Kaibagarova Indira, Saparbaev Samat, Aringazina Raisa, Zhumabaev Marat, Nurgaliyeva Zhansulu
Department of Pharmacology, West Kazakhstan Marat Ospanov Medical University, 68 Maresyev Str, Aktobe, 030012 Republic of Kazakhstan.
Medical Center Al-Jami, 23 Mailin Str, Astana, 010000 Republic of Kazakhstan.
J Diabetes Metab Disord. 2024 Jun 12;23(2):1949-1957. doi: 10.1007/s40200-024-01448-w. eCollection 2024 Dec.
Diabetes mellitus has a negative impact on patients' lives and is a significant medical and social problem. Due to the high prevalence of diabetes mellitus, shortage of donor materials, immune rejection of the pancreas and limited efficacy of existing treatment methods, the study of promising and more effective approaches to the treatment of this disease, such as transplantation of fetal pancreatic islet cells, becomes relevant. The aim of the study is to determine the efficacy and necessity of fetal pancreatic islet cell transplantation in the treatment of type 2 diabetes mellitus.
The study was carried out with the help of analytical-synthetic method, literature review and analysis of medical databases corresponding to the topic of work, clinical and experimental studies conducted by other authors were considered.
As a result of this work, it was found that the use of fetal stem cell transplantation is an effective method in the treatment of diabetes. Studies confirm that this method reduces hyperglycaemia and NOMA index, increases c-peptide values without serious side effects on the background of treatment.
Fetal islet cells have advantages in cell culture, relatively low immunogenicity, effective engraftment, although they may produce less insulin relative to adult somatic stem cells. Transplanted islet cells are able to replace and renew the function of the recipient's own pancreatic β-cells, and prevent their destruction. Fetal pancreatic islet cell transplantation is a promising treatment option for type 2 diabetes that can complement or replace existing therapies, improving patients' glucose control.
糖尿病对患者生活有负面影响,是一个重大的医学和社会问题。由于糖尿病患病率高、供体材料短缺、胰腺免疫排斥以及现有治疗方法疗效有限,对有前景且更有效的治疗该疾病方法的研究变得很有必要,比如胎儿胰岛细胞移植。本研究的目的是确定胎儿胰岛细胞移植治疗2型糖尿病的疗效和必要性。
本研究借助分析 - 综合法、文献综述以及对与工作主题相关的医学数据库进行分析,参考了其他作者进行的临床和实验研究。
通过这项工作发现,使用胎儿干细胞移植是治疗糖尿病的一种有效方法。研究证实,该方法能降低高血糖和非空腹血糖胰岛素抵抗指数(NOMA指数),在治疗背景下增加C肽值且无严重副作用。
胎儿胰岛细胞在细胞培养方面具有优势,免疫原性相对较低,植入效果良好,尽管相对于成体体细胞干细胞可能产生较少胰岛素。移植的胰岛细胞能够替代并更新受体自身胰腺β细胞的功能,并防止其被破坏。胎儿胰岛细胞移植是2型糖尿病一种有前景的治疗选择,可补充或替代现有疗法,改善患者的血糖控制。