UK scientists have found strong evidence suggesting that diabetes is
caused by a virus.
The finding raises the possibility of developing a vaccine for the
disease.
The researchers have discovered a marked difference between the way the
bodies of healthy individuals and those newly diagnosed with diabetes
respond to a virus known as Coxsackie B4.

There is the future possibility of developing vaccines to prevent
infection

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Dr Mark Peakman
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Dr Mark Peakman led the
three-year-study at the Department of Immunology at Guy's, King's and St
Thomas' School of Medicine.
He said: "The implications are clear: if viruses have a proven role in
the disease, there is the future possibility of developing vaccines to
prevent infection and therefore Type 1 diabetes."
Type 1 diabetes is an autoimmune disease in which the body lacks
insulin, the hormone which controls the sugar levels in the bloodstream.
People with the condition have to inject insulin daily instead.
Serious form
The disease usually begins in childhood, affecting as many as one in
200 people. It is also on the increase.
Both Type 1 and the more common Type 2 diabetes can lead to blindness,
kidney failure and heart disease in later life.
The cause of the disease is not clear. However, it is most likely to be
due to a complex interaction between a person's genes and their
environment.
Various studies have suggested that a group of viruses could be a
trigger, stimulating the immune system to attack and 'kill off' the cells
that produce insulin.
But until this study the evidence has been indirect and the immune
cells involved unclear.
Dying patient
The research team focused on the Coxsackie B4 virus (CVB4), a bug that
causes typical viral symptoms and is most commonly found in children.
Several years ago, a strain of this bug was recovered from the pancreas
of a child dying from Type 1 diabetes.
Using the genetic code of the virus and the latest DNA technology, the
researchers were able to grow key parts of the virus.
They then tested how the body responded to the virus using blood
samples from 40 Type 1 diabetics who had been diagnosed within the last
five months.
The team found that CVB4 did stimulate the immune system very readily.
However, the response of the diabetics was more pronounced.
This suggests that the diabetics had been exposed to the virus in the
recent past, or repeatedly over time, and so were already primed to take
action.
The research, funded by the UK charity Action Research, is published in
the journal Diabetes.