WASHINGTON - Adult stem cells have a major role to play in curing type 1 diabetic mice, according to a new study by an Indian-origin scientist.

In the study, the researchers focussed on a study by Dr. Lawrence C.B. Chan and colleagues in his Baylor College of Medicine laboratory, in which they cured mice with type 1 diabetes by using a gene to induce liver cells to make insulin.

“Now we know how it works. The answer is adult stem cells,” said Chan.

Chan and Dr. Vijay Yechoor, assistant professor of medicine-endocrinology and first author of the report, said that a gene called neurogenin3 proved critical to inducing cells in the liver to produce insulin on a continuing basis.

They used a disarmed virus called a vector to deliver the gene to the livers of diabetic mice by a procedure commonly known as gene therapy.

“The mice responded within a week,” said Yechoor.

The levels of sugar in their blood plummeted to normal and stayed that way for the rest of their normal lives, and this quick response generated more questions as did the length of time that the animals stayed healthy.

Yechoor found that there was a two-step response-firstly, the neurogenin3 gene goes into the mature liver cells and causes them to make small quantities of insulin - enough to drop sugar levels to normal,.

“This is a transient effect. Liver cells lose the capacity to make insulin after about six weeks,” he said.

But, they found that other cells that made larger quantities of insulin showed up later, clustered around the portal veins (blood vessels that carry blood from the intestines and abdominal organs to the liver).

“They look similar to normal pancreatic islet cells (that make insulin normally),” said Yechoor.

Also, they discovered that these “islet” cells came from a small population of adult stem cells usually found near the portal vein.

Only a few are needed usually because they serve as a safety net in case of liver injury. When that occurs, they quickly activate to form mature liver cells or bile duct cells.

However, neurogenin3 changes their fates, directing them down a path to becoming insulin-producing islet cells located in the liver.

The mature liver cell cannot make this change because its fate appears to be fixed before exposure to neurogenin3.

Yechoor said that the islet cells in the liver were quite similar to those made by pancreas after an injury.

“If we didn’t use neurogenin3, none of this would happen. Neurogenin3 is necessary and sufficient to produce these changes,” he said.

Chan cautioned that much more work is needed before similar results could be seen in humans.

“The concept is important because we can induce normal adult stem cells to acquire a new cell fate. It might even be applicable to regenerating other organs or tissues using a different gene from other types of adult stem cells,” he said.

The study appears in the journal Developmental Cell. (ANI)