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Immunomodulation with heat shock protein DiaPep277 to preserve beta cell function in type 1 diabetes - an update.

机译:用热休克蛋白DiaPep277进行免疫调节以保持1型糖尿病的β细胞功能-更新。

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IMPORTANCE OF THE FIELD: Type 1 diabetes is a chronic autoimmune disease in which pancreatic beta cells are selectively destroyed. Ultimately hyperglycemia develops and insulin substitution becomes necessary. Immunomodulation aims at arresting this autoimmune attack. DiaPep277, the major T-cell epitope of heat shock protein 60 (hsp60), has been shown to be effective as a modulator of the immune system in type 1 diabetes and is the focus of this review. AREAS COVERED IN THIS REVIEW: A literature search of Pubmed listed publications covering 1990 - 2009 and a website search of the licensing company were performed. WHAT THE READER WILL GAIN: DiaPep277 has been successfully employed in animal models and has been investigated in Phase I - III studies in humans. A combined analysis of the Phase II trials showed a significant preservation of beta cell function in adults without adverse effects, but HbA1c was not changed. A Phase III clinical trial is ongoing, and a second Phase III trial will start in early 2010. Addressing the underlying autoimmune process is the call of the future in type 1 diabetes. TAKE HOME MESSAGE: Use of Diapep277 is a promising therapeutic strategy currently being tested in Phase III trials.
机译:领域的重要性:1型糖尿病是一种慢性自身免疫性疾病,其中胰腺β细胞被选择性破坏。最终高血糖症发展,胰岛素替代成为必要。免疫调节旨在阻止这种自身免疫攻击。 DiaPep277是热休克蛋白60(hsp60)的主要T细胞表位,已被证明可有效地调节1型糖尿病的免疫系统,是本综述的重点。此次审查涉及的领域:对1990-2009年间Pubmed上市出版物进行了文献检索,并对许可公司进行了网站检索。读者的收获:DiaPep277已成功应用于动物模型,并已在I-III期人体研究中进行了研究。 II期临床试验的综合分析显示,成年人的β细胞功能得到了显着保留,而没有不良影响,但HbA1c并未改变。目前正在进行III期临床试验,第二期III期试验将于2010年初开始。解决潜在的自身免疫过程是1型糖尿病未来的呼唤。温馨提示:使用Diapep277是一种有前途的治疗策略,目前正在III期试验中进行测试。

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