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Near-Complete Cure For Diabetes In Two Years?

Posted by kdawson on Sat Dec 16, 2006 07:21 PM
from the medical-miracle dept.
resistant writes "Researchers at a Toronto hospital have stumbled upon a dramatic treatment for mouse diabetes, with large implications for the treatment of diabetes in humans. From the article: 'The islet inflammation cleared up and the diabetes was gone. Some have remained in that state for as long as four months, with just one injection... They also discovered that their treatments curbed the insulin resistance that is the hallmark of Type 2 diabetes, and that insulin resistance is a major factor in Type 1 diabetes, suggesting the two illnesses are quite similar.'"
Update: 12/17 03:46 GMT by KD : resistant adds that the Cell Journal article is posted as a PDF as well as in plain text.
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[+] Researchers May Have Found Cause of Type 2 Diabetes 181 comments
ozmanjusri writes "Scientists at Sydney's Garvan Institute have identified an enzyme called PKCepsilon as the active agent that blocks the production of insulin in diabetics. Insulin injections and implants try to control levels but do not address the reasons why insulin production is failing. This discovery may allow pharmaceutical companies to develop a drug to block the enzyme, allowing cells in the pancreas to function normally, though the team's leader, Trevor Biden, says 'What we've identified is a target that we can now latch onto to get therapy, but the journey from target to tablet of course is a long one ... It's probably going to take another 10 years at least to get something that's effective in humans.'"
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  • by Rosco P. Coltrane (209368) on Saturday December 16 2006, @07:22PM (#17272216)
    Sweet!
  • Hm (Score:5, Insightful)

    TFA Title: Diabetes breakthrough
    Slashdot Title: Near-Complete Cure For Diabetes in Two Years?
  • by the_humeister (922869) on Saturday December 16 2006, @07:28PM (#17272286)
    I'd wait until human trials before getting too excited. The article is short on details, but this tidbit is interesting:
    They also discovered that their treatments curbed the insulin resistance that is the hallmark of Type 2 diabetes, and that insulin resistance is a major factor in Type 1 diabetes, suggesting the two illnesses are quite similar.
    Insulin resistance in type 1 diabetes? It'd be nice if they linked to the published article, unless they haven't published it yet.
    • by MrPotatoeHead (136285) on Saturday December 16 2006, @07:53PM (#17272486)
      ok, ok, i'll do the work for you...

      http://www.cell.com/content/article/abstract?uid=P IIS0092867406014656 [cell.com]

      the link to the PDF for the entire article is to the right of the page
    • by smart2000 (28662) <karl@karlkraft.com> on Saturday December 16 2006, @08:14PM (#17272660) Homepage
      Insulin resistance in type 1 diabetes? It'd be nice if they linked to the published article, unless they haven't published it yet.

      Yes, because using Google is so damn hard. Enter "Cell Journal" into Google. First link. The Article [cell.com] is available.

      • by Fnkmaster (89084) on Saturday December 16 2006, @08:42PM (#17272848)
        That's possibly the most absurd thing I've ever read. If animal studies reveal nothing, why do they get performed? It's not like some evil corporate entity is forcing animal studies on scientists who secretly wish they could just stick these compounds in humans without bothering to test them out on animals first. No ethical scientist would ever want to do that and risk killing or injuring somebody without animal safety data, or getting somebody's hopes up without any efficacy testing in an animal model first.

        Specific animals are usually chosen for studies because certain biological systems function in a very similar way to the relevant human biological system. Heck, plenty of drugs that work on humans work on cats and dogs and probably lots of mammals. Certain NSAIDs, antibiotics, steroidal anti-inflammatory drugs, benzodiazepenes (anti-anxiety drugs like valium), and some chemotherapy agents developed for use in humans, just to name a few drugs commonly used with cats and dogs off the top of my head.

        Your suggestion then that the results of animal trials bear "no relation" to how they will perform in humans is simply nonsensical. Many drugs may seem to be active in animals, but in humans turn out to be no better than other drugs on the market in terms of efficacy and worse in terms of side effects, which commonly leads to dropping them from commercialization. Differential comparisons of drug efficacy in animal models aren't necessarily useful to determining which drugs will be the most effective in humans, and side effects are not always equivalent, but that's not the point of animal trials - the point is to establish that the basic biological mechanism works in vivo and to get a vague concept of possible safe dosing in an animal model before moving to initial human safety tests.

