Soluble factors secreted by T cells promote β-cell proliferation

E Dirice, S Kahraman, W Jiang, A El Ouaamari… - Diabetes, 2014 - Am Diabetes Assoc
E Dirice, S Kahraman, W Jiang, A El Ouaamari, DF De Jesus, AKK Teo, J Hu, D Kawamori…
Diabetes, 2014Am Diabetes Assoc
Type 1 diabetes is characterized by infiltration of pancreatic islets with immune cells, leading
to insulin deficiency. Although infiltrating immune cells are traditionally considered to
negatively impact β-cells by promoting their death, their contribution to proliferation is not
fully understood. Here we report that islets exhibiting insulitis also manifested proliferation of
β-cells that positively correlated with the extent of lymphocyte infiltration. Adoptive transfer of
diabetogenic CD4+ and CD8+ T cells, but not B cells, selectively promoted β-cell …
Type 1 diabetes is characterized by infiltration of pancreatic islets with immune cells, leading to insulin deficiency. Although infiltrating immune cells are traditionally considered to negatively impact β-cells by promoting their death, their contribution to proliferation is not fully understood. Here we report that islets exhibiting insulitis also manifested proliferation of β-cells that positively correlated with the extent of lymphocyte infiltration. Adoptive transfer of diabetogenic CD4+ and CD8+ T cells, but not B cells, selectively promoted β-cell proliferation in vivo independent from the effects of blood glucose or circulating insulin or by modulating apoptosis. Complementary to our in vivo approach, coculture of diabetogenic CD4+ and CD8+ T cells with NOD.RAG1−/− islets in an in vitro transwell system led to a dose-dependent secretion of candidate cytokines/chemokines (interleukin-2 [IL-2], IL-6, IL-10, MIP-1α, and RANTES) that together enhanced β-cell proliferation. These data suggest that soluble factors secreted from T cells are potential therapeutic candidates to enhance β-cell proliferation in efforts to prevent and/or delay the onset of type 1 diabetes.
Am Diabetes Assoc