A mother's cells may try to repair the tissue
damage in an unborn child that can result in type 1 diabetes,
research suggests.
US and UK researchers found unusually high
levels of maternal DNA in children with type 1 diabetes -
an indication of cell transfer from the mother.
They also found these cells could go on to
produce insulin, the hormone lacking in type 1 diabetes.
The study is published in Proceedings of
the National Academy of Sciences.
It raises hopes of new treatments for the
condition.
It has been known for some years that mother
and baby exchange stem cells in the course of pregnancy, and
that these may live on for many years, apparently tolerated
by the new host.
The phenomenon is known as microchimerism
- and it is still unclear as to whether the presence of such
cells can be harmful to the recipient.
No immune attack
The researchers, from the University of Bristol
and Seattle's Fred Hutchinson Cancer Research Center, found
around 20% of children with type 1 diabetes had unusually
high levels of maternal DNA in their blood.
They also found some maternal cells had entered
the child's pancreas and were functioning there as insulin-producing
beta cells.
The study found no evidence that the mother's
cells were attacking the child's insulin cells and no evidence
that the maternal cells were targets of an immune response
from the child's immune system.
Researcher Professor Edwin Gale said: "Our
initial theory was that perhaps, in some situations, too many
cells cross from mother to foetus in pregnancy.
"Could diabetes result because the child
lost tolerance to those cells because they are genetically
half foreign?
"Our research appears to disprove this. It
is possible that the maternal cells may even be helping to
regenerate damaged tissue in the pancreas."
Harvested cells
Dr Lee Nelson, who also worked on the study,
said the findings raised the possibility that a mother's stem
cells might be harvested, and used to treat her diabetic child.
In theory, these cells would be of more use
than those taken from an unrelated donor, which would be completely
genetically mismatched.
Dr Nelson said: "The child is probably tolerant
to the mother's half-matched cells because the child acquired
the cells during its life as a foetus while its immune system
was still developing."
Jo Brodie, of the charity Diabetes UK, said
scientists trying to perfect islet cell transplantation as
a treatment for diabetes faced problems sourcing enough material,
and preventing the recipients' immune systems from attacking
the newly transplanted cells.
"If cells with the potential to produce insulin
can pass from mother to child during pregnancy, without the
child's immune system destroying them as seems to be the case
here, then this could open up promising new avenues of research,
and perhaps provide a new source of insulin-producing cells
for therapeutic use."
Around 350,000 people in the UK suffer from
type 1 diabetes and have to give themselves regular insulin
injections.