推进糖尿病管理:探索胰岛β细胞修复的潜力和挑战。

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastroenterology Pub Date : 2024-10-28 DOI:10.3748/wjg.v30.i40.4339
Mona Mohamed Ibrahim Abdalla
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引用次数: 0

摘要

糖尿病的特征是由于胰岛素缺乏或抵抗而导致的慢性高血糖,给全球健康造成了巨大负担。其发病机理的核心是胰岛β细胞功能障碍或丧失,而β细胞负责产生胰岛素。β细胞再生研究的最新进展为糖尿病治疗提供了前景广阔的策略,旨在恢复内源性胰岛素分泌,实现血糖控制。本综述探讨了β细胞功能的生理基础、最新科学进展以及将这些研究成果转化为临床应用所面临的挑战。它重点介绍了干细胞疗法、基因编辑技术和新型再生分子鉴定方面的主要进展。尽管潜力巨大,但这一领域仍面临重重障碍,如确保再生疗法的安全性和长期疗效、干细胞使用的伦理问题以及β细胞分化和整合的复杂性。综述强调了跨学科合作、增加资金投入、以患者为中心的方法以及将新疗法纳入综合护理战略对克服这些挑战的重要性。通过持续的研究与合作,β 细胞再生有可能彻底改变糖尿病护理,将慢性病转变为可控制甚至可治愈的疾病。
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Advancing diabetes management: Exploring pancreatic beta-cell restoration's potential and challenges.

Diabetes mellitus, characterized by chronic hyperglycemia due to insulin deficiency or resistance, poses a significant global health burden. Central to its pathogenesis is the dysfunction or loss of pancreatic beta cells, which are res-ponsible for insulin production. Recent advances in beta-cell regeneration research offer promising strategies for diabetes treatment, aiming to restore endogenous insulin production and achieve glycemic control. This review explores the physiological basis of beta-cell function, recent scientific advan-cements, and the challenges in translating these findings into clinical applications. It highlights key developments in stem cell therapy, gene editing technologies, and the identification of novel regenerative molecules. Despite the potential, the field faces hurdles such as ensuring the safety and long-term efficacy of regen-erative therapies, ethical concerns around stem cell use, and the complexity of beta-cell differentiation and integration. The review highlights the importance of interdisciplinary collaboration, increased funding, the need for patient-centered approaches and the integration of new treatments into comprehensive care strategies to overcome these challenges. Through continued research and collaboration, beta-cell regeneration holds the potential to revolutionize diabetes care, turning a chronic condition into a manageable or even curable disease.

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来源期刊
World Journal of Gastroenterology
World Journal of Gastroenterology 医学-胃肠肝病学
CiteScore
7.80
自引率
4.70%
发文量
464
审稿时长
2.4 months
期刊介绍: The primary aims of the WJG are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in gastroenterology and hepatology.
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