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Article 2 of 3.
 
This is primarily about diabetes, but the concept.........
 
Janet
 
the royal poinciana trees are still bare
 
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Cell transplants may mean cure for diabetes
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Copyright ) 1996 Nando.net Copyright ) 1996 Reuter Information Service
 
MIAMI (Mar 13, 1996 3:51 p.m. EST) - University of Miami researchers
said Wednesday they may have found a cure for diabetes that has
already reversed the course of the disease in some patients and
allowed them to live without insulin.
 
The possible cure for a disease that kills 162,000 Americans every
year involves a combination of pancreas islet cell and bone marrow
transplantation, the researchers said.
 
"This is a staging for what has been in my experience ... the most
important major step forward," Dr Daniel Mintz, Scientific Director of
the University of Miami Diabetes Research Institute, told a news
conference. "(It) opens up the reality that this disease can be
reversed, and permanently reversed," he said.
 
Insulin has prolonged the lives of diabetics since the 1920s but it
has not stopped blindness, kidney failure and other complications,
leaving researchers struggling for a true cure for the disease, which
consumes some $120 billion of healthcare resources annually worldwide.
 
Researchers in various studies began experimenting with pancreas islet
cell transplantation about 10 years ago. Since 1990, about half of 50
patients that have undergone the treatment have shown sustained,
marked improvement, as the new cells cut patients' reliance on
insulin, better controlling their blood sugar levels to reduce the
risks of complications.
 
But the treatment has had problems, notably the transplant patients'
need to spend a lifetime taking powerful drugs to fight their bodies'
natural tendency to reject the cells.
 
As a result, islet cell treatments have been limited to diabetics
already undergoing transplantation of organs damaged by the disease.
But many of those patients' transplanted cells worked so well they
found they no longer need insulin to control the disease, Dr Camillo
Ricordi, chief of cellular transplantation at the Miami institute,
said.
 
Ricordi said the Miami team had achieved enough success with cell
transplantation that they were beginning a pilot study involving
diabetic patients who were not in need of transplanted organs,
broadening the base of people who can be helped by the process.
 
The researchers said they hoped the study would show that transplanted
islet cells, combined with bone marrow, would allow patients to
function without insulin and without anti-rejection drugs, eventually
curing diabetes.
 
"These results ... are encouraging enough to begin the first trial of
islet transplantation alone," Ricordi said.
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-----Janet [log in to unmask]