Arroyave Felipe, Montaño Diana, Lizcano Fernando
Doctoral Program in Biosciences, Universidad de La Sabana, Chía 250008, CU, Colombia.
Center of Biomedical Investigation (CIBUS), Universidad de La Sabana, Chía 250008, CU, Colombia.
Int J Mol Sci. 2020 Nov 18;21(22):8685. doi: 10.3390/ijms21228685.
Diabetes mellitus (DM) is one of the main causes of morbidity and mortality, with an increasing incidence worldwide. The impact of DM on public health in developing countries has triggered alarm due to the exaggerated costs of the treatment and monitoring of patients with this disease. Considerable efforts have been made to try to prevent the onset and reduce the complications of DM. However, because insulin-producing pancreatic β-cells progressively deteriorate, many people must receive insulin through subcutaneous injection. Additionally, current therapies do not have consistent results regarding the prevention of chronic complications. Leveraging the approval of real-time continuous glucose monitors and sophisticated algorithms that partially automate insulin infusion pumps has improved glycemic control, decreasing the burden of diabetes management. However, these advances are facing physiologic barriers. New findings in molecular and cellular biology have produced an extraordinary advancement in tissue development for the treatment of DM. Obtaining pancreatic β-cells from somatic cells is a great resource that currently exists for patients with DM. Although this therapeutic option has great prospects for patients, some challenges remain for this therapeutic plan to be used clinically. The purpose of this review is to describe the new techniques in cell biology and regenerative medicine as possible treatments for DM. In particular, this review highlights the origin of induced pluripotent cells (iPSCs) and how they have begun to emerge as a regenerative treatment that may mitigate the pathology of this disease.
糖尿病(DM)是发病和死亡的主要原因之一,在全球范围内发病率呈上升趋势。由于糖尿病患者治疗和监测成本过高,其对发展中国家公共卫生的影响已引发警报。人们已做出相当大的努力来预防糖尿病的发生并减少其并发症。然而,由于产生胰岛素的胰腺β细胞逐渐恶化,许多人必须通过皮下注射接受胰岛素治疗。此外,目前的治疗方法在预防慢性并发症方面效果并不一致。利用实时连续血糖监测仪的获批以及部分自动化胰岛素输注泵的复杂算法,改善了血糖控制,减轻了糖尿病管理的负担。然而,这些进展面临着生理障碍。分子和细胞生物学的新发现为糖尿病治疗带来了组织发育方面的非凡进展。从体细胞中获取胰腺β细胞是目前糖尿病患者可用的一项重要资源。尽管这种治疗选择对患者有很大前景,但要在临床上应用该治疗方案仍存在一些挑战。本综述的目的是描述细胞生物学和再生医学中的新技术,作为糖尿病可能的治疗方法。特别是,本综述重点介绍了诱导多能干细胞(iPSC)的起源以及它们如何开始成为一种可能减轻该疾病病理的再生治疗方法。