In vivo reprogramming of adult pancreatic exocrine cells to beta-cells.
In vivo reprogramming of adult pancreatic exocrine cells to beta-cells.
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DOI:
10.1038/nature07314
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发表时间:
2008-10-02
影响因子:
6.7
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中科院分区:
文献类型:
--
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One goal of regenerative medicine is to instructively convert adult cells into other cell types for tissue repair and regeneration. Although isolated examples of adult cell reprogramming are known, there is no general understanding of how to turn one cell type into another in a controlled manner. Here, using a strategy of re-expressing key developmental regulators in vivo, we identify a specific combination of three transcription factors (Ngn3, Pdx1 and MafA) that reprogram differentiated pancreatic exocrine cells in adult animals into cells that closely resemble β-cells. The induced β-cells are indistinguishable from endogenous islet β-cells in size, shape, and ultrastructure. They express genes essential for β-cell function and can ameliorate hyperglycemia by remodeling local vasculature and secreting insulin. This study provides an example of cellular reprogramming using defined factors in an adult organ and suggests a general paradigm for directing adult cell reprogramming without reversion to a pluripotent stem cell state.