{"id":165158,"date":"2024-10-03T09:57:43","date_gmt":"2024-10-03T15:57:43","guid":{"rendered":"https:\/\/tecscience.tec.mx\/en\/?p=165158"},"modified":"2024-12-09T13:22:42","modified_gmt":"2024-12-09T19:22:42","slug":"stem-cells-reverse-diabetes","status":"publish","type":"post","link":"https:\/\/tecscience.tec.mx\/en\/biotechnology\/stem-cells-reverse-diabetes\/","title":{"rendered":"How Stem Cells Reverse Diabetes For The First Time in History"},"content":{"rendered":"\n<p>For the first time in history, a multidisciplinary team of scientists managed to <strong>reverse<\/strong> <strong>type 1 diabetes<\/strong> in a 25-year-old patient, who received a reprogrammed <strong>stem cell transplant<\/strong> and less than three months later she started producing her own <strong>insulin<\/strong>.<\/p>\n\n\n\n<p>She is the <strong>first human<\/strong> with <strong><a href=\"\/en\/biotechnology\/diabetec-new-ways-to-detect-diabetes\/\" target=\"_blank\" rel=\"noreferrer noopener\">type 1 diabetes<\/a><\/strong> to be treated using <strong>cells<\/strong> that were <strong>extracted from her own body<\/strong>. The results of his case were published on the specialized site <a href=\"https:\/\/www.cell.com\/cell\/abstract\/S0092-8674(24)01022-5\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Cell<\/em><\/a> and the success of the procedure is already considered a milestone for modern medicine.\u00a0<\/p>\n\n\n\n<p>The paper, signed by 35 scientists from various Chinese institutions, explains that the analysis was carried out over <strong>a period of one year<\/strong> and corresponds to &#8220;a first phase I <strong>clinical trial in humans<\/strong> that evaluates the viability of <strong>autologous transplantation<\/strong> of islets derived from chemically induced <strong>pluripotent stem cells <\/strong>(CiPSC islets) under the anterior rectum abdominal sheath for the treatment of <strong>type diabetes 1<\/strong>.&#8221;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What Does It Mean that Stem Cells Can Reverse Diabetes?<\/strong><\/h2>\n\n\n\n<p>This <strong>stem cell transplant <\/strong>that has successfully <strong>reversed type 1 diabetes<\/strong> in a Chinese patient represents a major step forward in the <a href=\"\/es\/tag\/diabetes\/\" target=\"_blank\" rel=\"noreferrer noopener\">treatment of this disease<\/a>, which along with <strong><a href=\"\/en\/tech\/artificial-intelligence-for-diabetes-prevention\/\" target=\"_blank\" rel=\"noreferrer noopener\">type 2 diabetes<\/a><\/strong>, is considered a <strong>chronic condition<\/strong> affecting more than 500 million people worldwide.\u00a0<\/p>\n\n\n\n<p>According to the World Health Organization (WHO), <strong>diabetes<\/strong> &#8220;is a chronic <strong>metabolic disease<\/strong> characterized by <strong>elevated blood glucose<\/strong> (or blood sugar) levels, which over time leads to <strong>serious damage<\/strong> to the heart, blood vessels, eyes, kidneys and nerves.&#8221;<\/p>\n\n\n\n<p>&#8220;The most common is <strong>type 2 diabetes<\/strong>, which occurs when the body becomes insulin resistant or does not produce enough insulin, while <strong>type 1 diabetes<\/strong> \u2212once known as juvenile diabetes or insulin\u2212 dependent diabetes is a chronic condition in which the <strong>pancreas <\/strong>produces little or no insulin on its own,&#8221; adds <a href=\"https:\/\/www.paho.org\/en\/topics\/diabetes?page=1\" target=\"_blank\" rel=\"noreferrer noopener\">WHO<\/a>.<\/p>\n\n\n\n<p>In both cases, patients require a special diet that<strong> restricts their sugar intake<\/strong> and they depend on <strong>insulin<\/strong> treatments for survival. They also need <strong>constant medical check-ups<\/strong>, which entails a <strong>huge expense<\/strong> for both individuals and their families, as well as for public health systems. Therefore, finding a cure for <strong><a href=\"\/en\/health\/women-from-the-north-are-the-ones-who-have-the-most-diabetes-in-mexico\/\" target=\"_blank\" rel=\"noreferrer noopener\">diabetes<\/a><\/strong> can transform the lives of millions of people.