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利用β细胞再生生物学进行糖尿病治疗。

Harnessing beta cell regeneration biology for diabetes therapy.

作者信息

Bourgeois Stephanie, Coenen Sophie, Degroote Laure, Willems Lien, Van Mulders Annelore, Pierreux Julie, Heremans Yves, De Leu Nico, Staels Willem

机构信息

Genetics, Reproduction, and Development (GRAD), Beta Cell Neogenesis (BENE) Research Unit, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium.

Genetics, Reproduction, and Development (GRAD), Beta Cell Neogenesis (BENE) Research Unit, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium; Endocrinology, Universiteit Ziekenhuis Brussel (UZ Brussel), 1090 Brussels, Belgium; Endocrinology, ASZ Aalst, 9300 Aalst, Belgium.

出版信息

Trends Endocrinol Metab. 2024 Nov;35(11):951-966. doi: 10.1016/j.tem.2024.03.006. Epub 2024 Apr 21.

DOI:10.1016/j.tem.2024.03.006
PMID:38644094
Abstract

The pandemic scale of diabetes mellitus is alarming, its complications remain devastating, and current treatments still pose a major burden on those affected and on the healthcare system as a whole. As the disease emanates from the destruction or dysfunction of insulin-producing pancreatic β-cells, a real cure requires their restoration and protection. An attractive strategy is to regenerate β-cells directly within the pancreas; however, while several approaches for β-cell regeneration have been proposed in the past, clinical translation has proven challenging. This review scrutinizes recent findings in β-cell regeneration and discusses their potential clinical implementation. Hereby, we aim to delineate a path for innovative, targeted therapies to help shift from 'caring for' to 'curing' diabetes.

摘要

糖尿病的流行规模令人担忧,其并发症仍然具有毁灭性,目前的治疗方法仍然给患者个体以及整个医疗系统带来沉重负担。由于该疾病源于产生胰岛素的胰腺β细胞的破坏或功能障碍,真正的治愈方法需要恢复和保护这些细胞。一种有吸引力的策略是在胰腺内直接再生β细胞;然而,尽管过去已经提出了几种β细胞再生方法,但临床转化已证明具有挑战性。本综述仔细研究了β细胞再生的最新发现,并讨论了它们在临床上的潜在应用。在此,我们旨在勾勒出一条创新的靶向治疗路径,以帮助从“治疗”糖尿病转向“治愈”糖尿病。

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Harnessing beta cell regeneration biology for diabetes therapy.利用β细胞再生生物学进行糖尿病治疗。
Trends Endocrinol Metab. 2024 Nov;35(11):951-966. doi: 10.1016/j.tem.2024.03.006. Epub 2024 Apr 21.
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Systematic single-cell analysis provides new insights into heterogeneity and plasticity of the pancreas.系统的单细胞分析为胰腺的异质性和可塑性提供了新的见解。
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The triumvirate of beta-cell regeneration: solutions and bottlenecks to curing diabetes.β细胞再生的三要素:治愈糖尿病的解决方案与瓶颈
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β-Cell regeneration through the transdifferentiation of pancreatic cells: Pancreatic progenitor cells in the pancreas.β 细胞通过胰腺细胞的转分化再生:胰腺中的胰腺祖细胞。
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Regenerating β cells of the pancreas - potential developments in diabetes treatment.胰腺β细胞的再生 - 糖尿病治疗的潜在进展。
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The use of stem cells for pancreatic regeneration in diabetes mellitus.干细胞在糖尿病中用于胰腺再生。
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Islet Regeneration: Endogenous and Exogenous Approaches.胰岛再生:内源性和外源性方法。
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引用本文的文献

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Drug-induced regeneration of pancreatic beta cells: An approach to cellular therapeutic targets.药物诱导的胰腺β细胞再生:一种针对细胞治疗靶点的方法。
Cell Regen. 2025 Sep 6;14(1):39. doi: 10.1186/s13619-025-00255-9.
2
Verapamil and low-dose anti-mouse thymocyte globulin combination therapy stably reverses recent-onset type 1 diabetes in NOD mice by acting on the beta cell and immune axes.维拉帕米与低剂量抗小鼠胸腺细胞球蛋白联合疗法通过作用于β细胞和免疫轴,可稳定逆转NOD小鼠近期发病的1型糖尿病。
Diabetologia. 2025 Jul 12. doi: 10.1007/s00125-025-06490-8.
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Advancing diabetes management: Exploring pancreatic beta-cell restoration's potential and challenges.
推进糖尿病管理:探索胰腺β细胞修复的潜力和挑战。
World J Gastroenterol. 2024 Oct 28;30(40):4339-4353. doi: 10.3748/wjg.v30.i40.4339.