        I fail to see how you and the other animal rights loonies can have such a poor grasp of how scientific research works and yet feel qualified to comment so authoritatively on it.
  • by DoofusOfDeath (636671) on Saturday December 16 2006, @07:35PM (#17272350)
    Researchers at a Toronto hospital have stumbled upon a dramatic treatment for mouse diabetes
    This was a tremendous advancement. Mice diabetes it the country's great silent killer, affecting some 200-300 billion obese mice each year who can't squeak in their own defense. Until then, please, leave out celery sticks instead of cheese.
  • Inflamation (Score:5, Interesting)

    by fozzy1015 (264592) on Saturday December 16 2006, @07:37PM (#17272360)
    Very interesting. Just a couple weeks ago NPR had an interview with three doctors about how the body's inflammation response is turning out to play a much larger role in diseases then previously thought. link [npr.org]
  • by PIPBoy3000 (619296) on Saturday December 16 2006, @07:45PM (#17272430)
    I was reading a recent article about how someone theorized that humans currently have an overactive immune system. Long ago, a particularly nasty disease swept through the human population and only those with the most aggressive immune system survived. Of course, the legacy of this was that we have auto-immune diseases, asthma, and diabetes. Inflammation is great when fighting off invaders, but for ordinary living it's not so great.
  • by Majestik (101669) on Saturday December 16 2006, @07:55PM (#17272504)
    Given the relationship between insulin levels and weight lost/gain, I wonder if this wil get commercialized as a weight loss solution faster than a diabetes cure.
  • of it. This is not some fancy targeted new drug. They simply injected capsiacin to block the pain nerves leading into the pancrease. Capsaicin blocks the k receptor which is why the topical capsaicin pain creams work so well. They noticed a similarity in the nerves leading into the pancrease and other pain nerve clusters so they made a simple inject. I would say it is a long way from a treatment, but it changed the paradigm of how to target diabetes drugs in a simple logical way. That is why this is interesting.
  • by NorbrookC (674063) on Saturday December 16 2006, @09:19PM (#17273054) Journal
    http://www.cell.com/ [cell.com]

    The newspaper article is a not quite accurate either, although it has less hyperbole than the parent. What the study actually says is that it appears that the sensory nervous system is playing a role in the development and progression of diabetes. That is the "blockbuster", since it was thought to be an autoimmune disease.

    If verified, it provides yet another avenue of investigation into diabetes control and possibly cure, but this is a first study. A lot of work needs to be done to go between this and a standard treatment.

    Important? Yes. Break out the champagne and declare diabetes is cured? No.

    • Re:Mouse diabetes? (Score:4, Informative)

      by Aladrin (926209) on Saturday December 16 2006, @07:28PM (#17272288)
      Why? They share most of the same body parts, organs and systems. Everything works the same way as it does in us. We're only a few ticks away on the genetic map. I'd be more surprised if they didn't work like us.
    • by bigtrike (904535) on Saturday December 16 2006, @08:02PM (#17272560)
      Even if it's perpetually a few years away, that's better than perpetually 20 years away, right?
    • by smart2000 (28662) <karl@karlkraft.com> on Saturday December 16 2006, @08:17PM (#17272686) Homepage
      This isn't a press release about some research conducted over the weekend. If you read the article (I know it is /. tradition to never RTFA), you will see they are talking about their publication in the journal Cell, which is a pretty respected medical journal. The article was written in May, and only published a few days ago. It has been peer reviewed, and your characterization that it is just a scam for fame and fortune is a sad insight into the state of drive-by criticism so prevalent on the internet these days.
      • by Compuser (14899) on Saturday December 16 2006, @09:07PM (#17272984)
        I would only add that Cell is not just "a pretty respected medical journal".
        It, along with Nature and Science, is one of the big three, the most respected
        journals in most sciences. This does not guarantee against fraud but this is
        not science by press release either. The other thing is that they talk of human
        trials. Just to get approved for those you need buttload of evidence and it is
        reviewed very thoroughly and it will be tested by many people, not just study
        authors. Everything about this work seems proper, though once again there is no
        real guarantee against fraud.
    • because this was such a shocking discovery. The one thing about science is that it can stagnate. It does because we assume we know the whats and whys. This leads to the ignoring of approaches simply because, well we "just know" how it works. Like when we thought we knew everything about protiens, rna, and such, along comes an advance along lines not previously considered, whether by chance or just the luck of having the right group of people.

