A possible cure for Type I Diabetes Mellitus Bioengineering - Abigail Gillis q ”Childhood diabetes” q Diagnosis at 5-14 years q 1.25 million Americans q Autoimmune disease q Inability to regulate blood glucose q Associated complications - cardiovascular disease, neuropathy, kidney damage, etc. q Management q Monitor blood glucose levels q Strict diet q Exercise and maintain weight q Insulin q Injections q Pumps q Cellular engineering q Generate functional insulin-producing cells q Genetic engineering q Alter epitope configuration q Functional q Unrecognizable by immune system q Seek help from bioengineers, cellular biologists, genetic experts, surgeons, & diabetic specialists q Differentiation of bone marrow-derived stem cells from mice (Hisanga et. al., 2008) q Growth conditions q petri dish, body Cell temperature, passaging with need q Growth factors: activin a, CnP, BTC, & CT-delta4 Immune system antibody q Glucose exposure Cell surface antigen
q Modification – CRISPR technology
q Survival Assay q Hemocytometer q Glucose tolerance q Insulin Production q Radioimmunoassay (Hisanaga et. al., 2008) q Insulin response to glucose q Immune System Avoidance q Fluorescent microscopy with antibodies NOD mouse
q Mouse model - Induce disease
q Transfer model q 2 weeks Immune cells w/autoantibodies q Control – normal mice q Same diet q No treatment q Experimental Immunocompromised q Diabetic mouse w/ cells mouse
q Diabetic mouse w/ insulin
q General physical conditions q Blood glucose levels q Daily fasting blood glucose q Insulin levels q Daily, 1 hour after eating q Imaging of insulin producing cells q Tag with fluorescent dye q Treatment period = 4 weeks q Autopsy q Focus on pancreas q Cell structure q Focus on cell surface antigen q Fluorescent microscopy q Were new antibodies created? q Fluorescent microscopy with mice antibodies q Creation of new antibodies against the insulin- producing cells q Problem: Immunocompromised mice q Cell survival q Treatment may need to occur multiple times in a diabetic patient’s lifetime q Cost concerns q How to determine when another treatment is need Upon Positive Results q Testing with human stem cells in SirpaNOD mice
Upon Negative results
q Why didn’t it work? q Additional benchtop tests q Alterations to design American Diabetes Association. (n.d.). Living With Diabetes. Retrieved September 17, 2018, from http://www.diabetes.org/living-with-diabetes/ Ayala, J. E., Samuel, V. T., Morton, G. J., Obici, S., Croniger, C. M., Shulman, G. I., . . . Mcguinness, O. P. (2010). Standard operating procedures for describing and performing metabolic tests of glucose homeostasis in mice. Disease Models & Mechanisms,3(9-10), 525-534. doi:10.1242/dmm.006239 Desai D.V., Kulkarni-Kale U. (2014) T-Cell Epitope Prediction Methods: An Overview. In: De R., Tomar N. (eds) Immunoinformatics. Methods in Molecular Biology (Methods and Protocols), vol 1184. Humana Press, New York, NY Doiron, B., Hu, W., & Defronzo, R. A. (2016). Beta Cell Formation in vivo Through Cellular Networking, Integration and Processing (CNIP) in Wild Type Adult Mice. Current Pharmaceutical Biotechnology,17(4), 376-388. doi:10.2174/1389201017666151223124031 Domen, J., Wagers, A., & Weissman, I. L. (2016). Bone Marrow (Hematopoietic) Stem Cells. Retrieved October 7, 2018, from https://stemcells.nih.gov/info/Regenerative_Medicine/2006Chapter2.htm Harvard University. (2014, July 31). CRISPR: A game-changing genetic engineering technique. Retrieved October 7, 2018, from http://sitn.hms.harvard.edu/flash/2014/crispr-a-game-changing-genetic- engineering-technique/ Hisanaga, E., Park, K., Yamada, S., Hashimoto, H., Takeuchi, T., Mori, M., . . . Kojima, I. (2008). A Simple Method to Induce Differentiation of Murine Bone Marrow Mesenchymal Cells to Insulin-producing Cells Using Conophylline and Betacellulin-delta4. Endocrine Journal,55(3), 535-543. doi:10.1507/endocrj.k07e-173 Immunodeficient mice: The NOD connection. (2014, February). Retrieved October 20, 2018, from https://www.jax.org/news-and-insights/jax-blog/2014/february/immunodeficient-mice-the-nod- connection Mayo Clinic. (2018, August 08). Diabetes. Retrieved September 17, 2018, from https://www.mayoclinic.org/diseases-conditions/diabetes/diagnosis-treatment/drc-20371451 Mayo Clinic. (2018, May 04). Blood sugar testing: Why, when and how. Retrieved October 21, 2018, from https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/blood-sugar/art-20046628 Schade, D. S., & Valentine, V. (2002, November). To Pump or Not to Pump [Editorial]. Diabetes Care, 25(11), 2100-2102. SEARCH for Diabetes in Youth Study Group* TWGFT. Incidence of Diabetes in Youth in the United States. JAMA. 2007;297(24):2716–2724. doi:10.1001/jama.297.24.2716 Van Belle, T. L., Taylor, P., & von Herrath, M. G. (2009). Mouse Models for Type 1 Diabetes. Drug Discovery Today. Disease Models, 6(2), 41–45. http://doi.org/10.1016/j.ddmod.2009.03.008 Wong FS, Wen L. B Cells in Autoimmune Diabetes. The Review of Diabetic Studies. 2005;2(3):121-135. doi:10.1900/RDS.2005.2.121.