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Research offers new hope for diabetes sufferers

Researchers have discovered how to extend the lifespan of cells to provide up to 40% more insulin than normal cells; a promising step in the development of an effective diabetes treatment.

Transplantation of insulin-producing pancreatic beta-cells shows great promise as a treatment for type 1 diabetes, but development of this therapy has been hampered by a severe shortage of donor beta-cells, which are obtained from decreased human donors.

Researchers at the Rosalind Franklin University of Medicine and Science have found a way to produce a “reversibly immortalized” cell line that can supply large amounts of insulin-producing human beta-cells. Ultimately they say such a cell line may provide an abundant source of beta-cells for transplantation and an alternative to beta-cells from cadavers.

Type 1 diabetes results from the loss of insulin-producing beta-cells in the pancreas. Because the supply of beta-cells from cadavers is insufficient to meet the needs of 99% of diabetic patients, alternative sources of beta-cells would be highly desirable. Previous efforts to coax mature human beta-cells to survive and replicate in the laboratory have not succeeded because the cells died or lost their ability to produce insulin in response to sugar stimulation.

The researcher got around this problem by manipulating and analyzing large numbers of human beta-cells. First, they added genes that extend cell lifespan to human beta-cells and looked for the rare cells that did not form tumors and that expressed insulin or other beta-cell proteins. Out of more than 250 cells lines screened, only one passed this test.

This cell line was allowed to replicate to produce large numbers of cells. Then, the genes that extend cell lifespan were removed to ensure that the cells would not form tumors and to promote beta-cell behavior. The resulting cells produced about 40% as much insulin as normal beta-cells and successfully controlled blood sugar levels in diabetic mice for more than 30 weeks.

While further research is needed before these cells can be considered for testing in humans, plans to develop a “universal beta-cell line” are well underway, with human clinical trials anticipated to begin as soon as three to five years from now.