Cell-based treatments for insulin-dependent diabetes (IDD) may provide more physiologic regulation of blood glucose levels than daily insulin injections, thereby reducing the occurrence of secondary complications associated with diabetes. An autologous cell source is especially attractive for regulatory and ethical reasons in addition to eliminating the need for immunosuppression. This study uses non-beta-cells, genetically modified for physiologic insulin secretion. Enteroendocrine L-cells, exhibit regulated secretion in response to physiologic stimuli and their endogenous products are fully compatible with prandial metabolism. Murine GLUTag L-cells were transfected with a plasmid co-expressing human insulin and neomycin resistance and the stable cell line, GLUTag-INS, was established. Secretion properties of GLUTag-INS cells were investigated in vitro through induced secretion tests using meat hydrolysate or 3-isobutyl-1-methylxanthine and forskolin as secretagogues. GLUTag-INS cells rapidly co-secreted recombinant insulin and endogenous glucagon-like peptide in response to metabolic cues from the surrounding medium and demonstrated efficient processing of proinsulin to insulin.

译文

基于细胞的胰岛素依赖型糖尿病 (IDD) 治疗可能比每天注射胰岛素提供更多的血糖生理调节,从而减少与糖尿病相关的继发性并发症的发生。除了消除免疫抑制的需要外,自体细胞来源出于监管和伦理原因特别有吸引力。这项研究使用基因修饰的非 β 细胞进行生理性胰岛素分泌。肠内分泌L细胞在生理刺激下表现出调节的分泌,其内源性产物与饮食代谢完全兼容。用共表达人胰岛素和新霉素抗性的质粒转染鼠GLUTag L细胞,并建立了稳定的细胞系GLUTag-INS。使用肉水解物或3-异丁基-1-甲基黄嘌呤和forskolin作为促分泌剂,通过诱导分泌试验,在体外研究了GLUTag-INS细胞的分泌特性。GLUTag-INS细胞响应周围培养基的代谢线索迅速共同分泌重组胰岛素和内源性胰高血糖素样肽,并证明了胰岛素原向胰岛素的有效加工。

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