New research could lead to cure for juvenile diabetes
June 1, 1999
Web posted at: 11:46 p.m. EDT (0346 GMT)
From Medical Correspondent Rhonda Rowland
MIAMI (CNN) -- Researchers at the University of Miami
successfully transplanted insulin-producing cells to six monkeys with diabetes, bringing
them one step closer to a possible cure for humans.
The cell transplants, taken from a donor pancreas, enabled the
monkeys to stay off insulin shots for a year or more, the
scientists said Tuesday.
As part of the study, researchers tested a new drug known as
anti-CD154, which appears to protect the insulin-producing
cells, known as islet cells, from rejection.
"We've found a novel drug that may be a key part to actually
be able to do islet cell transplants without the need for
long-term use of anti-rejection drugs," said Dr. Norma Kenyon
of the Diabetes Research Institute at the University of Miami.
The findings will soon be published in the medical journal
Proceedings of the National Academy of Sciences.
"It's too early to say if our research will lead to a cure,
and we don't want to raise false hopes," said Kenyon. "But it
could be part of an eventual cure."
Type 1 diabetes, also known as insulin-dependent and juvenile
diabetes, is the most severe form of the disease and can lead
to complications affecting almost every part of the body.
Most patients develop it during childhood.
Anti-rejection drugs often harmful
Researchers have been searching for ways to carry out islet cell
transplants without the need for long-term anti-rejection drugs.
"We don't want patients to trade insulin for these toxic drugs,"
said Dr. Hugh Auchincloss, director of the Juvenile Diabetes
Foundation Center for Islet Cell Transplantation at Harvard Medical School.
"More than 300 islet cell transplants have been done in the
last decade, but only a handful of patients have been able to
stay off of insulin for a significant amount of time," he
added.
While Auchincloss is excited about the new research, he pointed
out that a number of questions need to be answered.
"For instance, can the islet cells survive long-term once the
monkeys are taken off the new drug?" he asked.
Since diabetes in monkeys is not the same as Type 1 diabetes
in humans, medical experts are not sure how well anti-CD154
will work on humans.
Researchers at the University of Miami hope to soon test the
new drug on humans with insulin-dependent diabetes.
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RELATED SITES:
DRInet - University of Miami
Actual Islet Transplant
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