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糖尿病的细胞疗法和基因疗法:当前进展

Cell Therapies and Gene Therapy for Diabetes: Current Progress.

作者信息

Ghassemifard Leila, Hasanlu Masumeh, Parsamanesh Negin, Atkin Stephen L, Almahmeed Wael, Sahebkar Amirhossein

机构信息

Department of Physiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.

Department of Persian Medicine, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

Curr Diabetes Rev. 2025;21(8):e130524229899. doi: 10.2174/0115733998292392240425122326.

DOI:10.2174/0115733998292392240425122326
PMID:38747221
Abstract

The epidemic of diabetes continues to be an increasing problem, and there is a need for new therapeutic strategies. There are several promising drugs and molecules in synthetic medicinal chemistry that are developing for diabetes. In addition to this approach, extensive studies with gene and cell therapies are being conducted. Gene therapy is an existing approach in treating several diseases, such as cancer, autoimmune diseases, heart disease and diabetes. Several reports have also suggested that stem cells have the differentiation capability to functional pancreatic beta cell development in vitro and in vivo, with the utility to treat diabetes and prevent the progression of diabetes-related complications. In this current review, we have focused on the different types of cell therapies and vector-based gene therapy in treating or preventing diabetes.

摘要

糖尿病的流行仍然是一个日益严重的问题,因此需要新的治疗策略。在合成药物化学领域,有几种有前景的药物和分子正在研发用于治疗糖尿病。除了这种方法外,针对基因和细胞疗法也在进行广泛研究。基因疗法是治疗多种疾病(如癌症、自身免疫性疾病、心脏病和糖尿病)的一种现有方法。一些报告还表明,干细胞在体外和体内具有分化为功能性胰腺β细胞的能力,可用于治疗糖尿病并预防糖尿病相关并发症的进展。在本综述中,我们重点关注了治疗或预防糖尿病的不同类型的细胞疗法和基于载体的基因疗法。

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Cell Therapies and Gene Therapy for Diabetes: Current Progress.糖尿病的细胞疗法和基因疗法:当前进展
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Front Cell Dev Biol. 2025 Feb 20;13:1502469. doi: 10.3389/fcell.2025.1502469. eCollection 2025.

本文引用的文献

1
Successes and challenges in clinical gene therapy.临床基因治疗的成功与挑战。
Gene Ther. 2023 Nov;30(10-11):738-746. doi: 10.1038/s41434-023-00390-5. Epub 2023 Nov 8.
2
Transient B-cell depletion and regulatory T-cells mediation in combination with adenovirus mediated IGF-1 prevents and reverses autoimmune diabetes in NOD mice.联合腺病毒介导的 IGF-1 诱导的瞬时 B 细胞耗竭和调节性 T 细胞介导致使 NOD 小鼠预防和逆转自身免疫性糖尿病。
Autoimmunity. 2022 Dec;55(8):529-537. doi: 10.1080/08916934.2022.2128782.
3
CTRP1 prevents high fat diet-induced obesity and improves glucose homeostasis in obese and STZ-induced diabetic mice.
CTRP1 可预防高脂肪饮食诱导的肥胖,并改善肥胖和 STZ 诱导的糖尿病小鼠的葡萄糖稳态。
J Transl Med. 2022 Oct 4;20(1):449. doi: 10.1186/s12967-022-03672-5.
4
Adiponectin gene therapy prevents islet loss after transplantation.脂联素基因治疗可预防移植后胰岛细胞丢失。
J Cell Mol Med. 2022 Sep;26(18):4847-4858. doi: 10.1111/jcmm.17515. Epub 2022 Aug 17.
5
Mesenchymal stem cell transplantation in newly diagnosed type-1 diabetes patients: a phase I/II randomized placebo-controlled clinical trial.间充质干细胞移植治疗新诊断 1 型糖尿病患者:一项 I/II 期随机安慰剂对照临床试验。
Stem Cell Res Ther. 2022 Jun 20;13(1):264. doi: 10.1186/s13287-022-02941-w.
6
Human umbilical cord-derived mesenchymal stem cells not only ameliorate blood glucose but also protect vascular endothelium from diabetic damage through a paracrine mechanism mediated by MAPK/ERK signaling.人脐带间充质干细胞不仅通过 MAPK/ERK 信号通路介导的旁分泌机制改善血糖,而且还保护血管内皮免受糖尿病损伤。
Stem Cell Res Ther. 2022 Jun 17;13(1):258. doi: 10.1186/s13287-022-02927-8.
7
β-Klotho promotes glycolysis and glucose-stimulated insulin secretion via GP130.β-klotho 通过 GP130 促进糖酵解和葡萄糖刺激的胰岛素分泌。
Nat Metab. 2022 May;4(5):608-626. doi: 10.1038/s42255-022-00572-2. Epub 2022 May 12.
8
Efficacy and safety of umbilical cord-derived mesenchymal stem cells in Chinese adults with type 2 diabetes: a single-center, double-blinded, randomized, placebo-controlled phase II trial.脐带间充质干细胞治疗中国成人 2 型糖尿病的疗效和安全性:一项单中心、双盲、随机、安慰剂对照的 II 期临床试验。
Stem Cell Res Ther. 2022 May 3;13(1):180. doi: 10.1186/s13287-022-02848-6.
9
AAV-mediated BMP7 gene therapy counteracts insulin resistance and obesity.腺相关病毒介导的骨形态发生蛋白7基因疗法可对抗胰岛素抵抗和肥胖。
Mol Ther Methods Clin Dev. 2022 Mar 16;25:190-204. doi: 10.1016/j.omtm.2022.03.007. eCollection 2022 Jun 9.
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Stem Cell Transplantation in the Treatment of Type 1 Diabetes Mellitus: From Insulin Replacement to Beta-Cell Replacement.干细胞移植治疗 1 型糖尿病:从胰岛素替代到β细胞替代。
Front Endocrinol (Lausanne). 2022 Mar 18;13:859638. doi: 10.3389/fendo.2022.859638. eCollection 2022.