Teplizumab - current state of knowledge on the effects of teplizumab in preventing the development of type 1 diabetes in people at risk

Background and Purpose: Type 1 diabetes is a chronic autoimmune disease from the group of metabolic disorders, where the immune system attacks and destroys the insulin producing cells of the pancreas, leading to hyperglycemia and the need for lifelong exogenous insulin supplementation. This results...

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Main Authors: Justyna Białek, Karolina Nitka, Marta Więckowska-Deroń, Monika Leszcz, Dominika Ćwik-Błotnicka, Joanna Borczyk, Martyna Lewkowicz
Format: Article
Language:English
Published: Kazimierz Wielki University 2023-08-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/45204
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author Justyna Białek
Karolina Nitka
Marta Więckowska-Deroń
Monika Leszcz
Dominika Ćwik-Błotnicka
Joanna Borczyk
Martyna Lewkowicz
author_facet Justyna Białek
Karolina Nitka
Marta Więckowska-Deroń
Monika Leszcz
Dominika Ćwik-Błotnicka
Joanna Borczyk
Martyna Lewkowicz
author_sort Justyna Białek
collection DOAJ
description Background and Purpose: Type 1 diabetes is a chronic autoimmune disease from the group of metabolic disorders, where the immune system attacks and destroys the insulin producing cells of the pancreas, leading to hyperglycemia and the need for lifelong exogenous insulin supplementation. This results in increased morbidity, life threatening complications, shortened lifespan and quality of life. So there is an urgent need to develop prevention and treatment for people at risk of developing type 1 diabetes. Current state of knowledge: Recently, there has been significant progress in the field of immunotherapy with therapeutic strategies that focus on stopping the disease in the presymptomatic stage by preserving residual beta-cell function. Randomized, double-blind clinical trials of teplizumab were conducted in relatives of patients with established type 1 diabetes who had not yet been diagnosed with the disease, but were at high risk of developing clinical disease, based on these studies The FDA has approved teplizumab, under trade name Tzield, as a treatment to delay the onset of type 1 diabetes. Conclusion: The reviewed research papers present strong evidence that teplizumab halts the severe decline in beta cells and possibly improves their function after treatment in a high-risk population. In addition, the effect persists.
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spelling doaj.art-7f1353994f5a48c3acf543ea58a1bf442023-08-19T10:48:24ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-08-0144110.12775/JEHS.2023.44.01.018Teplizumab - current state of knowledge on the effects of teplizumab in preventing the development of type 1 diabetes in people at riskJustyna Białek0Karolina Nitka1Marta Więckowska-Deroń2Monika Leszcz3Dominika Ćwik-Błotnicka4Joanna Borczyk5Martyna Lewkowicz6Kliniczny Szpital Wojewódzki Nr 2 im. Św. Jadwigi Królowej w RzeszowieSpecjalistyczny Publiczny Szpital Kliniczny nr 1 w Lublinie, PolskaSamodzielny Publiczny Szpital Kliniczny Nr 4 w Lublinie, PolskaSamodzielny Publiczny Zakład Opieki Zdrowotnej w Radzyniu Podlaskim, PolskaWojewódzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego Samodzielny Publiczny Zakład Opieki Zdrowotnej w Lublinie, PolskaSzpital Specjalistyczny im. Ludwika Rydygiera w Krakowie, Polska4th Department of Internal Medicine, Lower Silesian Oncology, Pulmonology and Hematology Center in Wroclaw, Poland Background and Purpose: Type 1 diabetes is a chronic autoimmune disease from the group of metabolic disorders, where the immune system attacks and destroys the insulin producing cells of the pancreas, leading to hyperglycemia and the need for lifelong exogenous insulin supplementation. This results in increased morbidity, life threatening complications, shortened lifespan and quality of life. So there is an urgent need to develop prevention and treatment for people at risk of developing type 1 diabetes. Current state of knowledge: Recently, there has been significant progress in the field of immunotherapy with therapeutic strategies that focus on stopping the disease in the presymptomatic stage by preserving residual beta-cell function. Randomized, double-blind clinical trials of teplizumab were conducted in relatives of patients with established type 1 diabetes who had not yet been diagnosed with the disease, but were at high risk of developing clinical disease, based on these studies The FDA has approved teplizumab, under trade name Tzield, as a treatment to delay the onset of type 1 diabetes. Conclusion: The reviewed research papers present strong evidence that teplizumab halts the severe decline in beta cells and possibly improves their function after treatment in a high-risk population. In addition, the effect persists. https://apcz.umk.pl/JEHS/article/view/45204teplizumabtype I diabetes
spellingShingle Justyna Białek
Karolina Nitka
Marta Więckowska-Deroń
Monika Leszcz
Dominika Ćwik-Błotnicka
Joanna Borczyk
Martyna Lewkowicz
Teplizumab - current state of knowledge on the effects of teplizumab in preventing the development of type 1 diabetes in people at risk
Journal of Education, Health and Sport
teplizumab
type I diabetes
title Teplizumab - current state of knowledge on the effects of teplizumab in preventing the development of type 1 diabetes in people at risk
title_full Teplizumab - current state of knowledge on the effects of teplizumab in preventing the development of type 1 diabetes in people at risk
title_fullStr Teplizumab - current state of knowledge on the effects of teplizumab in preventing the development of type 1 diabetes in people at risk
title_full_unstemmed Teplizumab - current state of knowledge on the effects of teplizumab in preventing the development of type 1 diabetes in people at risk
title_short Teplizumab - current state of knowledge on the effects of teplizumab in preventing the development of type 1 diabetes in people at risk
title_sort teplizumab current state of knowledge on the effects of teplizumab in preventing the development of type 1 diabetes in people at risk
topic teplizumab
type I diabetes
url https://apcz.umk.pl/JEHS/article/view/45204
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