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相关概念视频

Tissue Renewal without Stem Cells01:23

Tissue Renewal without Stem Cells

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After cellular or tissue damage, the resident stem cells present in the human body can locally repair and regenerate the damaged tissue or organ. However, even though some tissues do not have stem cells, they can repair and regenerate with the help of pre-existing cells. For example, beta cells of the pancreas and hepatocytes of the liver can divide to renew and regenerate the tissue. Here, both cell division and cell death are well regulated by homeostasis.
However, failure of such a system...
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Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

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Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
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Insulin: Biosynthesis, Chemistry, and Preparation01:25

Insulin: Biosynthesis, Chemistry, and Preparation

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The endoplasmic reticulum (ER) of pancreatic β-cells synthesizes preproinsulin, which consists of a signal peptide, A and B chains, and a C-peptide. Preproinsulin is then cleaved and folded into proinsulin, which translocates to the Golgi apparatus for sorting and packaging into secretory granules. In these granules, enzymatic clipping generates insulin and C-peptide.
Damage or functional impairment of β-cells inhibits insulin production, leading to diabetes. Diabetes treatment...
360
Carbohydrate Metabolism01:36

Carbohydrate Metabolism

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Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
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Insulin: Dosing Regimen and Adverse Effects01:16

Insulin: Dosing Regimen and Adverse Effects

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Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
148
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

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Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
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Bioluminescent Monitoring of Graft Survival in an Adoptive Transfer Model of Autoimmune Diabetes in Mice
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针对1型糖尿病的β细胞替代的挑战

Joana R N Lemos1, Jay S Skyler1

  • 1Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.

Hormone research in paediatrics
|October 30, 2024
PubMed
概括

针对1型糖尿病的β细胞替代疗法正在进步,胰腺和小岛移植提供胰岛素独立性. 干细胞创新承诺无限的细胞来源,但整合和免疫排斥的挑战仍然存在.

科学领域:

  • 内分泌学 在内分泌学.
  • 免疫学 免疫学 免疫学
  • 再生医学是一种再生医学.

背景情况:

  • 1型糖尿病 (T1D) 涉及免疫媒介的β细胞破坏,构成全球健康挑战.
  • 疾病异质性使免疫预防和自动化胰岛素输送等治疗目标变得复杂.

研究的目的:

  • 审查1型糖尿病β细胞替代疗法的进展和挑战.
  • 探索胰腺移植,小岛细胞移植和干细胞衍生的β细胞生成.

主要方法:

  • 关于β细胞替代策略的当前文献的综述.
  • 分析干细胞治疗,免疫调节,封装和基因工程方面的创新.

主要成果:

  • 胰腺移植提供胰岛素独立性,但具有手术和免疫学风险.
  • 异构小岛移植面临着供体稀缺和变化的长期结果.
  • 干细胞疗法提供了一个潜在的无限β细胞来源,等待临床转化.

结论:

  • 在贝塔细胞替代疗法方面取得了显著进展,包括移植和干细胞方法.
  • 克服技术,生物和伦理障碍对于临床应用至关重要.
关键词:
贝塔细胞是贝塔细胞.胰岛素是一种胰岛素.替代疗法是一种替代疗法.干细胞是一种干细胞.移植 移植 移植 移植第1型糖尿病是什么?

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  • 持续的研究对于改善1型糖尿病的管理和结果至关重要.