Diabetes is a major global health issue and the number of individuals with type 1 diabetes (T1D) and type 2 diabetes (T2D) increases annually across multiple populations. Research to develop a cure must overcome multiple immune dysfunctions and the shortage of pancreatic islet β cells, but these challenges have proven intractable despite intensive research effort more than the past decades. Stem Cell Educator (SCE) therapy—which uses only autologous blood immune cells that are externally exposed to cord blood stem cells adhering to the SCE device, has previously been proven safe and effective in Chinese and Spanish subjects for the improvement of T1D, T2D, and other autoimmune diseases. Here, 4‐year follow‐up studies demonstrated the long‐term safety and clinical efficacy of SCE therapy for the treatment of T1D and T2D. Mechanistic studies found that the nature of platelets was modulated in diabetic subjects after receiving SCE therapy. Platelets and their released mitochondria display immune tolerance‐associated markers that can modulate the proliferation and function of immune cells. Notably, platelets also expressed embryonic stem cell‐ and pancreatic islet β‐cell‐associated markers that are encoded by mitochondrial DNA. Using freshly‐isolated human pancreatic islets, ex vivo studies established that platelet‐releasing mitochondria can migrate to pancreatic islets and be taken up by islet β cells, leading to the proliferation and enhancement of islet β‐cell functions. These findings reveal new mechanisms underlying SCE therapy and open up new avenues to improve the treatment of diabetes in clinics. Stem Cells Translational Medicine 2017;6:1684–1697

Cryptosporidium spp. cause enteric diseases in a wide range of animals, including dairy cattle. However, limited information is available regarding prevalence and molecular characterization of Cryptosporidium spp. in dairy cattle in Gansu province and Ningxia Hui Autonomous Region (NXHAR), northwest China. A total of 2945 dairy feces samples (1257 from Gansu province and 1688 from NXHAR) were collected between December 2012 and March 2014 and were tested by PCR amplification of the small subunit (SSU) rRNA gene. A total of 150 (5.09 %, 58 from Gansu and 92 from NXHAR) samples were PCR-positive for Cryptosporidium, and the prevalence is associated with the region and age of dairy cattle. Species identification showed Cryptosporidium andersoni in 36 samples (24.00 %, 19 from NXHAR and 17 from Gansu), Cryptosporidium ryanae in 24 samples (16.00 %, 13 from NXHAR and 11 from Gansu), Cryptosporidium bovis in 70 samples (46.67 %, 41 from NXHAR and 29 from Gansu), and Cryptosporidium parvum in 20 samples (13.33 %, 19 from NXHAR and 1 from Gansu). A DNA sequence analysis of the gp60 gene suggested that all the 20 C. parvum isolates represented subtype IIdA15G1. These findings indicated the presence of zoonotic Cryptosporidium in Gansu and NXHAR. This is the first report of four species of Cryptosporidium (C. andersoni, C. ryanae, C. bovis, and C. parvum) infection in dairy cattle in Gansu province. This is also the first report of C. ryanae infection in dairy cattle in NXHAR. Effective control strategies should be implemented to prevent and control Cryptosporidium infection in dairy cattle and humans.

Giardia intestinalis is a cosmopolitan protozoan parasite that can infect a range of animals, including dairy cattle. As information regarding the prevalence and genotyping of G. intestinalis infection in dairy cattle in northwestern China is limited, 2,945 feces samples from 1,224 dairy cattle in Gansu Province and from 1,614 in Ningxia Hui Autonomous Region (NXHAR) were examined between December 2012 and March 2014. The overall prevalence of G. intestinalis was 3.63% (107/2,945), with 2.63% and 4.38% in Gansu and NXHAR, respectively. Logistic regression analysis showed region, age and season to be significant risk factors for G. intestinalis infection. Assemblage analysis identified 106 assemblage E and one assemblage A at the triose phosphate isomerase (tpi) locus in this study. Intravariations were also detected at tpi, glutamate dehydrogenase (gdh) and beta giardin (bg) loci within assemblage E, showing seven, three, and five new subtypes, respectively. Moreover, 13 new multilocus genotypes (E20-E32) were observed in assemblage E. Effective strategies and measures should be taken to prevent and control giardiasis in Gansu and NXHAR.