15例自体外周血干细胞治疗2型糖尿病的新治疗策略:与肠促胰岛素- glp -1/GIP轴有关系吗?

C. Gargiulo, V. Pham, T. Huynh, V. Trieu, Nguyen Cd Kieu, M. Shiffman, M. Holterman, S. Aityan, L. Filgueira
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引用次数: 1

摘要

外周血干细胞(Peripheral blood stem cells, PB-SCs)可能是医学上最常见和最“被忽视”的干细胞,其临床应用可以追溯到1986年,目的是取代骨髓作为干细胞来源。这篇简短的手稿提供了对PB-SCs惊人世界的一般看法。从那时起,人们对PB-SCs进行了广泛的研究,结果揭示了一种非常特殊的生物学特性,导致它们在2型糖尿病(DM2)等退行性代谢疾病中的临床应用。根据已发表的数据,我们提出低血糖指数饮食(LGI饮食)和PB-SCs的结合可以通过对GLP-1/ gip -胰岛素轴的正向调节来显著改善葡萄糖代谢。我们已经阐明了LGI饮食结合PB-SCs对15个人葡萄糖耐量的有益影响。我们研究了自体PB-SCs后全身胰岛素敏感性、胰岛素和脂质谱的生理变化,随后进行了LGI饮食方案,这是治疗后葡萄糖清除的核心工具。因此,我们讨论了PB-SCs和LGI饮食对胰岛素、肠促胰岛素/GLP-1轴的调节和再生活性,以响应典型的DM2条件下的糖驱动。
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Novel Therapeutic Strategy in the Treatment of Diabetes Type 2, the Use of Autologous Peripheral Blood Stem Cells in 15 Patients: Is There Any Relation with the Incretin-GLP-1/GIP Axis?
Peripheral blood stem cells (PB-SCs) are probably the most common and the most “slighted” stem cells utilized in medicine, their clinical application is back to year 1986 with the intent of replacing BM as a stem-cell source. This brief manuscript provides a general view into the amazing world of PB-SCs. Since then PB-SCs have been widely studied and the outcomes revealed a very particular biological character that lead to their clinical use in degenerative metabolic diseases as diabetes type 2 (DM2). Based on published data, we have proposed that a combination of both low glycemic index diet (LGI diet) and PB-SCs would generate major improvements in glucose metabolism via positive modification on GLP-1/GIP-Insulin axis. We have elucidated the beneficial effects of the LGI diet combined with PB-SCs on glucose tolerance in 15 individuals. We examined physiologic changes in whole-body insulin sensitivity and insulin and lipid profile after autologous PB-SCs, followed by a LGI diet regimen, which is a central tool in glucose clearance in the post-treatment period. Thus, it was discussed the modulating and regenerative activity of PB-SCs and LGI diet on the insulin, incretin/GLP-1 axis in response to sugar drive typical of DM2 condition.
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