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间充质干细胞在1型糖尿病及其并发症免疫调节中的作用和机制:最新研究进展与挑战:综述

The role and mechanism of mesenchymal stem cells in immunomodulation of type 1 diabetes mellitus and its complications: recent research progress and challenges: a review.

作者信息

Wang Chengran, Wu Yimeng, Jiang Jinlan

机构信息

Scientific Research Center, China-Japan Union Hospital of Jilin University, Changchun, 130033, Jilin Province, China.

出版信息

Stem Cell Res Ther. 2025 Jun 17;16(1):308. doi: 10.1186/s13287-025-04431-1.

DOI:10.1186/s13287-025-04431-1
PMID:40528233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12175325/
Abstract

BACKGROUND

Mesenchymal stem cells are of great interest because of their multipotency, immune modulation capacity, and tissue and vascular regeneration effects. They are used in treating type 1 diabetes mellitus, helping improve the pancreatic environment and insulin secretion. Type 1 diabetes mellitus predominantly affects children and adolescents, with early onset and a prolonged course that can lead to multiorgan complications and related disorders. Studies using mesenchymal stem cells to treat type 1 diabetes mellitus have yielded promising results. This review discusses the common animal models of type 1 diabetes mellitus, mesenchymal stem cell immunotherapy mechanisms, and combined diabetes treatments. Its purpose is to summarize the current evidence on mesenchymal stem cell use in type 1 diabetes, providing insights for further research directions.

MAIN FINDINGS

Current studies show that mesenchymal stem cells play an active role in the treatment of type 1 diabetes; however, clinical trials remain rare, necessitating more basic and preclinical research to identify optimal treatments.

CONCLUSIONS

Mesenchymal stem cells can treat type 1 diabetes through a variety of immune mechanisms and also play a positive role in the treatment of type 1 diabetes complications. At the same time, it can be combined with other therapies to play a better therapeutic role.

摘要

背景

间充质干细胞因其多能性、免疫调节能力以及组织和血管再生作用而备受关注。它们被用于治疗1型糖尿病,有助于改善胰腺环境和胰岛素分泌。1型糖尿病主要影响儿童和青少年,起病早且病程长,可导致多器官并发症及相关病症。使用间充质干细胞治疗1型糖尿病的研究已取得了有前景的结果。本综述讨论了1型糖尿病的常见动物模型、间充质干细胞免疫治疗机制以及联合糖尿病治疗方法。其目的是总结目前关于间充质干细胞用于1型糖尿病治疗的证据,为进一步的研究方向提供见解。

主要发现

目前的研究表明,间充质干细胞在1型糖尿病治疗中发挥着积极作用;然而,临床试验仍然很少,需要更多的基础和临床前研究来确定最佳治疗方法。

结论

间充质干细胞可通过多种免疫机制治疗1型糖尿病,并且在1型糖尿病并发症的治疗中也发挥着积极作用。同时,它可以与其他疗法联合使用以发挥更好的治疗作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f9d/12175325/f5b1333a1555/13287_2025_4431_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f9d/12175325/f726b224e3ab/13287_2025_4431_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f9d/12175325/c74d58953b17/13287_2025_4431_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f9d/12175325/c53203fe00c3/13287_2025_4431_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f9d/12175325/f5b1333a1555/13287_2025_4431_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f9d/12175325/f726b224e3ab/13287_2025_4431_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f9d/12175325/c74d58953b17/13287_2025_4431_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f9d/12175325/c53203fe00c3/13287_2025_4431_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f9d/12175325/f5b1333a1555/13287_2025_4431_Fig4_HTML.jpg

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本文引用的文献

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Extracellular vesicles derived from mesenchymal stem cells alleviate renal fibrosis via the miR-99b-5p/mTOR/autophagy axis in diabetic kidney disease.间充质干细胞衍生的细胞外囊泡通过miR-99b-5p/mTOR/自噬轴减轻糖尿病肾病中的肾纤维化。
Stem Cell Res Ther. 2025 Mar 18;16(1):142. doi: 10.1186/s13287-025-04265-x.
2
Mesenchymal stem cell-derived extracellular vesicles alleviate autism by regulating microglial glucose metabolism reprogramming and neuroinflammation through PD-1/PD-L1 interaction.间充质干细胞衍生的细胞外囊泡通过PD-1/PD-L1相互作用调节小胶质细胞葡萄糖代谢重编程和神经炎症来减轻自闭症。
J Nanobiotechnology. 2025 Mar 11;23(1):201. doi: 10.1186/s12951-025-03250-z.
3
Activation of angiopoietin-1 signaling with engineering mesenchymal stem cells promoted efficient angiogenesis in diabetic wound healing.
通过工程化间充质干细胞激活血管生成素-1信号通路可促进糖尿病伤口愈合中的高效血管生成。
Stem Cell Res Ther. 2025 Feb 21;16(1):75. doi: 10.1186/s13287-025-04207-7.
4
Mesenchymal stem cells from perinatal tissues promote diabetic wound healing via PI3K/AKT activation.围产期组织来源的间充质干细胞通过激活PI3K/AKT促进糖尿病伤口愈合。
Stem Cell Res Ther. 2025 Feb 8;16(1):59. doi: 10.1186/s13287-025-04141-8.
5
Proteomic profiling of iPSC and tissue-derived MSC secretomes reveal a global signature of inflammatory licensing.诱导多能干细胞和组织来源间充质干细胞分泌组的蛋白质组学分析揭示了炎症许可的整体特征。
NPJ Regen Med. 2025 Feb 4;10(1):7. doi: 10.1038/s41536-024-00382-y.
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Bone marrow mesenchymal stem cell-derived extracellular vesicles alleviate diabetes-exacerbated atherosclerosis via AMPK/mTOR pathway-mediated autophagy-related macrophage polarization.骨髓间充质干细胞衍生的细胞外囊泡通过AMPK/mTOR途径介导的自噬相关巨噬细胞极化减轻糖尿病加重的动脉粥样硬化。
Cardiovasc Diabetol. 2025 Jan 29;24(1):48. doi: 10.1186/s12933-025-02603-0.
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The Effect of Conditioned Medium from Angiopoietin-1 Gene-Modified Mesenchymal Stem Cells on Wound Healing in a Diabetic Mouse Model.血管生成素-1基因修饰的间充质干细胞条件培养基对糖尿病小鼠模型伤口愈合的影响
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Placental mesenchymal stem cells suppress inflammation and promote M2-like macrophage polarization through the IL-10/STAT3/NLRP3 axis in acute lung injury.胎盘间充质干细胞通过IL-10/STAT3/NLRP3轴抑制急性肺损伤中的炎症并促进M2样巨噬细胞极化。
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Novel Gene Biomarkers Specific to Human Mesenchymal Stem Cells Isolated from Bone Marrow.新型骨髓间充质干细胞特异性基因标志物。
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Clusterin-carrying extracellular vesicles derived from human umbilical cord mesenchymal stem cells restore the ovarian function of premature ovarian failure mice through activating the PI3K/AKT pathway.由人脐带间充质干细胞衍生的携带簇集蛋白的细胞外囊泡通过激活 PI3K/AKT 通路恢复卵巢早衰小鼠的卵巢功能。
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