Abstract
Diabetes is a chronic disease characterized by high levels of blood glucose. Diabetic patients should normalize these levels in order to avoid short and long term clinical complications. Presently, blood glucose monitoring is dependent on frequent finger pricking and enzyme based systems that analyze the drawn blood. Continuous blood glucose monitors are already on market but suffer from technical problems, inaccuracy and short operation time. A novel approach for continuous glucose monitoring is the development of implantable cell-based biosensors that emit light signals corresponding to glucose concentrations. Such devices use genetically modified cells expressing chimeric genes with glucose binding properties. MSCs are good candidates as carrier cells, as they can be genetically engineered and expanded into large numbers. They also possess immunomodulatory properties that, by reducing local inflammation, may assist long operation time.Here, we generated a novel immortalized human MSC line co-expressing hTERT and a secreted glucose biosensor transgene using the Sleeping Beauty transposon technology. Genetically modified hMSCs retained their mesenchymal characteristics. Stable transgene expression was validated biochemically. Increased activity of hTERT was accompanied by elevated and constant level of stem cell pluripotency markers and subsequently, by MSC immortalization. Furthermore, these cells efficiently suppressed PBMC proliferation in MLR transwell assays, indicating that they possess immunomodulatory properties. Finally, biosensor protein produced by MSCs was used to quantify glucose in cell-free assays. Our results indicate that our immortalized MSCs are suitable for measuring glucose concentrations in a physiological range. Thus, they are appropriate for incorporation into a cell-based, immune-privileged, glucose-monitoring medical device.
Highlights
During the past years diabetes has became a worldwide epidemic
Glucose Biosensor (GB)/human telomerase reverse transcriptase (hTERT) Mesenchymal Stem Cells (MSCs) had a 10-fold increase in Nanog mRNA levels (Fig 3D). These results suggest that the higher proliferative capacity of GB/hTERT versus GB MSCs is associated with the higher expression levels of pluripotency stem cell mediators
Neither GB/hTERT at passage 85 nor control MSCs at passage 15 formed colonies in contrast to positive control HEK293 cells (S5B Fig). These results suggest that overexpression of hTERT in GB/hTERT MSCs and their subsequent immortalization do not transform them into cancer stem cells; they indicate that GB/ hTERT MSCs might be safe for biomedical applications
Summary
During the past years diabetes has became a worldwide epidemic. It was ranked in the top ten leading causes of worldwide death cases in 2012 [1]. Global prevalence in 2014 was estimated at 8.5% and number of patients suffering from diabetes has risen from 108 million to 422 million between 1980 and 2014 [2] with a forecast of ever increasing numbers in future years. Diabetes is dependent on either the absence or on the malfunction of a single pancreatic hormone, insulin. The disease is manifested by two related medical conditions, type I diabetes (T1D) and type II diabetes (T2D), the latter comprising between 85% and 90% of the affected population. In T2D, insulin signaling is affected while in T1D, pancreatic beta cells are destroyed by an autoimmune attack. During progression towards T1D, pancreatic islets are infiltrated by leukocytes consisting of CD4+ and CD8+ T cells, B cells, macrophages, plasma cells and dendritic cells [3,4,5]
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