Abstract
Human and animal diabetes mellitus were controlled by a dietary treatment supplemented with either a sulfonylurea drug or insulin injection. Insulin injections were inconvenient and the hypoglycemia induced by insulin-overdose could be fatal. Sulfonylurea drugs were administered orally, however, do not typically provide satisfactory control of blood glucose as a starting treatment in 25% - 30% patients. Therefore, it was imperative to develop a method for the control of human and animal diabetes mellitus. Recently, insulin gene transferred and expressed in non-pancreatic cells as a means for the treatment of diabetes was developed rapidly in the expanding gene therapy. Retrovirus, lentivirus, adenovirus, adenoassociated virus and herpes simplex had been used as viral vectors, and the constructed viral-insulin gene was successfully transferred into diabetic rat cells. A gene, containing promoter, enhancer and rat type I insulin gene (a-chain, b-chain and signal peptide), was constructed into a retrovirus vector in the study. The constructed viral-insulin gene was transferred into mouse fibroblast cell. The insulin concentration in 3-day cultured mouse fibroblast cells was 4806.35 ± 53.72 pg/ml. The insulin concentration for the viral vector containing enhancer and promoter of rat insulin gene was higher than the vector containing only insulin gene by a 61% increase in the cultured mouse fibroblast cells. The enhancer and promoter activity of rat insulin gene would be an important determinant for the expression of insulin gene. The secreted amount of insulin by retrovirus vector contained enhancer/promoter gene in this study could achieve as high concentrations (4806.35 ± 53.72 pg/ml) as the insulin injection therapy. Blood glouse decreased sig- nificantly for at last 10 days demonstrated that transfection, direction injection of viral-insulin gene into pancreas of diabetic rat, was successful. These studies suggest that the retrovirus vector might be used to transfer the insulin gene in vitro and in vivo.
Highlights
Human type I diabetes mellitus caused by the lack of insulin secretion secondary to the autoimmune destruction of pancreatic cells was usually treated by multiple injections of insulin [1,2]
The insulin concentration for the viral vector containing enhancer and promoter of rat insulin gene was higher than the vector containing only insulin gene by a 61% increase in the cultured mouse fibroblast cells
The 3-day cultured mouse fibroblast cells were homogenized, and the insulin concentration was determined by using RIA
Summary
Human type I diabetes mellitus caused by the lack of insulin secretion secondary to the autoimmune destruction of pancreatic cells was usually treated by multiple injections of insulin [1,2]. At least 50% of diabetic dogs were type Ι diabetes based on the present evidence of immune destruction in beta-cells [3]. Diabetic patients (including human and animal) experienced profound metabolic derangements (hyperglycemia, ketosis, and hyperlipemia) and developed vascular and neurological chronic complications. In type II diabetes mellitus, patients have functional cells, but these cells respond poorly to the stimulation of glucose. The patients were treated with a dietary treatment supplemented with either a sulfonylurea drug or insulin injection to control type II diabetes mellitus. It is imperative to develop a new method for the control of human and animal diabetes mellitus. The use of rat in diabetes study is the most common mode as well as the one of the most feasible
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