Innovative treatment prevents development of diabetes
Thursday, December 8, 2022 at 1:01AM Key points:
- Researchers from the Babraham Institute have been able to prevent the development of diabetes in mice.
- Their study prevented the death of insulin-producing beta cells in the pancreas, blocking the development of diabetes
- The treatment used a modified virus to manipulate a key molecular pathway in pancreatic cells, which controls the decision of stressed cells on whether to live or die.
- The team hope that their findings will translate into clinical treatment for both types of diabetes.
Researchers from the Liston lab have recently published a preventative therapeutic for diabetes in mice. Their team have been able to prevent diabetes in mice by manipulating signalling pathways in pancreatic cells and preventing stress-induced cell death. The treatment targets a pathway common to both major types of diabetes and therefore could have huge therapeutic potential once translated into a clinical treatment.
For over 35 years there have been failed attempts to prevent type 1 diabetes development. Previous approaches have sought to target the autoimmune nature of the disease, but Dr Adrian Liston, senior Group Leader in the Immunology research programme, wanted to investigate if there was more causing the deterioration in later stages than just the immune response.
The Liston lab sought to understand the role of cell death in the development of diabetes and therefore approached this problem by identifying the pathways that decide whether stressed insulin-producing cells of the pancreas live or die, and therefore determine the development of disease.
Their hope was to find a way to stop this stress-related death, preventing the decline into diabetes without the need to focus solely on the immune system. First, the researchers had to know which pathways would influence the decision of life or death for the beta cell. In previous research, they were able to identify Manf as a protective protein against stress induced cell death, and Glis3 which sets the level of Manf in the cells. While type 1 and 2 diabetes in patients usually have different causes and different genetics, the GLIS3-MANF pathway is a common feature for both conditions and therefore an attractive target for treatments.
In order to manipulate the Manf pathway, the researchers developed a gene delivery system based on a modified virus known as an AAV gene delivery system. The AAV targets beta cells, and allows these cells to make more of the pro-survival protein Manf, tipping the life-or-death decision in favour of continued survival. To test their treatment, the researchers treated mice susceptible to spontaneous development of autoimmune diabetes. Treating pre-diabetic mice resulted in a lower rate of diabetes development from 58% to 18%. This research in mice is a key first step in the development of treatments for human patients.
“A key advantage of targeting this particular pathway is the high likelihood that it works in both type 1 and type 2 diabetes”, explains Dr Adrian Liston. “In type 2 diabetes, while the initial problem is insulin-insensitivity in the liver, most of the severe complications arise in patients where the beta cells of the pancreas have been chronically stressed by the need to make more and more insulin. By treating early type 2 diabetes with this approach, or a similar one, we have the potential to block progression to the major adverse events in late-stage type 2 diabetes.”
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We have had multiple requests for a detailed staining protocol, so here it is!
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immunology Using gene delivery to protect against diabetes
Sunday, October 16, 2022 at 3:17PM Exciting new paper out from the lab on using gene delivery to protect against diabetes. The work is based on the "fragile beta cell" hypothesis, which postulates that some individuals are prone to diabetes because their beta cells are more prone to fail during stress situations. We previously demonstrated that the Glis3-Manf axis was central to dictacting how robust or fragile beta cells were, during stresses either immunological (type 1 diabetes) or metabolic (type 2 diabetes) in origin. Based on this data, we designed a gene delivery system, which essentially tricks beta cells into making more Manf and becomes robust in the face of stress. NOD mice, treated with this gene delivery of Manf, become resistant to diabetes. As the gene delivery system we use harnesses the endogenous insulin promoter (specific to beta cells, and upregulated during cellular stress), we can use low doses of the gene delivery system delivered intravenously, without altering the rest of the body. This gives the system a high potential for clinical translation. Read the full paper here, or check out our illustrated abstract below.

Liston lab,
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Friday, September 30, 2022 at 7:57AM - it is actually true. The problem that you are addressing isn't actually their action. The real problem is that this particular action hurts you. We all have different trigger points - messy bench, missed deadlines, swearing, having the radio on - each of these will cause one person to grind their teeth while another person literally won't notice. How do they know this is a sensitive issue for you without you telling them?
- it emphasizes the importance of the issue. For some people, deadlines just aren't that important, so it is hard to make them feel like deadlines are important to them. But they can understand that missing weekend after weekend with your child is important to you, and once you link the two they will get it
- it puts the other person in a zone of empathy rather than in a zone of defence. They don't feel attacked, they feel taken into your confidence, and are gaining an insight into what is important to you
- word spreads faster. People don't like to share that they got told off, but they will share that you are really sensitive to some particular things
- it works. Except for sociopaths, people don't like causing pain to other people. If you find that "you language" works better on someone than "I language", that is a giant red flag that that person has no empathy or ability to work as a team
science careers An international lab
Tuesday, July 19, 2022 at 7:57PM 
Scientists have come from 45 countries across 6 continents to work together in our lab!
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