2016 ADA:猪胰岛移植可能成为糖尿病治疗新方向

2016-06-17 佚名 MediEndo周讯

第76届美国糖尿病协会科学年会上,美国匹兹堡大学医学院外科教授David K.C. Cooper博士带来了他们的研究成果:人-猪异种器官移植可能是人胰岛细胞移植的可行替代选择。


第76届美国糖尿病协会科学年会上,美国匹兹堡大学医学院外科教授David K.C. Cooper博士带来了他们的研究成果:人-猪异种器官移植可能是人胰岛细胞移植的可行替代选择。

Cooper博士说,异种器官移植比同种异体器官移植更为复杂,其中的差异包括先天性免疫反应、适应性免疫反应、凝血功能障碍和持续存在的炎症问题等,而猪的基因工程研究可能为这些问题的解决带来曙光。

现有两种猪胰岛移植方法

一种是通过生物材料将胰岛封装,避免胰岛受到其他细胞(如淋巴细胞)的伤害。这种方法不需要免疫抑制治疗,但因为胰岛周围的屏障会留下一些通道以便胰岛素的释放,不过这也给抗体和细胞因子的进入提供了机会。

另一种方法则是暴露胰岛,使用免疫抑制防止排斥反应。这种方法的可行性已经在动物模型研究中得到证实。

猪胰岛移植成功的好处

如果猪胰岛细胞移植能够成功,那么将会是糖尿病患者的福音,意味着患者不再需要胰岛素注射治疗,避免了低血糖风险,同时降低了糖尿病相关并发症的风险。

Cooper博士团队的研究 

Cooper博士团队使用猴子作为猪胰岛移植的对象,但是只有约三分之一的猴子可以进行,其他猴子很早就失去了移植机会。

Cooper博士和他的同事们正在考虑使用胃黏膜下层空间作为一种替代注射地点,通过内窥镜在该处注射胰岛。

在临床试验中,研究人员需要保证“干净”的猪,养在生物安全的住房里或隔离喂养,还要测定猪胰岛细胞功能,制定临床可接受的免疫抑制方案等。Cooper博士说,随着猪胰岛异种移植研究的不断进展,FDA批准糖尿病患者的猪胰岛细胞移植试验可能就不远了。

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    2018-06-27 1e145228m78(暂无匿称)

    学习了.谢谢作者分享!

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  4. [GetPortalCommentsPageByObjectIdResponse(id=327457, encodeId=24d532e45741, content=学习了.谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed Jun 27 14:17:18 CST 2018, time=2018-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1989946, encodeId=4c881989946ef, content=<a href='/topic/show?id=3207e6735ae' target=_blank style='color:#2F92EE;'>#糖尿病治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76735, encryptionId=3207e6735ae, topicName=糖尿病治疗)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e6a1280, createdName=zhanglin3079, createdTime=Tue Mar 28 16:19:00 CST 2017, time=2017-03-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1661177, encodeId=9e8416611e71a, content=<a href='/topic/show?id=e5548386534' target=_blank style='color:#2F92EE;'>#胰岛移植#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83865, encryptionId=e5548386534, topicName=胰岛移植)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e75025222144, createdName=晓辰, createdTime=Tue Mar 21 16:19:00 CST 2017, time=2017-03-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1749613, encodeId=fd5a1e496138c, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, createdName=baoya, createdTime=Fri Aug 19 09:19:00 CST 2016, time=2016-08-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=132128, encodeId=ee20132128ce, content=文章很好,非常有益, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Wed Sep 21 08:30:00 CST 2016, time=2016-09-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=91297, encodeId=808f9129e4a, content=好文章。继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160625/IMG576E95DED38602373.jpg, createdBy=a3fa1473764, createdName=hainewhy, createdTime=Mon Jun 27 08:45:00 CST 2016, time=2016-06-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264593, encodeId=850a12645933f, content=<a href='/topic/show?id=150f19229c' target=_blank style='color:#2F92EE;'>#ADA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1922, encryptionId=150f19229c, topicName=ADA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Sun Jun 19 07:19:00 CST 2016, time=2016-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1555237, encodeId=8710155523ea1, content=<a href='/topic/show?id=f367681e434' target=_blank style='color:#2F92EE;'>#猪#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68174, encryptionId=f367681e434, topicName=猪)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9ec214601917, createdName=muzishouyi, createdTime=Sun Jun 19 07:19:00 CST 2016, time=2016-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=90401, encodeId=7de390401dd, content=好文章,值得学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=53751677671, createdName=沉心多思, createdTime=Sat Jun 18 18:11:00 CST 2016, time=2016-06-18, status=1, ipAttribution=)]
    2016-08-19 baoya
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    2016-09-21 1e10c84am36(暂无匿称)

    文章很好,非常有益

    0

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    2016-06-27 hainewhy

    好文章。继续关注

    0

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    2016-06-19 般若傻瓜
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    2016-06-19 muzishouyi
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    2016-06-18 沉心多思

    好文章,值得学习

    0

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