗方法。然而,随着时间的推移,不幸的是,自身抗体的发展降低了它们的有效性,最终导致糖尿病的复发。提取和移植胰岛的新技术的发展由于与大手术和终身依赖免疫抑制相关的问题而未能支持这种方法。对于 T1DM,这些细胞应该产生、储存和供应胰岛素,以维持葡萄糖的体内平衡。对胰岛素分泌β细胞的迫切需求促使研究人员专注于干细胞(SCs)来产生胰岛素分泌β细胞。为了更具体和有针对性的治疗方法,基于干细胞的策略为治愈 T1DM 开辟了新的前景。这种基于细胞的疗法旨在产生功能性的胰岛素分泌β细胞,以实现糖尿病的永久治愈。干细胞具有内在的再生潜力和免疫调节能力,突出了基于干细胞的策略的治疗潜力。在本文中,我们全面强调了干细胞在治疗糖尿病中的作用。