Scientists discover cure for diabetes
There is good news for diabetic
patients. They will no longer need to inject insulin – thanks to a
treatment involving the use of insulin-producing cells which Harvard
University scientists discovered how to make.
The cure could, therefore, be
imminent as the scientists have produced large volumes of
laboratory-grown pancreatic cells required for one-off transplantation
in patients.
The breakthrough has been hailed and
compared to the invention of antibiotics. It involved identifying how
to efficiently turn both stem cell types into beta cells.
The cells, millions of which were
manufactured, produced insulin, responded to glucose, worked on mice for
many months and will soon be used to treat humans.
The discovery is the result of 23
years of research by Harvard Professor Doug Melton, whose study of type 1
diabetes was prompted by his son having the condition as a
six-month-old. His daughter received the same diagnoses.
The cells could be used to treat all patients rather than each person needing their own genetically matched treatment.
The cells tested on mice were placed
in a porous capsule to protect them from attacks by the body’s immune
system, while allowing the insulin to diffuse out.
This means the cells could be
produced on an industrial scale and used on patients without possible
immune rejection, while the capsule could be replaced if it stopped
working.
A report on the work is published in the October 10 edition of the journal Cell.
Online reports quoted Prof Melton as saying: “It was gratifying to know
that we could do something that we always thought was possible, but
many people felt it wouldn’t work. We are now just one pre-clinical step
away from the finish line.”
Asked about his children’s reaction he said: “I think like all kids, they always assumed that if I said I’d do this, I’d do it.”
Prof Melton said the stem
cell-derived beta cells are presently undergoing trials in animal
models, including non-human primates, where they are still producing
insulin after several months,.
The team at Harvard used embryonic
stem cells to produce human insulin-producing cells equivalent in almost
every way to normally functioning cells.
The Telegraph quoted
Professor of Regenerative Medicine, University College London Chris
Mason as saying the discovery was “potentially a major medical
breakthrough”.
“If this scalable technology is
proven to work in both the clinic and in the manufacturing facility, the
impact on the treatment of diabetes will be a medical game-changer on a
par with antibiotics and bacterial infections,” he said.
Head of Institute of Integrative
Biology at the University of Liverpool, Prof Anthony Hollander, added:
“This is very exciting fundamental research that solves a major
roadblock in the development of a stem cell treatment for diabetes.
“The study provides a very elegant and convincing method for generating functional insulin-producing cells in large numbers.”
Prof Mark Dunne of Manchester
University said: “Overall this is an important advance for the field of
diabetes and people with Type 1 diabetes.”
Prof Elaine Fuchs of Rockefeller
University described the findings as “one of the most important advances
to date in the stem cell field”, adding: “For decades, researchers have
tried to generate human pancreatic beta cells that could be cultured
and passaged long term under conditions where they produce insulin.”
Type 1 diabetes is an autoimmune
condition that causes the pancreas to stop producing insulin – the
hormone that regulates blood glucose levels.
If the amount of glucose in the blood is too high it can seriously damage the body’s organs over time.
While diabetics can keep their
glucose levels under general control by injecting insulin, that does not
provide the fine tuning necessary to properly control metabolism, which
can lead to devastating complications such as blindness or loss of
limbs.
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