The promise of stem cell-derived islet replacement therapy.

The promise of stem cell-derived islet replacement therapy.
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DOI:
10.1007/s00125-020-05367-2
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发表时间:
2021-05
期刊:
影响因子:
8.2
通讯作者:
Melton D
Melton D
中科院分区:
医学1区
文献类型:
--
作者:
Melton D

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目前,胰岛素依赖者的治疗需要多次胰岛素注射,有时需要使用胰岛素泵,并定期监测血糖。改良胰岛素的可用性,每种胰岛素在不同的时间具有活性峰值,改善了糖尿病管理。另一方面,已经有令人印象深刻的结果,导致胰岛素依赖性的尸体胰岛移植加上免疫抑制。这篇评论的重点是细胞移植治疗糖尿病的可能性,特别是使用多能干细胞,通过定向分化产生几乎无限和均匀的人类胰岛样簇供应。本文还对提高人内分泌细胞体外分化水平以研究内分泌功能及其临床应用的前景进行了讨论。本文的在线版本(10.1007/s 00125 -020-05367-2)包含一组可供下载的幻灯片。
Present-day treatments for people that are insulin dependent require multiple insulin injections, sometimes with an insulin pump, coupled with regular blood glucose monitoring. The availability of modified insulins, each with peaks of activity at varying times, has improved diabetes management. On the other hand, there have been impressive results leading to insulin independence by transplantation of cadaveric islets coupled with immune suppression. This review focuses on the possibility of treating diabetes with cellular transplants, specifically with the use of pluripotent stem cells, to produce a virtually unlimited and uniform supply of human islet-like clusters by directed differentiation. Prospects for improving the in vitro differentiation of human endocrine cells for the study of endocrine function and their possible clinical uses are also discussed. The online version of this article (10.1007/s00125-020-05367-2) contains a slideset of the figures for download.
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