TIME Health medicine      Type 1 Diabetes Treatment Gets Boost from Stem Cells  Insulin-making  cells grown from stem cells glow green two weeks after they are  transplanted into mice (c) Douglas  Melton 2014      Scientists started with stem cells and created the first    insulin-making cells that respond to changes in glucose    
    Scientists are closer to a potential stem cell treatment for    type 1 diabetes.  
    In a new article in the journal Cell, Douglas Melton, co-director    of the Harvard Stem Cell Institute (and one of the 2009    TIME 100) and his colleagues describe how    they made the first set of pancreatic cells that can sense and    respond to changing levels of sugar in the blood and churn out    the proper amounts of insulin.  
    Its a critical first step toward a more permanent therapy for    type 1 diabetics, who currently have to rely on insulin pumps    that infuse insulin when needed or repeated injections of the    hormone in order to keep their blood sugar levels under    control. Because these patients have pancreatic beta cells that    dont make enough insulin, they need outside sources of the    hormone to break down the sugars they eat.  
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    Melton started with two types of stem cells: those that come    from excess embryos from IVF procedures, and those that can be    made from skin or other cells of adults. The latter cells,    known as iPS cells, have to be manipulated to erase their    developmental history and returned back to an embryonic state.    They then can turn into any cell in the body, including the    pancreatic beta cells that produce insulin. While the embryonic    stem cells from IVF dont require this step, they arent    genetically matched to patients, so any beta cells made from    them may cause immune reactions when they are transplanted into    diabetic patients.  
    Both techniques, however, produced similar amounts of    insulin-making beta cellssomething that would have surprised    Melton a few years ago. But advances in stem cell technology    have made even the iPS cells pretty amenable to reprogramming    into beta cells. Meltons group tested more than 150 different    combinations of more than 70 different compounds, including    growth factors, hormones and other signaling proteins that    direct cells to develop into specific cell types, and narrowed    the field down to 11 factors that efficiently turned the stem    cells into functioning beta cells.  
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    The two populations of stem cells churned out hundreds of    millions of insulin-making cells, which is the volume of cells    that a patient with type 1 diabetes would need to cure them and    free them from their dependence on insulin. An average patient,    says Melton, would need one or two large coffee cups worth of    cells, each containing about 300 million cells. Melton and his    team then conducted a series of tests in a lab dish to confirm    that the cells were functioning just like normal beta cells by    producing more insulin when they were doused with glucose, and    less when glucose levels dropped. That was a huge advance over    previous efforts to make beta cells from stem cellsthose cells    could produce insulin, but they didnt respond to changing    levels of glucose and continuously pumped out insulin at will.  
    Next, the scientists transplanted about five million of the    stem cell derived beta cells into healthy mice, and two weeks    later, gave them an injection of glucose. About 73% of the mice    produced enough insulin to successfully break down the sugar.    Whats more, that was similar to the proportion of mice    responding to glucose after getting a transplant of beta cells    from human cadavers. That was especially encouraging since some    type 1 diabetics currently receive such transplants to keep    their diabetes under control. Weve now shown that we can    produce an inexhaustible source of beta cells without having to    do to cadavers, he says.  
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Type 1 Diabetes Treatment Gets Boost from Stem Cells