Cell Metab:糖尿病治疗新思路:让胰岛β细胞“High”起来

2017-06-21 佚名 学术经纬

最近,加州大学圣地亚哥分校(UCSD)的研究人员采用单细胞RNA测序,首次揭示了调控胰岛β细胞生长的信号通路,有望以此诱导其再生,从而为糖尿病的治疗带来了新的线索。这一成果发表在《细胞》子刊《Cell Metabolism》上。

最近,加州大学圣地亚哥分校(UCSD)的研究人员采用单细胞RNA测序,首次揭示了调控胰岛β细胞生长的信号通路,有望以此诱导其再生,从而为糖尿病的治疗带来了新的线索。这一成果发表在《细胞》子刊《Cell Metabolism》上。

“如果我们能够找到一种使β细胞生长的药物,就可能改善糖尿病患者的血糖水平,”文章通讯作者Maike Sander教授说:“这些人通常有残存的β细胞,但不足以维持正常的血糖水平。”


▲文章通讯作者Maike Sander教授(图片来源:UCSD)

当婴儿还在母体内时,β细胞就已在增殖,并在出生后不久就具备了血糖控制能力。随着年龄的增长,胰岛β细胞的增殖会越来越少,直到所有的β细胞中只有1%具有分裂能力。因此,科学家们一直在研究控制β细胞生长的分子机制,希望找到新的治疗方法,以帮助糖尿病患者恢复血糖控制能力。

研究者对出生后一个月内五个不同时间点的小鼠进行了胰岛β细胞取样,对其进行单细胞RNA测序,以得到高分辨率的转录组连续动态变化。结果显示,出生后的胰岛β细胞群体在基因转录上有着高度的异质性。其中,具有分裂能力的非成熟β细胞有着与众不同的特性,包括高度活跃的氨基酸和线粒体代谢,以及Srf/Jun/Fos转录因子的高表达。实验显示,非成熟β细胞中高度活跃的代谢、活性氧和Srf/Jun/Fos转录因子的活动在推动其细胞增殖上具有发挥着重要角色。随着年龄的增长,胰岛β细胞内的氨基酸和活性氧水平会不断下降。


▲单细胞分析揭示胰岛β细胞增殖促进机制(图片来源:《Cell Metabolism》)

“没有人在之前做过这样的分析,因为1%或更少的分裂β细胞被99%的不分裂β细胞所掩盖,”Maike Sander教授说:“新的技术使得我们能更全面地了解不同增殖状态下单个β细胞的特征,从而了解是怎样的机制能让β细胞进入到细胞分裂状态,并获得开发可激活相关通路的药物的线索。”


▲成熟和非成熟胰岛β细胞对比(图片来源:《Cell Metabolism》)

当然,激活胰岛β细胞的生长是否可成为糖尿病的治疗策略仍然有待证实,但这一研究提供了验证这一可能性的新线索。

原始出处:

[1] Zeng C, Mulas F et al.Pseudotemporal Ordering of Single Cells Reveals Metabolic Control of Postnatal b Cell Proliferation. Cell Metab. 2017 May 2;25(5):1160-1175.e11.

