Chinese Journal of Tissue Engineering Research ›› 2024, Vol. 28 ›› Issue (7): 1000-1006.doi: 10.12307/2024.104

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Differentiation of insulin-producing cells from human umbilical cord mesenchymal stem cells infected by MAFA-PDX1 overexpressed lentivirus

Qiu Xiaoyan1, Li Bixin1, Li Jingdi1, Fan Chuiqin1, Ma Lian1, 2, 3, Wang Hongwu1, 4   

  1. 1Department of Pediatrics, The Second Affiliated Hospital of Shantou University Medical College, Shantou 515041, Guangdong Province, China; 2Department of Pediatrics Research Institute, Shenzhen Children’s Hospital, Shenzhen 518038, Guangdong Province, China; 3The Third Affiliated Hospital of Guangzhou Medical University (Women’s and Children’s Hospital of Guangzhou Medical University), Guangzhou 512000, Guangdong Province, China; 
  • Received:2023-01-07 Accepted:2023-03-06 Online:2024-03-08 Published:2023-07-15
  • Contact: Wang Hongwu, MD, Chief physician, Department of Pediatrics, The Second Affiliated Hospital of Shantou University Medical College, Shantou 515041, Guangdong Province, China; Stem Cell Research Center of Shantou University Medical College, Shantou 515041, Guangdong Province, China
  • About author:Qiu Xiaoyan, Master, Attending physician, Department of Pediatrics, The Second Affiliated Hospital of Shantou University Medical College, Shantou 515041, Guangdong Province, China
  • Supported by:
    2020 Guangdong Science and Technology Plan Major Project, No. SFK[2020]53-112 (to WHW)

Abstract: BACKGROUND: Transplantation of stem cell-derived islet β cells has been considered effective for the treatment of type 1 diabetes. Human umbilical cord mesenchymal stem cell is an ideal cellular source, but with a low differentiation efficiency to islet β cells.  
OBJECTIVE: To explore the possibility of human umbilical cord mesenchymal stem cells modified by MAFA and PDX1 to differentiate into insulin-producing cells.
METHODS: MAFA-PDX1 lentivirus expression vectors were constructed. The efficiency and potentiality of human umbilical cord mesenchymal stem cells differentiated into insulin-producing cells with three methods were compared by cell morphology, RT-qPCR, and dithizone staining [protocol A: Simple lentivirus group; protocol B: Drug (nicotinamide β-mercaptoethanol) induction followed by lentivirus group; protocol C: lentivirus and drug induction group].  
RESULTS AND CONCLUSION: (1) Morphological change of cells: Cell morphology was all altered after the induction of three protocols. At day 11, human umbilical cord mesenchymal stem cells induced by protocol B showed the most cell clusters among the three protocols, appearing aggregated islet-like cell clusters. (2) Islet-related gene expression detected by RT-qPCR: Horizontal comparison of the three protocols at the same induction time point showed that the expression levels of MAFA and PDX1 genes were the highest in protocol C on day 5 of induction, and those in protocol B were the highest on day 11 of induction. Human umbilical cord mesenchymal stem cells induced by protocol B had the greatest expression of GCG gene at day 5, INS and GLUT2 genes at day 11. (3) Dithizone staining to identify zinc ions: parts of the post-induced cells were stained brownish red by dithizone on day 11. The partial small island cells were stained brownish red with a darker color (positive expression) in protocol B. (4) It is concluded that the overexpression of MAFA and PDX1 can promote the differentiation of human umbilical cord mesenchymal stem cells into insulin-producing cells. The combination of MAFA-PDX1 gene modification and drug induction is superior to the single gene modification.

Key words: umbilical cord mesenchymal stem cell, MAFA, PDX1, lentivirus overexpression vector, insulin-producing cell, diabetes, induced differentiation

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