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干细胞治疗 1 型糖尿病的管理:进展与展望。

Stem Cell Therapy for the Management of Type 1 Diabetes: Advances and Perspectives.

机构信息

Department of Pharmacy, School of Medical and Allied Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India.

出版信息

Endocr Metab Immune Disord Drug Targets. 2024;24(5):549-561. doi: 10.2174/0118715303256582230919093535.

DOI:10.2174/0118715303256582230919093535
PMID:37861029
Abstract

Due to insulin resistance and excessive blood sugar levels, type 1 diabetes mellitus (T1DM) is characterized by pancreatic cell loss. This condition affects young people at a higher rate than any other chronic autoimmune disease. Regardless of the method, exogenous insulin cannot substitute for insulin produced by a healthy pancreas. An emerging area of medicine is pancreatic and islet transplantation for type 1 diabetics to restore normal blood sugar regulation. However, there are still obstacles standing in the way of the widespread use of these therapies, including very low availability of pancreatic and islets supplied from human organ donors, challenging transplantation conditions, high expenses, and a lack of easily accessible methods. Efforts to improve Type 1 Diabetes treatment have been conducted in response to the disease's increasing prevalence. Type 1 diabetes may one day be treated with stem cell treatment. Stem cell therapy has proven to be an effective treatment for type 1 diabetes. Recent progress in stem cell-based diabetes treatment is summarised, and the authors show how to isolate insulin-producing cells (IPCs) from a variety of progenitor cells.

摘要

由于胰岛素抵抗和血糖水平过高,1 型糖尿病(T1DM)的特征是胰腺细胞丧失。这种情况在年轻人中的发病率高于任何其他慢性自身免疫性疾病。无论采用何种方法,外源性胰岛素都不能替代健康胰腺产生的胰岛素。医学的一个新兴领域是对 1 型糖尿病患者进行胰腺和胰岛移植,以恢复正常的血糖调节。然而,这些疗法的广泛应用仍然存在障碍,包括人类器官供体提供的胰腺和胰岛非常稀缺、移植条件具有挑战性、费用高昂,以及缺乏易于获取的方法。为了改善 1 型糖尿病的治疗,人们针对该疾病的发病率不断上升做出了努力。有朝一日,干细胞治疗可能会用于治疗 1 型糖尿病。干细胞疗法已被证明对 1 型糖尿病有效。本文总结了基于干细胞的糖尿病治疗的最新进展,并展示了如何从各种祖细胞中分离出产生胰岛素的细胞(IPCs)。

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本文引用的文献

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Mesenchymal stem cells in cancer therapy; the art of harnessing a foe to a friend.癌症治疗中的间充质干细胞:化敌为友的艺术。
Iran J Basic Med Sci. 2021 Oct;24(10):1307-1323. doi: 10.22038/IJBMS.2021.58227.12934.
2
Breath biomarkers of insulin resistance in pre-diabetic Hispanic adolescents with obesity.肥胖的糖尿病前期西班牙裔青少年胰岛素抵抗的呼吸生物标志物。
Sci Rep. 2022 Jan 10;12(1):339. doi: 10.1038/s41598-021-04072-3.
3
Bone marrow NG2/Nestin mesenchymal stem cells drive DTC dormancy TGFβ2.骨髓NG2/巢蛋白间充质干细胞通过转化生长因子β2驱动甲状腺微小癌休眠。
Nat Cancer. 2021 Mar;2(3):327-339. doi: 10.1038/s43018-021-00179-8. Epub 2021 Mar 11.
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Immunomodulation effect of mesenchymal stem cells in islet transplantation.间充质干细胞在胰岛移植中的免疫调节作用。
Biomed Pharmacother. 2021 Oct;142:112042. doi: 10.1016/j.biopha.2021.112042. Epub 2021 Aug 14.
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An overview of current advancements in pancreatic islet transplantation into the omentum.对当前将胰岛移植到网膜中的进展进行概述。
Islets. 2021 Sep 3;13(5-6):115-120. doi: 10.1080/19382014.2021.1954459. Epub 2021 Aug 17.
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From Mesenchymal Stromal/Stem Cells to Insulin-Producing Cells: Immunological Considerations.从间充质基质/干细胞到胰岛素分泌细胞:免疫考虑因素。
Front Immunol. 2021 Jun 23;12:690623. doi: 10.3389/fimmu.2021.690623. eCollection 2021.
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Mesenchymal Stem Cells: An Excellent Candidate for the Treatment of Diabetes Mellitus.间充质干细胞:治疗糖尿病的理想候选者。
Int J Endocrinol. 2021 May 28;2021:9938658. doi: 10.1155/2021/9938658. eCollection 2021.
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Type 2 diabetes mellitus duration and obesity alter the efficacy of autologously transplanted bone marrow-derived mesenchymal stem/stromal cells.2 型糖尿病病程和肥胖改变了自体骨髓来源间充质干细胞/基质细胞移植的疗效。
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