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Insulin-secreting cell regeneration: a dream or reality?

机译:分泌胰岛素的细胞再生:梦想还是现实?

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摘要

Autoimmune destruction of insulin-producing beta-cells leads to Type 1 diabetes (T1D). The global challenge to find a cure for T1D centers on transplanting or regenerating insulin-producing cells, while at the same time preventing disease recurrence. This quest for cure dominates prevention in the public's mind, although in reality there can be no cure of an autoimmune disease without prevention. The impetus comes from the demands of daily insulin injections to treat T1D and the inability of this approach to attain physiologic control of blood glucose, in many cases leading to longer-term complications secondary to hyperglycemia. Although transplantation of the pancreas or purified islets allows near-normal maintenance of blood glucose, it comes at a high technical and financial cost and is severely limited by the shortage of organ donors. In addition, long-term insulin-
机译:产生胰岛素的β细胞的自身免疫破坏会导致1型糖尿病(T1D)。寻找治疗T1D的全球性挑战集中在移植或再生胰岛素产生细胞,同时防止疾病复发。尽管实际上没有预防措施就无法治愈自身免疫性疾病,但这种寻求治愈的方法在公众心目中占主导地位。动力来自每日注射胰岛素治疗T1D的需求以及这种方法无法实现血糖的生理控制,在许多情况下会导致高血糖继发的长期并发症。尽管胰腺或纯化的胰岛的移植可以使血糖维持近乎正常的水平,但它的技术和经济成本很高,并且由于器官供体的短缺而受到严重限制。此外,长期胰岛素

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