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Gene & Protein in Disease                                             β-cell regeneration and stem cell niche



            responsive pancreatic islet cells from pancreatic stem cells.   crucial for disorders like Type 1 diabetes (T1D) that cause
            These advancements have revealed new signaling pathways   islet cell loss.  Additional techniques include inducing
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            and molecules involved in lineage commitment during   natural β-cell proliferation, transforming non-β-cells into
            pancreatic differentiation and maturation processes,   β-like cells, and isolating islets from genetically altered
            enhancing  in vitro  pancreatic  maturation methods.    animals. Recent technological developments and analytical
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            Regenerative treatments  made possible by  stem cell   techniques for genome-wide research at the single-cell
            biology hold revolutionary potential; yet, the regulatory   level can help identify disease-specific cell subpopulations
            networks that control the formation of complex tissues   and relate them to genetic risk factors, allowing for
            and organs are still poorly understood, limiting these   personalized precision-based therapy. Enhanced resolution
            therapies’  applications.  Stem  cell  engineering  addresses   and specificity afforded by these technologies, combined
            these complexities by exploring gene regulatory networks   with the interdisciplinary convergence of engineering and
            in individual stem cells and systemic relationships across   biology, will enable the development of therapeutically
            organs  and  tissues.   Single-cell  sequencing  technology,   exploitable niches. Decoding and understanding molecular
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            which analyzes cell heterogeneity at the single-cell level,   mechanisms in cell signaling pathways, pancreatic cell
            has advanced significantly due to advancements in cell   regeneration, and the engineering of stem cell niches will
            sorting and nucleic acid extraction. Recent findings in   open new avenues for treating and regenerating pancreatic
            stem cell research, such as pluripotent stem cells (PSCs)   cells in the near future.
            and tissue-specific stem cells, have been encouraging.
            While the potential of stem cells in regenerative medicine   2. Cell signaling pathways and pancreatic
            is well-discussed, the development of actual medicines   β-cell regeneration
            has been slow. The goal is to construct a biofunctional
            artificial niche for multipotency, differentiation, and   The loss or dysfunction of pancreatic insulin-producing
            proliferation, allowing for more definitive experiments by   cells leads to diabetes, a global health concern of
            pharmaceutical specialists, biologists, and tissue engineers.   paramount importance. It is essential to recognize the
            The therapeutic potential of pancreatic islet cells derived   inherent capacity of diabetic patients’ cells to proliferate
            from pancreatic stem cells is being explored through gene-  under both normal and pathological conditions, as this
            editing techniques and cell transplantation into diabetic   capacity is integral to restoring functional cell mass.
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            animal models.  These cells have potential use in drug   Recent advancements in understanding the mechanisms
            testing and disease modeling research. Artemether and   underlying the differentiation of various pancreatic cell
            gamma-aminobutyric acid (GABA) can induce pancreatic   lineages into insulin-producing cells have been facilitated
            cells to adopt a β-cell-like phenotype, potentially promoting   by developments in cell regeneration in vivo. Reactivation
            the development of new β-cell-like cells for treating severe   of the gene encoding the transcription factor neurogenin-3,
            diabetes in rats.                                  which regulates pancreatic endocrine cells, is a key
                                                               component of these pathways. The pancreas, composed
              Understanding  the  signaling  pathways  linked  to   of the exocrine pancreas and endocrine islets, functions
            G-protein-coupled receptor (GPCR) activation and   in enzyme storage and insulin production. Islet cell loss
            their interactions within cells is crucial for developing   occurring in conditions such as T1D requires therapeutic
            therapeutic methods to regulate insulin secretion and   intervention due to the limited regeneration capacity
            maintain cell mass. Apoptosis induced by diabetogenic   of the cells. The most effective methods involve creating
            stresses results in a reduction in functioning cells as   and transplanting fresh cells from human PSCs, inducing
            diabetes progresses. It is essential to prevent the loss of cell   endogenous β-cell proliferation, transforming non-β-cells
            molecular characteristics, as this loss results in decreased   into  β-like cells, and extracting islets from genetically
            cell mass and impaired function. This review focuses on   engineered animals  (Figure  1). Pancreatic regeneration
            the causes, consequences, and potential reversibility of cell   emerges as a potential therapeutic method for the recovery
            failure as a treatment approach for T2D.  Dedifferentiated   of cell loss.
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            cells have the ability to redifferentiate into mature,
            functioning cells, indicating  that dedifferentiation  is not   The ability of endocrine islets to regenerate is limited,
            an  irreversible  process.  Thus,  therapeutic  approaches   especially in adults. Most hypoglycemic medications can
            that prevent cell dedifferentiation and promote cell   preserve cells by reducing oxidative stress and inflammation
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            regeneration hold promise for treating T2D.  The pancreas   caused by hyperglycemia, and by inhibiting cell death
            comprises the  exocrine pancreas, which stores  digestive   and dedifferentiation. Compounds such as glucagon-like
            enzymes, and the endocrine islets, which produce the   peptide-1 and GABA increase cell proliferation believed
            essential metabolic hormone — insulin. Treatment is   to be the primary source of regenerated cells in adult rats,


            Volume 3 Issue 2 (2024)                         2                               doi: 10.36922/gpd.2996
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