Gregory A. Sucilla, Ph.D.

PRESBYOPICA TYPE 1 DIABETES BREAKTHROUGH?

A TYPE 1 DIABETES BREAKTHROUGH?

A TYPE 1 DIABETES BREAKTHROUGH?

A parasitic worm is providing a breakthrough in the development of a diabetes cure.

Type 1 diabetes occurs when the body’s immune cells in the pancreas, an organ about the size of a hand that is located behind the lower part of the stomach. These cells — called beta cells– are contained, along with other types of cells, within small islands of endocrine cells called the pancreatic islets. Beta cells normally produce insulin, a hormone that helps the body move the glucose contained in food into cells throughout the body, which use it for energy. But when the beta cells are destroyed, no insulin can be produced, and the glucose stays in the blood instead, where it can cause serious damage to all the organ systems of the body. For this reason, people with Type 1 diabetes must take insulin in order to stay alive.

Type 1 DM can occur at any age. It occurs most commonly in juveniles but can also occur in adults, especially in those in their late 30s and early 40s.  Global trends specific to Type 1 diabetes statistics for children under 14 years old:
 
• With a global population of 1.9 B children under 15, @480,000 children live with diabetes;
• @ 76,000 children will develop type 1 diabetes annually;
• The overall rate of increase is 3% worldwide;
• The greatest increase in new cases is in the age group under 5 years old.
 
Unlike people with Type 2 DM, those with Type 1 DM generally are not obese and may present initially with diabetic ketoacidosis (DKA). The distinguishing characteristic of a patient with Type 1 diabetes is that if his or her insulin is withdrawn, ketosis and eventually ketoacidosis develop. Therefore, these patients are dependent on exogenous insulin.

But recent research in Australia is showing that molecules secreted by a flat worm can regulate the immune system and could also help stop rejection in solid organ transplants. Fasciola hepatica regulates the immune response of its host by manipulating a specific immune cell, called the macrophage.  The molecules secreted by the flatworm were found to switch off the macrophage,  returning beta cells to normal  insulin production.