Researchers close in on cure for Type 1 diabetes


Scientists may be getting closer to finding a stem cell cure for Type 1 diabetes—the type that may require insulin injections for life—after conducting stem cell transplants on mice.
A group of researchers in California said they managed to reverse the equivalent of Type 1 diabetes in mice by transplanting stem cells.
"Here, we describe a stepwise method in which pluripotency reprogramming factors were transiently expressed in fibroblasts in conjunction with a unique combination of soluble molecules to generate definitive endoderm-like cells that did not pass through a pluripotent state. These endoderm-like cells were then directed toward pancreatic lineages using further combinations of small molecules in vitro," they said.
They added the resulting pancreatic progenitor-like cells "could mature into cells of all three pancreatic lineages in vivo, including functional, insulin-secreting β-like cells that help to ameliorate hyperglycemia."
"Our findings may therefore provide a useful approach for generating large numbers of functional β cells for disease modeling and, ultimately, cell-based therapy," they said.
Authors of the paper include Ke Li, Saiyong Zhu, Holger A. Russ, Shaohua Xu, Tao Xu, Yu Zhang, Tianhua Ma, Matthias Hebrok, and Sheng Ding.
A separate report on UK's The Guardian said the researchers' experiments replaced cells in the pancreas unable to make insulin after being damaged by diabetes.
Without insulin, the body will have a hard time absorbing sugars such as glucose from blood. Presently, glucose levels can be monitored and regulated with insulin injections.
The researchers from the Gladstone Institutes in San Francisco collected skin cells (fibroblasts) from laboratory mice and treated them with a mix of molecules and reprogramming factors.
The cells were transformed into endoderm-like cells, the type that eventually mature into the body's major organs including the pancreas.
Li, the lead author, said they used another chemical cocktail to turn these endoderm-like cells into cells that mimicked early pancreas-like cells (PPLCs).
"Our initial goal was to see whether we could coax these PPLCs to mature into cells that, like ß-cells, respond to the correct chemical signals and – most importantly – secrete insulin. And our initial experiments, performed in a petri dish, revealed that they did," Li said.
When the team injected these cells into mice genetically modified to have high glucose levels to mimic the Type 1 diabetes in humans, the mice's glucose levels started to decrease and approach normal levels "just one week post-transplant."
"And when we removed the transplanted cells, we saw an immediate glucose spike, revealing a direct link between the transplantation of the PPLCs and reduced hyperglycemia [high glucose level]," Li said.
Even better, the researchers found the pancreas-like cells turned into fully functional insulin-secreting ß-cells, eight weeks after the transplantation.
"I am particularly excited about the prospect of translating these findings to the human system. Most immediately, this technology in human cells could significantly advance our understanding of how inherent defects in ß-cells result in diabetes, bringing us notably closer to a much-needed cure," said Matthias Hebrok, one of the study's authors and director of the UCSF Diabetes Center.

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