PDX1联合NKX6.1促进骨髓间充质干细胞分化为胰岛β样细胞

目的： 为提高骨髓间充质干细胞(BMSCs)向胰腺β样细胞的分化效率,以产生足够用于移植的胰岛样细胞。方法: 构建含PDX1与NKX6.1双基因的重组腺病毒载体，用重组腺病毒感染并联合多种细胞因子分步诱导BMSCs。用RT-PCR、Western blotting等多种方法分别检测PDX1、NKX6.1、胰岛素及C-肽表达情况；观测植入鼠肾包膜下的细胞形态与胰岛素、C-肽等相应分子表达情况以及检测植入细胞对糖尿病模型大鼠的血糖水平的调节能力。结果: BMSCs经重组腺病毒pAdxsi-CMV-PDX1/CMV-NKX6.1联合相应细胞因子分步诱导，双硫腙染色细胞质呈亮红色，RT-PCR显示诱导后的细胞持续稳定表达胰岛素、葡萄糖转运蛋白2(GLUT2)等β细胞相关分子；Western blotting、免疫细胞化学与间接荧光结果亦相似。所诱导的实验组细胞经5.5和25mmol/L葡萄糖刺激后胰岛素分泌水平分别为(1 240.4±109.3) mU/L和(3 539.8±245.1) mU/L, 并显著高于对照组的分泌量。移植实验组细胞可恢复STZ糖尿病小鼠血糖正常水平。结论: PDX1与NKX6.1联合细胞因子在体外能有效地诱导BMSCs分化为胰岛β样细胞；这种胰岛β样细胞移植能有效恢复STZ糖尿病小鼠的血糖正常水平，维持小鼠良好的生存状态，这将为治疗糖尿病带来新的希望。

Generation of insulin-producing cells from PDX1 and NKX6.1 gene-modified bone marrow mesenchymal stem cells

AIM: To differentiate bone marrow mesenchymal stem cells (BMSCs) into functional insulin-producing cells to produce sufficient pancreatic islet cells for transplantation. METHODS: Recombinant adenovirus vectors carrying PDX1 and NKX6.1 genes were constructed and the bone marrow mesenchymal stem cells were infected by the recombinant adenovirus combined with several cytokines for differentiation. The expressions of PDX1, NKX6.1 and insulin and C-peptide in the differentiated bone marrow mesenchymal stem cells were detected by RT-PCR and Western blotting. After the differentiated bone marrow mesenchymal stem cells were transplanted into subrenal capsule of diabetic mice, cell morphology of the grafts as well as their secretion of insulin and C-peptide were detected. Besides, regulating capacities of grafts on the blood glucose level of the diabetic mice were also detected. RESULTS: BMSCs induced by recombinant adenovirus (pAdxsi-CMV-PDX1/CMV-NKX6.1) and several cytokines showed positive dithizone staining and the expressions of β-cell related molecule such as insulin and glucose transporter 2 were detected by RT-PCR, which showed a sustaining and stable expression. The similar results were showed by Western blotting, immunohistochemical staining and indirect immunofluorescence. The insulin secretions in the cells stimulated with glucose at concentrations of 5.5 and 25 mmol/L in the experimental group were (1 240.4±109.3) mU/L and (3 539.8±245.1) mU/L, respectively, and were significantly higher than those in control group. Moreover, transplantation of the cells to STZ mice in treatment group made serum glucose recover to normal level. CONCLUSION: PDX1 and NKX6.1 gene-modified bone marrow mesenchymal stem cells differentiate into insulin-producing cells in vitro. When these cells transplanted into STZ induced diabetic mice, their serum glucose could return to the normal level and they could live well. Thus this is a promising method for diabetes treatment.