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干细胞作为一种再生医学方法,用于治疗微血管糖尿病并发症。

Stem cells as a regenerative medicine approach in treatment of microvascular diabetic complications.

机构信息

Shobhabhen Pratapbhai Patel School of Pharmacy & Technology Management, SVKM's NMIMS, V.L. Mehta Road, Vile Parle (W), Mumbai 400056, India.

Shobhabhen Pratapbhai Patel School of Pharmacy & Technology Management, SVKM's NMIMS, V.L. Mehta Road, Vile Parle (W), Mumbai 400056, India.

出版信息

Tissue Cell. 2023 Dec;85:102225. doi: 10.1016/j.tice.2023.102225. Epub 2023 Sep 25.

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood glucose and is associated with high morbidity and mortality among the diabetic population. Uncontrolled chronic hyperglycaemia causes increased formation and accumulation of different oxidative and nitrosative stress markers, resulting in microvascular and macrovascular complications, which might seriously affect the quality of a patient's life. Conventional treatment strategies are confined to controlling blood glucose by regulating the insulin level and are not involved in attenuating the life-threatening complications of diabetes mellitus. Thus, there is an unmet need to develop a viable treatment strategy that could target the multi-etiological factors involved in the pathogenesis of diabetic complications. Stem cell therapy, a regenerative medicine approach, has been investigated in diabetic complications owing to their unique characteristic features of self-renewal, multilineage differentiation and regeneration potential. The present review is focused on potential therapeutic applications of stem cells in the treatment of microvascular diabetic complications such as nephropathy, retinopathy, and polyneuropathy.

摘要

糖尿病(DM)是一种以高血糖为特征的慢性代谢性疾病,与糖尿病患者的高发病率和高死亡率有关。慢性高血糖会导致不同氧化应激和硝化应激标志物的形成和积累增加,从而导致微血管和大血管并发症,严重影响患者的生活质量。传统的治疗策略仅限于通过调节胰岛素水平来控制血糖,而不涉及减轻糖尿病危及生命的并发症。因此,需要开发一种可行的治疗策略,针对糖尿病并发症发病机制中涉及的多病因因素。由于其自我更新、多系分化和再生潜能的独特特征,干细胞治疗作为一种再生医学方法,已经在糖尿病并发症的研究中得到了研究。本综述主要关注干细胞在治疗微血管糖尿病并发症(如肾病、视网膜病变和多发性神经病)方面的潜在治疗应用。

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