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Regulatory T cells: Therapeutic Potential for Treating Transplant Rejection and Type I Diabetes
Published on: August 20, 2007
Prevention of type 1 diabetes: today and tomorrow
Simona Cernea1, Minodora Dobreanu, Itamar Raz
1Diabetes, Nutrition and Metabolic Diseases Outpatient Unit, Târgu Mureş Emergency County Clinical Hospital, 50Gheorghe Marinescu Str., Târgu Mureş, Romania. simonacernea@yahoo.com
Abstract:
The aim of therapeutic interventions for type 1 diabetes is to suppress pathogenic autoreactivity and to preserve/restore beta-cell mass and function to physiologically sufficient levels to maintain good metabolic control. During the natural history of type 1 diabetes, several strategies have been applied at various stages in the form of primary, secondary or tertiary prevention approaches. Clinical trials using antigen-specific (e.g. DiaPep277, human glutamic acid decarboxylase 65 (GAD65)) or non-specific immune therapies (e.g. anti-CD3 monoclonal antibodies) have shown some benefit in the modulation of the autoimmune process and prevention of the insulin secretion loss in the short term after diagnosis of diabetes. A single long-term effective therapy has not been identified yet, and it is likely that in most cases a rationally designed combinatorial approach using immunotherapeutic methods coupled with islet regeneration or replacement will prove to be most effective.
Insights
Therapeutic interventions for type 1 diabetes aim to halt autoimmune attacks and restore insulin-producing beta cells. Current therapies offer short-term benefits, suggesting combination treatments are key for long-term success.
Area of Science:
- Immunology
- Endocrinology
- Diabetology
Background:
- Type 1 diabetes involves pathogenic autoreactivity targeting beta cells.
- Maintaining beta-cell mass and function is crucial for metabolic control.
- Therapeutic strategies target primary, secondary, or tertiary prevention.
Purpose of the Study:
- To review therapeutic interventions for type 1 diabetes.
- To assess the efficacy of current immunotherapies.
- To identify future therapeutic directions.
Main Methods:
- Review of clinical trials for type 1 diabetes therapies.
- Analysis of antigen-specific and non-specific immune therapies.
- Evaluation of short-term and long-term outcomes.
Main Results:
- Antigen-specific (e.g., GAD65) and non-specific (e.g., anti-CD3) immunotherapies show short-term modulation of autoimmunity.
- These therapies help prevent insulin secretion loss post-diagnosis.
- No single long-term effective therapy has been identified.
Conclusions:
- Current immunotherapies provide limited short-term benefits for type 1 diabetes.
- A combination approach is likely necessary for effective long-term management.
- Future strategies may involve immunotherapy combined with islet regeneration or replacement.
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