2015年3月22日訊 /生物谷BIOON/ --近日,來自加拿大的科學家在國際期刊Stem Cell Reports在線發表了他們的最新研究成果,他們發現胰腺前體細胞移植對於II型糖尿病治療具有良好效果,與糖尿病治療藥物聯合使用,治療效果更加明顯,這項研究表明基於幹細胞技術的治療方法或許是治療II型糖尿病的一種可行方法。
人類胚胎幹細胞誘導的胰腺前體細胞能夠有效逆轉I型糖尿病動物模型的高血糖症,但其對於II型糖尿病的治療作用仍未有報導。研究人員通過高脂餵養SCID-beige小鼠構建了患有II型糖尿病的免疫缺陷模型,研究發現在進行幹細胞移植後,高脂飲食刺激不會影響胰腺前體細胞向具有胰島素分泌功能的胰腺細胞的分化成熟過程,並且這種細胞治療方法能夠改善接受了幹細胞移植的小鼠在高脂飲食餵養下的葡萄糖耐受性,但其治療效應要在幹細胞移植24周後才會顯現。
單純依靠幹細胞移植並不能完全改善飲食誘導的高血糖症和肥胖,因此研究人員對另一批II型糖尿病小鼠模型進行了胰腺前體細胞移植和糖尿病治療藥物的聯合治療,實驗結果表明,選取的三種糖尿病治療藥物結合幹細胞移植均能快速改善小鼠體重,並且幹細胞移植與西格列汀或二甲雙胍聯用在移植後12周就可改善小鼠高血糖症。
這項研究表明基於幹細胞技術的治療方法或許是治療糖尿病的一種有效選擇,與糖尿病治療藥物聯用會起到更好的治療效果。(生物谷Bioon.com)
Treating Diet-Induced Diabetes and Obesity with Human Embryonic Stem Cell-Derived Pancreatic Progenitor Cells and Antidiabetic Drugs
Jennifer E. Bruin, Nelly Saber, Natalie Braun, Jessica K. Fox, Majid Mojibian, Ali Asadi, Campbell Drohan, Shannon O'Dwyer, Diana S. Rosman-Balzer, Victoria A. Swiss, Alireza Rezania, Timothy J. Kieffer
Human embryonic stem cell (hESC)-derived pancreatic progenitor cells effectively reverse hyperglycemia in rodent models of type 1 diabetes, but their capacity to treat type 2 diabetes has not been reported. An immunodeficient model of type 2 diabetes was generated by high-fat diet (HFD) feeding in SCID-beige mice. Exposure to HFDs did not impact the maturation of macroencapsulated pancreatic progenitor cells into glucose-responsive insulin-secreting cells following transplantation, and the cell therapy improved glucose tolerance in HFD-fed transplant recipients after 24 weeks. However, since diet-induced hyperglycemia and obesity were not fully ameliorated by transplantation alone, a second cohort of HFD-fed mice was treated with pancreatic progenitor cells combined with one of three antidiabetic drugs. All combination therapies rapidly improved body weight and co-treatment with either sitagliptin or metformin improved hyperglycemia after only 12 weeks. Therefore, a stem cell-based therapy may be effective for treating type 2 diabetes, particularly in combination with antidiabetic drugs.