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Tuesday July 31 12:07 AM ET
Research Points to Stem-Cell Therapy for Diabetes
By Will Dunham

WASHINGTON (Reuters) - Israeli researchers said on Tuesday
they had succeeded in coaxing human embryonic stem cells into
producing the hormone insulin in a key step toward creating a
revolutionary treatment for juvenile diabetes.

Stem cells -- primitive master cells -- that were derived from
a human embryo days after fertilization transformed with
chemical prodding in a petri dish into an abundant mass of
cells possessing important qualities of the cells of the
pancreas that secrete insulin, the researchers said.
Those cells are called islet cells, or beta cells.

The findings represent a major stride toward using
embryonic stem cells to treat type 1 diabetes, also known as
juvenile diabetes. The appearance of the study in the journal
Diabetes, published by the American Diabetes Association,
comes as President Bush (news - web sites) considers whether
to allow federal funding for research involving
human embryonic stem cells.

Embryonic stem cells, essentially the body's early building
blocks, are known for their ability to transform into virtually
every cell type. Some scientists hope to harness this quality
to treat type 1 diabetes by transplanting these cells into the
bodies of patients in order to create healthy islet cells
to secrete and regulate insulin.

The findings were ``a necessary prerequisite for therapeutic
strategies'' for type 1 diabetes using stem cells, the
researchers wrote. They came from the Bruce Rappaport Faculty
of Medicine, Technion, Israel Institute of Technology and the
Rambam Medical Center in Haifa, and were led by Suheir Assady.

Dr. Christopher Saudek, president of the American Diabetes
Association and a professor of medicine at Johns Hopkins
University in Baltimore, called the findings ``exciting.''

``Up until this point, people have talked about the
possibility that human stem cells could be made to produce
insulin. But here it is being demonstrated,'' Saudek said in a
telephone interview.

INSULIN ALLOWS CELLS TO USE BLOOD SUGAR
Type 1 diabetes, an autoimmune disease, results when the
pancreas, an organ located near the stomach, produces
inadequate amounts of insulin to meet the body's needs. Insulin
is a hormone necessary for cells to be able to use blood sugar
(glucose), the basic fuel for the cells in the body.

In those with the disease, the immune system attacks and
destroys the pancreatic islet cells responsible for producing
insulin. As a result, the pancreas stops producing insulin.

More than 1 million Americans have type 1 diabetes, which
strikes children and some adults suddenly, making them
dependent on daily insulin injections to stay alive. People
with the disease face complications such as heart disease,
stroke, amputation, blindness and kidney failure.

The American Diabetes Association said the only way to cure
type 1 diabetes is by pancreas transplantation, but there is an
insufficient supply of organs. Researchers are exploring
alternative sources of the insulin-producing islet cells.

The researchers said the cells created in the laboratory
possessed many characteristics of the islet cells, including
insulin production and release. But they acknowledged they had
not shown that the cells could regulate the insulin secretion
depending upon the body's glucose levels.

``Although we have not demonstrated glucose responsiveness,
we cannot conclude that the cells are glucose unresponsive,''
the researchers wrote.

``You can say they have demonstrated that you can turn on
the gas. What they haven't demonstrated is that you have brakes
and accelerators to control it. And that's what you would need
in a final use,'' Saudek added.

Because the federal government has never funded research
involving human embryonic stem cells, the study could not have
been conducted in the United States with grant money from the
National Institutes of Health (news - web sites),
the major supporter of medical research.

``This is definitely the kind of research that would be
accelerated enormously if federal funds could be made available
for it,'' Saudek said.

SOURCE: Yahoo Daily News / Reuters
http://dailynews.yahoo.com/h/nm/20010731/sc/health_stemcell_diabetes_dc_1.html

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