<\/p>\n\n\n\n<p>For the specific case of the <strong>Chinese patient<\/strong>, the paper details: &#8220;she achieved sustained <strong>insulin independence <\/strong>starting <strong>75 days post-transplantation<\/strong>. The patient\u2019s time-in-target glycemic range increased from a baseline value of 43.18% to 96.21% by <strong>month 4 post-transplantation<\/strong>, accompanied by a decrease in glycated hemoglobin, an indicator of long-term systemic glucose levels at a <strong>non-diabetic level<\/strong>.\u201d<\/p>\n\n\n\n<p>The study adds that \u201cthereafter, the patient presented a <strong>state of stable glycemic control<\/strong>, with time-in-target glycemic range at &gt;98% and glycated hemoglobin at around 5%. <strong>At 1 year<\/strong>, the clinical data met all study endpoints with <strong>no indication of transplant-related abnormalities<\/strong>.\u201d<\/p>\n\n\n\n<p>Although the woman has chosen to remain anonymous, it is known that she lives in Tianjin, China, is 25 years old and recently gave a telephone interview to <em><a href=\"https:\/\/www.nature.com\/articles\/d41586-024-03129-3#ref-CR2\" target=\"_blank\" rel=\"noreferrer noopener\">Nature<\/a><\/em> magazine in which she said: &#8220;I can eat sugar now\u2026 <strong>I enjoy eating everything<\/strong>, especially hotpot.\u201d<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"\u00bfPor qu\u00e9 algunas enfermedades metab\u00f3licas afectan m\u00e1s a los mexicanos?\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/5FNbrfblCdQ?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\">Subtitles Available in English<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Are There Any Other Studies to Support this Finding?<\/strong><\/h2>\n\n\n\n<p>While this is the first study to reverse <strong>type 1 diabetes <\/strong>in a human, <em>Nature<\/em> explains that this study &#8220;follows results from a separate group in Shanghai, China, who reported in April that they had successfully transplanted insulin-producing islets into the liver of a 59-year-old man with <strong>type 2 diabetes<\/strong>. The islets were also derived from reprogrammed stem cells taken from the man\u2019s own body, and he has since stopped taking insulin.\u201d<\/p>\n\n\n\n<p>This <a href=\"https:\/\/www.nature.com\/articles\/s41421-024-00662-3\" target=\"_blank\" rel=\"noreferrer noopener\">study was published<\/a> under the title \u201cTreating a <strong>type 2 diabetic<\/strong> patient with impaired pancreatic islet function by personalized endoderm stem cell-derived islet tissue\u201d and details that <strong>the man<\/strong> <strong>had been diagnosed <\/strong>with this disease <strong>25 years ago<\/strong>, but in 2017 he had a kidney transplant that worsened his health, leaving him dependent on several daily insulin injections.<\/p>\n\n\n\n<p>According to the research, the patient received a <strong>stem cell transplant<\/strong> in <strong>July 2021<\/strong> and <strong>11 weeks later<\/strong> <strong>he no longer needed insulin injections<\/strong>. The study also noted that <strong>one year after <\/strong>the treatment, his islet cells function was restored and his <strong>kidney function was normal<\/strong>.<\/p>\n\n\n\n<p>In this respect, <em>Nature<\/em> points out that there are previous investigations where &#8220;<strong>islet transplants<\/strong> can treat the disease, but <strong><a href=\"\/en\/human-social\/how-to-be-a-stem-cell-donor\/\" target=\"_blank\" rel=\"noreferrer noopener\">there aren\u2019t enough donors<\/a><\/strong> to meet the growing demand, and recipients must use <strong>immune-suppressing drugs<\/strong> to prevent the body from rejecting the donor tissue&#8221;. However, these new studies have shown that &#8220;by using <strong>tissue made from a person\u2019s own cells<\/strong>, researchers also hope to avoid the need for immunosuppressants.&#8221;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Where Does the Procedure that Supports this Finding Come From?<\/strong><\/h2>\n\n\n\n<p>The <strong>two investigations<\/strong> that have managed to<strong> <\/strong><a href=\"https:\/\/www.cell.com\/cell\/abstract\/S0092-8674(24)01022-5\" target=\"_blank\" rel=\"noreferrer noopener\">reverse type 1<\/a><strong> <\/strong>and<strong> <\/strong><a href=\"https:\/\/www.nature.com\/articles\/s41421-024-00662-3\" target=\"_blank\" rel=\"noreferrer noopener\">type 2 diabetes<\/a> in two Chinese patients, published this <strong>2024<\/strong>, are based on a <strong>stem cell reprogramming technique<\/strong> that was developed more than 20 years ago by Japanese researcher<strong> Shinya Yamanaka<\/strong> at Kyoto University.