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Differential splicing of the IA-2 mRNA in pancreas and lymphoid organs as a permissive genetic mechanism for autoimmunity against the IA-2 type 1 diabetes autoantigen.

Abstract
Type 1 diabetes results from the autoimmune destruction of pancreatic beta-cells in genetically susceptible individuals. Growing evidence suggests that genetically determined variation in the expression of self-antigens in thymus may affect the shaping of the T-cell repertoire and susceptibility to autoimmunity. For example, both allelic variation and parent-of-origin effects influence the thymic expression of insulin (a known type 1 diabetes autoantigen), and insulin gene transcription levels in thymus inversely correlate with susceptibility in both humans and transgenic models. It is unclear why patients lose tolerance to IA-2 (insulinoma-associated tyrosine phosphatase-like protein, or islet cell antigen 512 [ICA512]), especially because IA-2 polymorphisms are not associated with type 1 diabetes. We report that alternative splicing determines differential IA-2 expression in islets compared with thymus and spleen. Islets express full-length mRNA and two alternatively spliced transcripts, whereas thymus and spleen exclusively express an alternatively spliced transcript lacking exon 13. This encodes for the transmembrane (TM) and juxta-membrane (JM) domains that comprise several type 1 diabetes target epitopes, supporting the concept that tolerance to IA-2 epitopes not expressed in lymphoid organs may not be achieved. We propose differential splicing as a regulatory mechanism of gene expression playing a permissive role in the development of autoimmune responses to IA-2. Our findings also show that candidate gene expression studies can help in dissecting the complex genetic determinants of a multifactorial disease such as type 1 diabetes.
AuthorsJ Diez, Y Park, M Zeller, D Brown, D Garza, C Ricordi, J Hutton, G S Eisenbarth, A Pugliese
JournalDiabetes (Diabetes) Vol. 50 Issue 4 Pg. 895-900 (Apr 2001) ISSN: 0012-1797 [Print] United States
PMID11289059 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Autoantigens
  • Membrane Proteins
  • PTPRN protein, human
  • Protein Tyrosine Phosphatase, Non-Receptor Type 1
  • Protein Tyrosine Phosphatases
  • Receptor-Like Protein Tyrosine Phosphatases, Class 8
Topics
  • Adult
  • Amino Acid Sequence (genetics)
  • Autoantigens (immunology)
  • Autoimmunity (genetics)
  • Base Sequence (genetics)
  • Diabetes Mellitus, Type 1 (genetics, immunology)
  • Female
  • Fetus
  • Humans
  • Infant
  • Infant, Newborn
  • Lymphoid Tissue (physiopathology)
  • Male
  • Membrane Proteins (genetics)
  • Middle Aged
  • Molecular Sequence Data
  • Pancreas (physiopathology)
  • Protein Tyrosine Phosphatase, Non-Receptor Type 1
  • Protein Tyrosine Phosphatases (genetics)
  • RNA Splicing
  • Receptor-Like Protein Tyrosine Phosphatases, Class 8

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