利用干细胞治疗糖尿病及其并发症--综述

Łukasz Ochyra, A. Łopuszyńska
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摘要

导言和目的 糖尿病是一种因胰岛素作用或分泌受损而导致的疾病。目前患者人数约为 4.22 亿,每年约有 150 万人直接死于这种疾病。糖尿病大大降低了人们的生活质量,如果控制不当,还会导致严重的并发症。间充质干细胞是能够分化的多能细胞。它们具有自我更新能力和调节功能。有报道称,它们可用于治疗这种疾病。本综述旨在介绍一种新的治疗方法及其可能的效果。材料与方法 该综述基于2015-2023年从PubMed科学数据库中获取的文章,使用的关键词如下:糖尿病、干细胞、糖尿病并发症。结果 植入的干细胞能够转化为产生和分泌胰岛素的细胞,还能更好地控制血糖。干细胞还能缓解慢性炎症,减少纤维化。考虑到长期糖尿病会引起并发症,干细胞的使用可能会改善特定器官和组织的功能,如肾脏、心脏、眼睛和神经。研究还报告称,这些细胞对伤口和溃疡的愈合过程有积极作用。结论 干细胞是一种前景广阔的分析对象。它们可以控制血糖,对肾脏、心脏、眼睛和神经的功能有积极作用,并能加速伤口愈合,但还需要进一步广泛研究,以评估这种疗法的有效性和安全性。
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The use of stem cells in the treatment of diabetes mellitus and its complications - review
Introduction and purpose Diabetes is a disease resulting from impaired action or secretion of insulin. The number of patients currently amounts to approximately 422 million, and approximately 1.5 million deaths per year are directly attributed to this disease. Diabetes significantly reduces the quality of life and, if poorly controlled, can lead to serious complications. Mesenchymal stem cells are multipotent cells capable of differentiation. They have the ability to self-renew and have a modulating function. There are reports that they can be used in the treatment of this disease. The aim of the review was to present a new method of therapy and their possible effects. Material and methods The review was based on articles obtained from PubMed scientific database in the years 2015-2023, using the following keywords: diabetes mellitus, stem cells, diabetes complications. Results Implanted stem cells are able to transform into cells that produce and secrete insulin, and also enable better glycemic control. They can alleviate chronic inflammation and reduce fibrosis. Taking into account the complications that occur during long-term diabetes, the use of stem cells may be associated with improving the function of specific organs and tissues such as the kidneys, heart, eyes and nerves. Studies also report a positive effect of these cells on the healing process of wounds and ulcers. Conclusions Stem cells are a promising object of analysis. They can control glycemia and have a positive effect on the functioning of the kidneys, heart, eyes and nerves, and accelerate wound healing, but further, extensive research is needed to assess the effectiveness and safety of this therapy.
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