Instituto de Investigaciones Biomédicas Alberto Sols, CSIC-UAM, 28029 Madrid, Spain.
Int J Mol Sci. 2022 Jan 2;23(1):501. doi: 10.3390/ijms23010501.
Pancreatic β cell dysfunction is a central component of diabetes progression. During the last decades, the genetic basis of several monogenic forms of diabetes has been recognized. Genome-wide association studies (GWAS) have also facilitated the identification of common genetic variants associated with an increased risk of diabetes. These studies highlight the importance of impaired β cell function in all forms of diabetes. However, how most of these risk variants confer disease risk, remains unanswered. Understanding the specific contribution of genetic variants and the precise role of their molecular effectors is the next step toward developing treatments that target β cell dysfunction in the era of personalized medicine. Protocols that allow derivation of β cells from pluripotent stem cells, represent a powerful research tool that allows modeling of human development and versatile experimental designs that can be used to shed some light on diabetes pathophysiology. This article reviews different models to study the genetic basis of β cell dysfunction, focusing on the recent advances made possible by stem cell applications in the field of diabetes research.
胰岛β细胞功能障碍是糖尿病进展的核心组成部分。在过去的几十年中,已经认识到几种单基因形式糖尿病的遗传基础。全基因组关联研究(GWAS)也促进了与糖尿病风险增加相关的常见遗传变异的鉴定。这些研究强调了所有形式的糖尿病中β细胞功能障碍的重要性。然而,这些风险变异如何赋予疾病风险,仍然没有答案。了解遗传变异的具体贡献及其分子效应物的确切作用是朝着开发针对个性化医学时代β细胞功能障碍的治疗方法迈出的下一步。允许从多能干细胞中衍生β细胞的方案代表了一种强大的研究工具,可用于模拟人类发育和灵活的实验设计,可用于深入了解糖尿病病理生理学。本文综述了研究β细胞功能障碍遗传基础的不同模型,重点介绍了干细胞应用在糖尿病研究领域所取得的最新进展。