过表达胰岛素和ERRγ的人dgHPSCs移植可有效降低t2dm患者血糖和HbA1c水平,增加c肽分泌,修复冠心病并发症(病例#1-A)

Taihua Wang, Xin Wang, Bailing Zhang, M. Fan, Xingqi Chen, Xiaohui Cui, Lina Zhao, Zhenzhen Yang, Xinyi Shi, Rongrong Li, Qingchang Fang, Xiaojuan Diao, Limin Zhang, Guoke Yang, Y. Meng, Gang Zhang
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引用次数: 4

摘要

每日注射胰岛素是一种广泛使用的治疗人类糖尿病的方法。然而,外源性胰岛素注射不能有效预防糖尿病并发症的发生。最近,我们报道了过度表达人胰岛素或雌激素相关受体γ (ERRγ)基因的直接生成的人多能干细胞(dgHPSCs)的移植不仅可以降低人糖尿病患者的血糖水平,还可以恢复人胰腺β细胞的功能,因此有可能预防患者发生糖尿病并发症。本研究进一步报道了过表达胰岛素(INS)和ERRγ基因的dgHPSCs移植可显著降低2型糖尿病(T2D)患者的葡萄糖和HbA1c水平,增加c肽分泌,修复冠心病并发症。我们的数据证明,该策略可以在体外分泌高水平的胰岛素,在体内增加c肽(C-P)的分泌,降低患者的葡萄糖(GLU)和HbA1c水平,并有效修复患者的糖尿病并发症。因此,我们的报告是第一个预防和逆转人类糖尿病并发症,并有可能完全治愈人类T2D。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transplantation of Human dgHPSCs Overexpressing Insulin and ERRγ can Efficiently Decrease the Glucose and HbA1c levels, Increase the Secretion of C-peptide and Repair the Complications of Coronary Heart Disease in T2D Patient (Case #1-A)
Daily injection of insulin is a widely used treatment for human diabetes. Yet, exogenous insulin injection cannot efficiently prevent the development of diabetes complications. Recently, we reported that the transplantation of directly-generated human pluripotent stem cells (dgHPSCs) overexpressing human insulin or estrogen-related receptor γ (ERRγ) gene can not only reduce the glucose levels of human diabetes patients, but also restore the function of human pancreatic β cells, and therefore with the potential to prevent the patients from developing diabetic complications. Here, we further reported that transplantation of dgHPSCs overexpressing insulin (INS) and ERRγ genes can significantly decrease the glucose and HbA1c levels and increase the secretion of C-peptide and repair the complication of coronary heart disease in type 2 diabetes (T2D) patient. Our data proved that this strategy can secrete high level insulin in vitro, increase the secretion of C-peptide (C-P) in vivo, decrease the patient’s glucose (GLU) and HbA1c levels, and repair the patient’s diabetic complications efficiently. Thus, our report is the first to prevent and reverse human diabetic complications and with the potential to completely cure human T2D.
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