      For me this is great news, my mother has been taking insulin shots for nearly 30 years. Recently animal based insulin products were removed from use, at least from the pool of what she has available. This wasn't some nefarious scheme of drug companies. It is because doctors perceived the new insulins to be better and easier to acquire. What is has led to is pure annoyance and even life threatening situations for many diabetics. Instead of two shots a days she was now in a regimen of 4 or more, using two different types; fast acting and slow acting. Even with multiple blood tests per day, watching what she was eating, she still went into conditions near death when her blood sugar either dropped into the teens or went over 500.

      On a side note, bless my mother, she cannot recall my phone number all the time. She was alone at home as my father was away on a trip with friends and she had a bad reaction. She knew she was in trouble and managed to get some food down but passed out. When she awoke, very groggy and barely concious she managed to dial 911. The paradmedics could not enter the house as it was locked and they are not permitted to break down doors. She actually recalled my phone number and 911 contacted me. Needless to say I made a 10 minute trip in record time. Her blood sugar was in the low 20s when the Paramedics tested it. They would not even more her until they could get her stable. She was barely there. They actually had an ambulance on its way. Obviously she recovered.

      Now because of this issue it was decided to put her on an insulin pump. A couple of people at work are also on the pump now, all for the same reason. It has become near impossible for some of them to regulate their blood sugar levels with the synthetics. So I look at a discovery like this as a near miracle. Hopefully the tests will prove out in a year or two. This type of discovery only happens because there are still people, working for either government, universities, and corporations, who defy common wisdom or by sheer luck stumble upon a whole new method.

      While I don't know how much study was being done in this direction I can only hope it spurs others to investigate similar treatments for health problems considered to be nearly known is cause and scope. Its this openess to ideas that may just save us all one day.

    • by smart2000 (28662) <karl@karlkraft.com> on Saturday December 16 2006, @08:32PM (#17272782) Homepage
      ...as a Diabetic for the last 21 years, I have seen it all. If you follow this stuff, there seems to be one landmark approach after the other. And what happens? Very little. ....... Anything long term, is years, perhaps decades away.

      My son is a Type I diabetic and last month he had to do a year based timeline in math to learn about positive/negative integers. He did his on the discoveries related to diabetes and in particular insulin.

      Lots of progress has been made over the years, and in particular the last 3 decades. The type of insulin he uses is just slightly older than he is.

      The media is great at making everything seem like it is the next big discovery(witness the title of this article), but this is a pretty significant change in the understanding of the causes and possible cures of diabetes.

      The injected substance is a natural substance already approved for injection for other medical purposes, and for this particular purpose (affecting nerve cells), although prior to this research no one had associated nerve cells with the onset of diabetes.

      This research is as signifcant as it gets. Up there with the discovery of anti-biotics, and it represents a wave of change in how several diseases will be treated in the coming decade.

    • by LauraW (662560) on Saturday December 16 2006, @08:44PM (#17272858)

      I am (or was) a type 2 diabetic myself, so I know about getting my hopes up. A lot of strange things are happening in diabetes research lately, though, and it's starting to look like nobody really understood how it worked. Maybe they still don't, but they're at least starting to get a clue.

      As for myself, I finally gave up on dieting last summer and opted for weight loss surgery. For some reason that nobody really understands yet, some forms of weight loss surgery cure type 2 diabetes about 75% of the time. Those were good enough odds for me, and I got lucky: it worked. I've been off of all the diabetes medications since the day I got out of the hospital. My blood sugar, while not quite down in the normal range yet, is lower than it was before then surgery when I was taking the medications. And losing 75 pounds probably didn't hurt either. :-) This isn't for everyone, but at least there are starting to be options.