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Immune Overhaul for Diabetes
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2009-04-14
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Technology Review
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#Immune#Diabetes#당뇨병#stem-cell transplant#insulin injections
출처 : Technology Review
Immune Overhaul for Diabetes
Some diabetics who received a stem-cell transplant do not need insulin injections years later.
Patients who underwent a procedure to wipe out the immune system and reconstitute it with their own stem cells remained insulin injection-free for up to three to four years after the procedure, according to a study published this week in the Journal of the American Medical Association. The research provides further evidence that a stem-cell transplant can reverse type 1 diabetes in some patients. Although a stem-cell transplant is a drastic procedure with a risk of serious side effects, this represents the most successful treatment to reverse the disease in humans without the need for ongoing medication.
The report extends research published in 2007 showing that the majority of 15 patients who underwent a blood stem-cell transplant were able to remain insulin-free for more than 18 months. Richard Burt, a coauthor of the study and a specialist in autoimmune disease at Northwestern University, says that "the criticism of the prior study was that maybe this was some kind of extended honeymoon"; he's referring to a phenomenon in which patients newly diagnosed with type 1 diabetes will see their symptoms improve temporarily as they make health changes. This latest study extends the treatment to an additional five patients and shows that most patients have been able to remain off insulin for a longer period of time. In addition, it shows that patients have increased levels of a biological indicator of insulin secretion--evidence that they are indeed producing insulin on their own.
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