More than 29 million people in the US have diabetes, and it is the seventh-leading cause of death in the country. But could a cure be on the horizon? According to researchers from Cornell University in Ithaca, NY, it could – in the form of a probiotic pill.
In a proof-of-principle study published in the journal Diabetes, senior author John March and colleagues from Cornell reveal how they were able to reduce blood glucose levels in diabetic rats using a common bacteria found in the human gut.
Diabetes prevalence has risen in the US in recent years, increasing from 25.8 million people affected in 2010 to 29.1 million in 2012.
But with the findings of their study, March and colleagues say they may be one step closer to a cure for the condition.
The researchers engineered a common strain of “friendly” human gut bacteria called Lactobacillus to secrete Glucagon-like peptide 1 (GLP-1) – a hormone that releases insulin in response to food.
Each day for 90 days, the team orally administered the modified probiotic to a group of diabetic rats. They monitored its effects on blood glucose levels, comparing the outcomes with diabetic rats that did not receive it.
At the end of the 90 days, the researchers found the rats that received the modified probiotic had blood glucose levels up to 30% lower than those that did not receive the probiotic.
The team says the probiotic appeared to convert the rats’ upper intestinal epithelial cells to cells that acted a lot like pancreatic beta cells, which – in healthy people – secrete insulin and regulate blood glucose levels.
“The amount of time to reduce glucose levels following a meal is the same as in a normal rat, and it is matched to the amount of glucose in the blood, just as it would be with a normal-functioning pancreas. It’s moving the center of glucose control from the pancreas to the upper intestine.”
On giving the modified probiotic to healthy rats, however, the team found that it did not appear to affect blood glucose levels. “If the rat is managing its glucose, it doesn’t need more insulin,” says March.
The team says they now plan to test higher doses of the engineered probiotic in diabetic rats in order to see whether it can completely reverse the condition.
They are also working with a biopharmaceutical company called BioPancreate to get the probiotic made into a pill for human use. If successful, the researchers say it would be likely a diabetic would take the pill each morning to help manage their condition.
In November 2014, Medical News Today reported on a study suggesting a common blood pressure drug may completely reverse diabetes.