Laboratory of Immunoregulation, Translational Medicine, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Department of Biochemistry and Physiology, School of Pharmacy and Food Sciences, Institute of Biomedicine of the University of Barcelona (IBUB), 08028 Barcelona, Spain.
Int J Mol Sci. 2023 Dec 26;25(1):344. doi: 10.3390/ijms25010344.
Type 1 diabetes (T1D) is a chronic autoimmune disease characterized by the destruction of insulin-producing pancreatic β-cells by the immune system. Although conventional therapeutic modalities, such as insulin injection, remain a mainstay, recent years have witnessed the emergence of novel treatment approaches encompassing immunomodulatory therapies, such as stem cell and β-cell transplantation, along with revolutionary gene-editing techniques. Notably, recent research endeavors have enabled the reshaping of the T-cell repertoire, leading to the prevention of T1D development. Furthermore, CRISPR-Cas9 technology has demonstrated remarkable potential in targeting endogenous gene activation, ushering in a promising avenue for the precise guidance of mesenchymal stem cells (MSCs) toward differentiation into insulin-producing cells. This innovative approach holds substantial promise for the treatment of T1D. In this review, we focus on studies that have developed T1D models and treatments using gene-editing systems.
1 型糖尿病(T1D)是一种慢性自身免疫性疾病,其特征是免疫系统破坏产生胰岛素的胰腺β细胞。尽管胰岛素注射等传统治疗方法仍是主要治疗方法,但近年来出现了新的治疗方法,包括免疫调节疗法,如干细胞和β细胞移植,以及革命性的基因编辑技术。值得注意的是,最近的研究努力使得 T 细胞库的重塑成为可能,从而防止了 T1D 的发展。此外,CRISPR-Cas9 技术已证明在靶向内源性基因激活方面具有巨大潜力,为间充质干细胞(MSCs)向产生胰岛素的细胞分化的精确指导开辟了一条有前途的途径。这种创新方法为 T1D 的治疗提供了巨大的希望。在这篇综述中,我们重点介绍了使用基因编辑系统开发 T1D 模型和治疗方法的研究。