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    2017-10-14 柳叶一刀
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    2018-05-04 baoya
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    2017-09-17 晓辰
  4. 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channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11582, encryptionId=4a391158248, topicName=MET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Sat Feb 17 22:30:00 CST 2018, time=2018-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1960276, encodeId=c36b19602e62f, content=<a href='/topic/show?id=dbe6445416' target=_blank style='color:#2F92EE;'>#CEL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4454, encryptionId=dbe6445416, topicName=CEL)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3ff68, createdName=维他命, createdTime=Wed May 30 07:30:00 CST 2018, time=2018-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2081298, encodeId=447b2081298ea, content=<a href='/topic/show?id=010e8833a1' target=_blank style='color:#2F92EE;'>#High#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8833, encryptionId=010e8833a1, topicName=High)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Wed Jan 31 06:30:00 CST 2018, time=2018-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1870017, encodeId=dcff18e001781, content=<a href='/topic/show?id=fd764459a8' target=_blank style='color:#2F92EE;'>#Cell#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4459, encryptionId=fd764459a8, topicName=Cell)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=524d95, createdName=zhaozhouchifen, createdTime=Thu Feb 15 06:30:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618857, encodeId=1e96161885e1e, content=<a href='/topic/show?id=007419239ca' target=_blank style='color:#2F92EE;'>#β细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19239, encryptionId=007419239ca, topicName=β细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b69919964433, createdName=ms24272190615788285182, createdTime=Fri Jun 23 05:30:00 CST 2017, time=2017-06-23, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1887651, encodeId=2e56188e65111, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Oct 14 10:30:00 CST 2017, time=2017-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1749754, encodeId=30551e4975492, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, 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channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11582, encryptionId=4a391158248, topicName=MET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=18fc139, createdName=一闲, createdTime=Sat Feb 17 22:30:00 CST 2018, time=2018-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1960276, encodeId=c36b19602e62f, content=<a href='/topic/show?id=dbe6445416' target=_blank style='color:#2F92EE;'>#CEL#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4454, encryptionId=dbe6445416, topicName=CEL)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3ff68, createdName=维他命, createdTime=Wed May 30 07:30:00 CST 2018, time=2018-05-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2081298, encodeId=447b2081298ea, content=<a href='/topic/show?id=010e8833a1' 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createdName=zhaozhouchifen, createdTime=Thu Feb 15 06:30:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618857, encodeId=1e96161885e1e, content=<a href='/topic/show?id=007419239ca' target=_blank style='color:#2F92EE;'>#β细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19239, encryptionId=007419239ca, topicName=β细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b69919964433, createdName=ms24272190615788285182, createdTime=Fri Jun 23 05:30:00 CST 2017, time=2017-06-23, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1887651, encodeId=2e56188e65111, content=<a href='/topic/show?id=d56611584ec' target=_blank style='color:#2F92EE;'>#Meta#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11584, encryptionId=d56611584ec, topicName=Meta)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=778d36, createdName=柳叶一刀, createdTime=Sat Oct 14 10:30:00 CST 2017, time=2017-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1749754, encodeId=30551e4975492, content=<a href='/topic/show?id=be7c8385345' target=_blank style='color:#2F92EE;'>#胰岛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83853, encryptionId=be7c8385345, topicName=胰岛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a7a536274692, 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target=_blank style='color:#2F92EE;'>#High#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8833, encryptionId=010e8833a1, topicName=High)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Wed Jan 31 06:30:00 CST 2018, time=2018-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1870017, encodeId=dcff18e001781, content=<a href='/topic/show?id=fd764459a8' target=_blank style='color:#2F92EE;'>#Cell#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4459, encryptionId=fd764459a8, topicName=Cell)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=524d95, createdName=zhaozhouchifen, createdTime=Thu Feb 15 06:30:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618857, encodeId=1e96161885e1e, content=<a href='/topic/show?id=007419239ca' target=_blank style='color:#2F92EE;'>#β细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19239, encryptionId=007419239ca, topicName=β细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b69919964433, createdName=ms24272190615788285182, createdTime=Fri Jun 23 05:30:00 CST 2017, time=2017-06-23, status=1, ipAttribution=)]
    2018-02-17 一闲
  7. 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target=_blank style='color:#2F92EE;'>#High#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8833, encryptionId=010e8833a1, topicName=High)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Wed Jan 31 06:30:00 CST 2018, time=2018-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1870017, encodeId=dcff18e001781, content=<a href='/topic/show?id=fd764459a8' target=_blank style='color:#2F92EE;'>#Cell#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4459, encryptionId=fd764459a8, topicName=Cell)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=524d95, createdName=zhaozhouchifen, createdTime=Thu Feb 15 06:30:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618857, encodeId=1e96161885e1e, content=<a href='/topic/show?id=007419239ca' target=_blank style='color:#2F92EE;'>#β细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19239, encryptionId=007419239ca, topicName=β细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b69919964433, createdName=ms24272190615788285182, createdTime=Fri Jun 23 05:30:00 CST 2017, time=2017-06-23, status=1, ipAttribution=)]
    2018-05-30 维他命
  8. 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createdName=zhaozhouchifen, createdTime=Thu Feb 15 06:30:00 CST 2018, time=2018-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618857, encodeId=1e96161885e1e, content=<a href='/topic/show?id=007419239ca' target=_blank style='color:#2F92EE;'>#β细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=19239, encryptionId=007419239ca, topicName=β细胞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b69919964433, createdName=ms24272190615788285182, createdTime=Fri Jun 23 05:30:00 CST 2017, time=2017-06-23, status=1, ipAttribution=)]
    2018-01-31 仁心济世
  9. 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胞外分泌胰岛素是由控制兴奋性和Ca2 +涌入的离子通道调控的。这些通道在调控膜质微区结构方面也有重要作用。本次研究中我们探究了INS 832/13细胞和β型细胞中K+ (Kv) 通道Kv2.1 (KCNB1)促进去极化诱发胞外分泌的机制,这些细胞来源于没患和患有2型糖尿病(T2D)的捐赠者。

PLoS One:妊娠期糖尿病女性的体能与瘦素和2型糖尿病风险的研究

低体能(PF)是2型糖尿病(T2D)的危险因素之一。有妊娠期糖尿病 (GDM)史的妇女有在较年轻时患T2D的风险。但体能(PF)因素在GDM到T2D中所扮演的角色尚不明确。在先前的研究中,发现PF与血浆瘦素呈负相关。此项研究探讨了相比正常妊娠妇女,有GDM的妊娠妇女PF是否更低,以及独立于体脂水平,PF与血浆瘦素是否相关。

JAMA Intern Med:血糖自我监测无益于非胰岛素治疗的II型糖尿病患者的血糖控制

研究发现对于非胰岛素治疗的II型糖尿病患者,血糖自我监测对1年的糖化血红蛋白水平和健康相关的生活质量无显著影响。血糖自我监测与自动信息反馈对血糖控制未体现出优势

Circulation:糖尿病心血管疾病患者的危险因素和预后的关系

改变一些危险因素可以显着改善伴有糖尿病的心血管患者的预后。但是,将这些危险因素改变到什么程度才能最大化改善预后仍没有大型的临床试验数据支持。

Hypertension:糖尿病患者应用β受体阻滞剂增加心血管风险

Hypertention发表ACCORD研究最新分析数据显示,不管有无基础心血管疾病,糖尿病患者应用β受体阻滞剂均增加不良心血管事件风险,而且应用β受体阻滞剂的患者的严重低血糖发生率明显高于未应用β受体阻滞剂的患者。

儿童青少年2型糖尿病诊治中国专家共识

由于儿童青少年肥胖者日益增多,儿童青少年2型糖尿病发病率随之上升。但是,儿童青少年2型糖尿病诊治和管理面临众多挑战,如临床表现重叠、分型困难等。为了进一步规范儿童青少年2型糖尿病的诊断、评估和治疗,中华医学会儿科学分会内分泌遗传代谢学组组织专家制订了《儿童青少年2型糖尿病诊治中国专家共识》,该共识对推进儿童青少年2型糖尿病的规范化管理和临床诊疗具有一定价值。