首页|Pancreatic β-cell failure,clinical implications,and therapeutic strategies in type 2 diabetes

Pancreatic β-cell failure,clinical implications,and therapeutic strategies in type 2 diabetes

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Pancreatic β-cell failure due to a reduction in function and mass has been defined as a primary contributor to the progression of type 2 diabetes(T2D).Reserving insulin-producing β-cells and hence restoring insulin production are gaining attention in trans-lational diabetes research,and β-cell replenishment has been the main focus for diabetes treatment.Significant findings in β-cell proliferation,transdifferentiation,pluripotent stem cell differentiation,and associated small molecules have served as promising strategies to regenerate β-cells.In this review,we summarize current knowledge on the mechanisms implicated in β-cell dynamic processes under physiological and diabetic conditions,in which genetic factors,age-related alterations,metabolic stresses,and compromised identity are critical factors contributing to β-cell failure in T2D.The article also focuses on recent advances in therapeutic strategies for diabetes treatment by promoting β-cell proliferation,inducing non-β-cell transdifferentiation,and reprograming stem cell differentiation.Although a significant challenge remains for each of these strategies,the recognition of the mechanisms responsible for β-cell development and mature endocrine cell plasticity and remarkable advances in the generation of exogenous β-cells from stem cells and single-cell studies pave the way for developing potential approaches to cure diabetes.

Pancreatic β-cell regenerationDiabetesInsulinDedifferentiationTransdifferentiationStem cell

Daxin Cui、Xingrong Feng、Siman Lei、Hongmei Zhang、Wanxin Hu、Shanshan Yang、Xiaoqian Yu、Zhiguang Su

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Molecular Medicine Research Center and Department of Endocrinology and Metabolism,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China

State Key Laboratory of Biotherapy,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China

Clinical Translational Innovation Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China

国家自然科学基金国家自然科学基金四川省科技计划National Clinical Research Center for Geriatrics,West China Hospital,Sichuan University

82270846817708142023JDRC0095Z20201010

2024

中华医学杂志(英文版)
中华医学会

中华医学杂志(英文版)

CSTPCD
影响因子:0.838
ISSN:0366-6999
年,卷(期):2024.137(7)
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