A new case study provides a bewildering glimpse into the potential future of transplantation. A man with type 1 diabetes is now able to make his insulin thanks to the transplantation of pancreatic cells that are freed by genes-a transplant process that did not require typical drugs used to avoid rejection.
Scientists in Sweden and the United States conducted the research, Published This week in the New England magazine. A 42 -year -old man with long -term diabetes cells have been given genetically adjusted island cells to prevent immunity refusal. After about four months of the procedure, its modified cells in the entire genes continued to produce insulin without provoking an immune response.
The authors wrote in the paper: “Our study indicates, although the first indicates that immune evasion is an alternative concept to circumvent Allorejility.”
People with type 1 diabetes have immune systems that destroy the pancreatic cells responsible for manufacturing insulin. The condition can be managed with regular doses of artificial insulin, but the health of people is still aggravating over time. Recently, scientists have been studying whether the transplant cells of a donor island’s cells could provide an alternative to insulin-type insulin supplies for type 1 diabetics 1- an effective treatment, in other words, provided that the cells can stay in the long run.
Its early clinical experiences of its technology I looked A promising so far, but these transplants still require a lifelong immunity treatment to ensure that the host’s body does not meet after the donated cells. Such medications, they have their known defects, such as weakening people’s immunity for actual threats as infections.
The researchers in the study experienced a unique approach to avoid the need for these medications. They first tested it on mice and monkeys, as this new condition was the first test in humans.
They created three specific adjustments to the donated cells, all of which aim to calm the most likely responses of the immune system. Two of the adjustments are drained by cell supplies from the first and second -class HLA antigens, the proteins that tell our T -cells whether or not another strange cell. The third liberation makes the donated cells more than another protein called CD47, which prevents the activity of other immune cells that usually target them.
Researchers injected the modified cells into a man’s help. The adjustments were not completely successful in some cells, and the man’s immune system soon killed these cells. But as you hope, his body left the cells that were completely released alone, even without immune inhibitors. The remaining cells produced insulin as usual, and it seems that the man was fine after 12 weeks. He faced many negative events, but none of them was dangerous or related to the cultivated cells themselves (he had a moderate inflamed veins where a catheter was placed, for example).
This study is only evidence of the concept, which is more directed to show that the procedure can be safely done than that it actually operates. The man gave a relatively low dose of donor cells, it is likely to be very low for his body to produce enough insulin on its own to no longer need treatment. There is also a need to follow up to see if these cells can stay in the long run.
But there is a lot to encourage him. It is the latest sign that scientists are about to make type 1 diabetes. Other research teams showed early success in using similar transplants to treat the condition, including some He also avoids need Immunotherapy.
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