Journal of Clinical Pediatrics ›› 2022, Vol. 40 ›› Issue (5): 334-338.doi: 10.12372/jcp.2022.22e0253

• Expert Review • Previous Articles     Next Articles

Advances in transplantation therapy in the treatment of type 1 diabetes in children and adolescents

CHEN Yao, WANG Xiumin()   

  1. Department of Endocrine Genetic Metabolism, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Received:2022-02-28 Online:2022-05-15 Published:2022-05-13
  • Contact: WANG Xiumin E-mail:wangxiumin@scmc.com.cn

Abstract:

Prevalence of type 1 diabetes in children and adolescents rises in decades of years. Medication could keep the serum level of glucose in a reasonable range rather than cure the disease. Transplantation, mainly islet transplantation, stem cell transplantation and pancreas transplantation, has attracted more attention for the possibility of curing type 1 diabetes. Rejection, islet inflammation and apoptosis hinder a successful transplantation, which may be relieved by carbon monoxide or regulatory T cell therapies. Most of studies about transplantation treatment for type 1 diabetes were on animals or adults, with few on children and adolescents. Furthermore, fecal microbiota transplantation could halt progression of human new-onset type 1 diabetes, which could be an adjuvant therapy in future days.

Key words: transplantation, child, adolescent, type 1 diabetes