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糖尿病的干细胞治疗:进展、前景与挑战。

Stem cell therapy for diabetes: Advances, prospects, and challenges.

作者信息

Zuo Dian-Bao, Wang Chun-Hua, Sang Ming, Sun Xiao-Dong, Chen Guo-Ping, Ji Kang-Kang

机构信息

Research Center for Translational Medicine, Xiangyang No. 1 People's Hospital, Hubei University of Medicine, Xiangyang 441000, Hubei Province, China.

Central Laboratory, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang 441021, Hubei Province, China.

出版信息

World J Diabetes. 2025 Jul 15;16(7):107344. doi: 10.4239/wjd.v16.i7.107344.

DOI:10.4239/wjd.v16.i7.107344
PMID:40697599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12278097/
Abstract

Diabetes mellitus, a global epidemic, represents a major public health threat. Stem cell therapy, with its regenerative capacity, has emerged as a promising approach for diabetes mellitus management. This paper reviews recent advancements, prospects, and challenges in stem cell-based treatments for diabetes mellitus, focusing on the applications of induced pluripotent stem cells and mesenchymal stem cells, the development of pancreatic islet organoids, and the potential for personalized medicine. The review critically assesses the efficacy and safety of stem cell therapies in clinical trials and examines their applications in both type 1 and type 2 diabetes mellitus. Despite the promising potential, challenges such as safety concerns, transplantation efficiency, ethical considerations, and immune rejection remain prevalent. Lastly, the paper discusses future directions, including the integration of stem cell therapy with other treatments and the advancement of personalized therapeutic strategies, offering new perspectives and hope for diabetes mellitus management.

摘要

糖尿病是一种全球性的流行病,是对公众健康的重大威胁。具有再生能力的干细胞疗法已成为治疗糖尿病的一种有前景的方法。本文综述了基于干细胞治疗糖尿病的最新进展、前景和挑战,重点关注诱导多能干细胞和间充质干细胞的应用、胰岛类器官的发展以及个性化医疗的潜力。该综述批判性地评估了干细胞疗法在临床试验中的疗效和安全性,并研究了它们在1型和2型糖尿病中的应用。尽管潜力巨大,但安全问题、移植效率、伦理考量和免疫排斥等挑战仍然普遍存在。最后,本文讨论了未来的方向,包括将干细胞疗法与其他治疗方法相结合以及推进个性化治疗策略,为糖尿病管理提供了新的视角和希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd24/12278097/8526b23f6e42/wjd-16-7-107344-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd24/12278097/8526b23f6e42/wjd-16-7-107344-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd24/12278097/8526b23f6e42/wjd-16-7-107344-g001.jpg

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本文引用的文献

1
Paxlovid-induced tacrolimus toxicity in a 16-year-old male with steroid-resistant nephrotic syndrome.帕罗韦德致一名16岁患类固醇抵抗型肾病综合征男性的他克莫司中毒
Pediatr Nephrol. 2025 Aug;40(8):2497-2499. doi: 10.1007/s00467-025-06686-5. Epub 2025 Feb 25.
2
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.
3
Recent advances in adipose-derived mesenchymal stem cell-derived exosomes for regulating macrophage polarization.
脂肪来源间充质干细胞衍生外泌体在调节巨噬细胞极化方面的最新进展
Front Immunol. 2025 Feb 3;16:1525466. doi: 10.3389/fimmu.2025.1525466. eCollection 2025.
4
Worldwide trends in diabetes prevalence and treatment from 1990 to 2022: a pooled analysis of 1108 population-representative studies with 141 million participants.全球糖尿病患病率和治疗趋势 1990 年至 2022 年:基于 14100 万参与者的 1108 项人群代表性研究的汇总分析。
Lancet. 2024 Nov 23;404(10467):2077-2093. doi: 10.1016/S0140-6736(24)02317-1. Epub 2024 Nov 13.
5
Overview of oxidative stress and inflammation in diabetes.糖尿病中氧化应激和炎症的概述。
J Diabetes. 2024 Oct;16(10):e70014. doi: 10.1111/1753-0407.70014.
6
Unveiling the immunogenicity of allogeneic mesenchymal stromal cells: Challenges and strategies for enhanced therapeutic efficacy.揭示同种异体间充质基质细胞的免疫原性:增强治疗效果的挑战与策略。
Biomed Pharmacother. 2024 Nov;180:117537. doi: 10.1016/j.biopha.2024.117537. Epub 2024 Oct 13.
7
Bone marrow mesenchymal stem cell and mononuclear cell combination therapy in patients with type 2 diabetes mellitus: a randomized controlled study with 8-year follow-up.骨髓间充质干细胞和单个核细胞联合治疗 2 型糖尿病患者:一项 8 年随访的随机对照研究。
Stem Cell Res Ther. 2024 Sep 30;15(1):339. doi: 10.1186/s13287-024-03907-w.
8
Transplantation of chemically induced pluripotent stem-cell-derived islets under abdominal anterior rectus sheath in a type 1 diabetes patient.化学诱导多能干细胞源性胰岛在 1 型糖尿病患者腹部前正中线皮下的移植。
Cell. 2024 Oct 31;187(22):6152-6164.e18. doi: 10.1016/j.cell.2024.09.004. Epub 2024 Sep 25.
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Acta Biomater. 2024 Oct 1;187:149-160. doi: 10.1016/j.actbio.2024.08.047. Epub 2024 Sep 1.
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Recent progress in modeling and treating diabetes using stem cell-derived islets.利用干细胞衍生胰岛进行糖尿病建模和治疗的最新进展。
Stem Cells Transl Med. 2024 Oct 10;13(10):949-958. doi: 10.1093/stcltm/szae059.