LOS ANGELES (Reuters) - An experimental vaccine may be able to stop the
progression of type 1, or juvenile, diabetes, according to results from a
mid-stage clinical trial of the injected drug presented on Saturday.
"The vaccine prolonged what little ability people with advanced diabetes had
to make insulin. We are optimistic of better efficacy in younger people, who
don't have full-blown disease," said Daniel Kaufman, professor in the department
of molecular and medical pharmacology at the University of California, Los
Angeles, whose research team first developed and tested the vaccine in
diabetes-prone mice.
Diabetes, which can lead to heart disease, kidney failure and blindness, is
caused by a shortage of insulin, a hormone that regulates blood sugar levels, or
by the body's failure to respond to it.
In type 1 diabetes, the body's immune system attacks cells in the
insulin-making parts of the pancreas. The body is then unable to control blood
sugar levels and insulin must be injected daily. Juvenile diabetes affects about
one in 300 people, with the average onset age of 12.
Type 2 diabetes, which is more common, arises when the body becomes resistant
to insulin, often as a result of obesity.
The UCLA researchers discovered the autoimmune response that causes type 1
diabetes may be due to the immune system attacking a protein called GAD in the
insulin-producing cells in the pancreas. They then developed a diagnostic test
for identifying individuals who were developing type 1 diabetes based on
antibodies to that protein in their blood.
The vaccine research was licensed by the university to Sweden's Diamyd
Medical AB, which conducted a trial of 47 adults recently diagnosed with late
onset type 1 diabetes. The study results were unveiled at a meeting of the
American Diabetes Association in New Orleans.
The vaccine, injected at four different dose levels up to three times over a
six-month period, successfully prolonged patients' ability to make insulin,
compared with patients who received a placebo, the researchers said.
Kaufman said the vaccine worked best at a low-to-medium dosage and the trial
showed no safety concerns.
"The study shows that it is possible to inhibit the autoimmune attack on the
cells that make insulin, thereby slowing the progression of type 1 diabetes,"
said Kaufman. Further studies are planned, the researcher said.
Diamyd expects the vaccine to first be used to prevent diabetes patients
being treated with oral drugs from becoming dependent on insulin injections.
Further applications are expected to be the prevention of insulin dependency in
children and young people who run the risk of developing the illness and
increasing the survival capability of insulin producing cells after
transplantation.
"Any delay in onset of diabetes would have an important impact in terms of
long-term complications from the disease," Kaufman said.
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