基础医学与临床 ›› 2019, Vol. 39 ›› Issue (4): 529-535.

• 研究论文 • 上一篇    下一篇

糖尿病患者血液细胞来源多能干细胞诱导分化为胰岛素分泌细胞

黄红莉,梁淑贞,林茂,陈继冰,牛立志   

  1. 暨南大学附属复大肿瘤医院
  • 收稿日期:2018-05-21 修回日期:2018-08-01 出版日期:2019-04-05 发布日期:2019-03-26
  • 通讯作者: 牛立志 E-mail:little.silly.ding@qq.com
  • 基金资助:
    广州市海珠区科技计划项目

Differentiation of induced pluripotent stem cells from diabetes patients blood cells into insulin-producing cells

  • Received:2018-05-21 Revised:2018-08-01 Online:2019-04-05 Published:2019-03-26

摘要: 目的 建立和鉴定1型糖尿病(T1DM)患者血液细胞来源诱导多能干细胞(iPSCs),研究其在体外诱导分化为胰岛素分泌细胞(IPCs)的潜能及对糖尿病小鼠的治疗效果。方法 将表达Oct4、Sox2、Lin28、L-Myc和Klf4转录因子的oriP/EBNAl附加体电转染T1DM患者外周血中红系祖细胞使其重编程获得iPSCs,通过形态、核型鉴定、碱性磷酸酶染色、RT-PCR和体外畸胎瘤实验检测其干细胞多能性特性。通过4个阶段诱导iPSCs分化为IPCs,对获得的细胞进行RT-PCR检测和葡萄糖刺激实验,将其移植入C57BL/6J雄性糖尿病小鼠左肾包膜下,监测血糖、体重和糖耐量变化。结果 获得的iPSCs核型正常,碱性磷酸酶染色呈阳性,表达干细胞多能性基因Oct4、Sox2、Lin28、L-Myc和Klf4,畸胎瘤实验可分化为三胚层细胞。获得的IPCs表达胰岛β细胞特异性基因Pdx-1、Insulin和Nkx6.1,在葡萄糖刺激下分泌C肽。移植后,糖尿病小鼠血糖降低,体质量恢复,对葡萄糖调控能力增强。结论 T1DM患者血液细胞的iPSCs可诱导分化为IPCs,移植至1型糖尿病小鼠体内具有治疗作用。

关键词: 关键词:血液细胞, 诱导多能干细胞, 胰岛素分泌细胞, Ⅰ型糖尿病

Abstract: Objective To generate and identify iPSCs from T1DM patient’s blood cells and to induce it into insulin-producing cells (IPCs) to treat the T1DM mice. Methods Erythroid progenitor cells from T1DM patient were infected by episomal vectors with an oriP/Epstein-Barr nuclear antigen-1 (oriP/Epstein-Barr nuclear antigen-1, oriP/EBNA-1) backbone for delivering the reprogramming genes Oct4, Sox2, Lin28, L-Myc and Klf4 to generate iPSCs. The multipotency of the iPSCs were verified by karyotyping analysis, alkaline phosphatase staining, RT-PCR and teratoma test. It was induced to differentiate into IPCs by 4 stages. To identify the IPCs by determining the marker genes expression of pancreatic β cell and Glucose-stimulated C-peptide release test. The IPCs were transplanted into the capsul of left kidney in the male C57BL/6J diabetic mouse model. Blood glucose and weight were continuously monitired. The glucose tolerance test was performed. Results The obtained iPSCs carried normal karyotype and expressed the pluripotent genes Oct4, Sox2, Lin28, L-Myc and Klf4. Alkaline phosphatase were positive. In the teratoma test, three germ layer cells were found. The obtained IPCs expressed the marker genes Pdx-1, Insulin and Nkx6.1. The glucose stimulated induced the secretion of C-peptide. The blood glucose was decreased and the weight was increasd after transplantation to the diabetic mice. The ability of regulating glucose was improved. Conclusion IPSCs form T1DM patient’s blood cells may induce into IPCs. It has a therapeutic effect after transplanting to the T1DM mice.

Key words: Key words:blood cells, induced pluripotent stem cells, insulin-producing cells, type 1 diabetes