Multiple intravenous infusions of bone marrow mesenchymal stem cells reverse hyperglycemia in experimental type 2 diabetes rats

Biochem Biophys Res Commun. 2013 Jul 5;436(3):418-23. doi: 10.1016/j.bbrc.2013.05.117. Epub 2013 Jun 11.


The worldwide rapid increase in diabetes poses a significant challenge to current therapeutic approaches. Single-dose mesenchymal stem cell (MSC) infusion ameliorates hyperglycemia but fails to restore normoglycemia in diabetic animals. We therefore hypothesized that multiple intravenous MSC infusions may reverse hyperglycemia in type 2 diabetes (T2D) rats. We administered serial allogenous bone-marrow derived MSC infusions (1 × 10(6)cells/infusion) via the tail vein once every 2 weeks to T2D rats, induced by high-fat diet and streptozocin (STZ) administration. Hyperglycemia decreased only transiently after a single infusion in early-phase (1 week) T2D rats, but approximated normal levels after at least three-time infusions. This normal blood level was maintained for at least 9 weeks. Serum concentrations of both insulin and C-peptide were dramatically increased after serial MSC infusions. Oral glucose tolerance tests revealed that glucose metabolism was significantly ameliorated. Immunofluorescence analysis of insulin/glucagon staining revealed the restoration of islet structure and number after multiple MSC treatments. When multiple-MSC treatment was initiated in late-phase (5 week) T2D rats, the results were slightly different. The results of this study suggested that a multiple-MSC infusion strategy offers a viable clinical option for T2D patients.

Keywords: BM-MSCs; Bone marrow; Hyperglycemia; IPITTs; MSCs; Mesenchymal stem cells; Multiple infusion; OGTTs; STZ; T1D; T2D; Type 2 diabetes; bone-marrow-derived MSC; intraperitoneal insulin tolerance tests; mesenchymal stem cells; oral glucose tolerance tests; streptozocin; type 1 diabetes; type 2 diabetes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intravenous
  • Animals
  • Blood Glucose / metabolism
  • Bone Marrow / metabolism
  • C-Peptide / blood
  • Culture Media, Conditioned / metabolism
  • Diabetes Mellitus, Experimental / metabolism
  • Diabetes Mellitus, Experimental / pathology
  • Diabetes Mellitus, Experimental / therapy*
  • Diabetes Mellitus, Type 2 / pathology
  • Diabetes Mellitus, Type 2 / therapy
  • Diet, High-Fat / adverse effects
  • Glucagon / metabolism
  • Glucose Tolerance Test
  • Hyperglycemia / therapy*
  • Hypoglycemic Agents
  • Insulin / blood
  • Islets of Langerhans / metabolism
  • Islets of Langerhans / pathology
  • Male
  • Mesenchymal Stem Cell Transplantation / methods*
  • Mesenchymal Stem Cells / metabolism*
  • Rats
  • Rats, Sprague-Dawley
  • Streptozocin


  • Blood Glucose
  • C-Peptide
  • Culture Media, Conditioned
  • Hypoglycemic Agents
  • Insulin
  • Streptozocin
  • Glucagon