<\/p>\n\n\n\n<p>However, <em>Nature <\/em>notes that cell biologist <strong>Deng Hongkui<\/strong> of Beijing University, along with a group of Chinese researchers, <strong>modified this technique<\/strong> and &#8220;instead of introducing proteins that trigger gene expression, as Yamanaka had done, they exposed the cells to small molecules.&#8221;<\/p>\n\n\n\n<p>By modifying this process, the Chinese scientists conducted a <strong>first test<\/strong> in which they \u201cextracted cells from three people with <strong>type 1 diabetes <\/strong>and reverted them to a pluripotent state, from which they could be molded into any type of cell in the body.\u201d<\/p>\n\n\n\n<p>Initially, scientists used chemically induced <strong>pluripotent stem cells (iPS)<\/strong> to generate 3D islet clusters, but tested their safety in <strong>mouse and primate cells<\/strong>. The 59-year-old patient&#8217;s research and the 25-year-old patient&#8217;s research are therefore among the <strong>first clinical trials in humans<\/strong>.<\/p>\n\n\n\n<p>About the case of the <strong>25-year-old patient<\/strong> whose transplant was performed in <strong>June 2023<\/strong>, the operation lasted less than half an hour and &#8220;<strong>she was injected<\/strong> with the equivalent of approximately 1.5 million islets into her <strong>abdominal muscles<\/strong>.&#8221;<\/p>\n\n\n\n<p>Previously, <strong>islets had been injected into the liver in other procedures<\/strong>, but the cells could not be seen there. So the researchers decided to place them in the abdomen to monitor them\u00a0 through <strong>magnetic resonance imaging <\/strong>and, if necessary, remove them.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Is this Stem Cell Treatment a Cure For Diabetes?<\/strong><\/h2>\n\n\n\n<p>The <a href=\"https:\/\/www.cell.com\/cell\/abstract\/S0092-8674(24)01022-5\" target=\"_blank\" rel=\"noreferrer noopener\">authors of the research<\/a> say that these are &#8220;<strong>promising results<\/strong>&#8220;, but warn that &#8220;<strong>more clinical studies<\/strong> evaluating CiPSC islet transplantation in<strong> type 1 diabetes <\/strong>are warranted.&#8221;<\/p>\n\n\n\n<p>It is worth mentioning that the <strong>patient<\/strong> was already receiving immunosuppressants for a previous liver transplant, so scientists could not assess whether<strong> iPS cells reduced the risk of rejection of the transplant<\/strong>.<\/p>\n\n\n\n<p><strong>Jay Skyler<\/strong>, an endocrinologist at the University of Miami, Florida who studies type 1 diabetes, said in an interview with <em>Nature<\/em> that &#8220;it must still be verified that a woman\u2019s cells continue to produce <strong>insulin<\/strong> for up to five years <strong>before she is considered cured<\/strong>.&#8221;<\/p>\n\n\n\n<p>Chinese scientists have mentioned that &#8220;the results of two other participants are also very positive and will reach the mark of a year in November, after which they hope to extend the trial to another 10 or 20 individuals&#8221;, however, although hopeful, the road to a <strong>definitive cure<\/strong> for this disease still seems long.<\/p>\n\n\n\n<p><strong><em>Were you interested in this story? Do you want to publish it? Contact our content editor to learn more\u00a0<a href=\"mailto:marianaleonm@tec.mx\" target=\"_blank\" rel=\"noreferrer noopener\">marianaleonm@tec.mx<\/a><\/em><\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A 25-year-old woman \u2212with type 1 diabetes\u2212 began generating her own insulin three months after receiving a reprogrammed stem cell transplant.<\/p>\n","protected":false},"author":41,"featured_media":165164,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"categories":[93],"tags":[156,165],"class_list":["post-165158","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biotechnology","tag-biotechnology","tag-diabetes"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.0 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Stem cells 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