Stem cell approaches for the treatment of type 1 diabetes mellitus.

Stem cell approaches for the treatment of type 1 diabetes mellitus.
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DOI:
10.1016/j.trsl.2010.06.005
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发表时间:
2010-09
期刊:
Translational research : the journal of laboratory and clinical medicine
影响因子:
--
通讯作者:
Chan L
Chan L
中科院分区:
其他
文献类型:
--
作者:
Wagner RT;Lewis J;Cooney A;Chan L

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1型糖尿病的特征是几乎完全缺乏胰腺B细胞。目前的治疗包括胰岛素注射和胰岛移植在临床上并不令人满意。为了开发治疗1型糖尿病的方法,我们必须找到一种逆转自身免疫的方法,这是B细胞破坏的基础,以及产生新的B细胞的有效策略。本文综述了不同的方法,正在采取生产新的B细胞。重点一直放在选择正确的非b细胞群体,无论是在体内或体外,作为起始材料。不同的细胞类型,包括成体干细胞、其他类型的原位祖细胞、甚至分化的细胞群,以及胚胎干细胞和诱导的多能干细胞,将需要不同的胰岛和B细胞诱导方法。我们讨论了不同策略的利弊,被用来重新发明胰腺B细胞。
Type 1 diabetes is characterized by near total absence of pancreatic b cells. Current treatments consisting of insulin injections and islet transplantation are clinically unsatisfactory. In order to develop a cure for type 1 diabetes, we must find a way to reverse autoimmunity, which underlies b cell destruction, as well as an effective strategy to generate new b cells. This article reviews the different approaches that are being taken to produce new b cells. Much emphasis has been placed on selecting the right non-b cell population, either in vivo or in vitro, as the starting material. Different cell types, including adult stem cells, other types of progenitor cells in situ, and even differentiated cell populations, as well as embryonic stem cells and induced pluripotent stem cells, will require different methods for islet and b cell induction. We discussed the pros and cons of the different strategies that are being used to re-invent the pancreatic b cell.
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