Abstract | AIMS/HYPOTHESIS: IFN-α, a cytokine expressed in human islets from individuals affected by type 1 diabetes, plays a key role in the pathogenesis of diabetes by upregulating inflammation, endoplasmic reticulum (ER) stress and MHC class I overexpression, three hallmarks of islet histology in early type 1 diabetes. We tested whether expression of these mediators of beta cell loss is reversible upon IFN-α withdrawal or IFN-α pathway inhibition. METHODS: IFN-α-induced MHC class I overexpression, ER stress and inflammation were evaluated by flow cytometry, immunofluorescence and real-time PCR in human EndoC-βH1 cells or human islets exposed to IFN-α with or without the presence of Janus kinase ( JAK) inhibitors. Protein expression was evaluated by western blot. RESULTS: IFN-α-induced expression of inflammatory and ER stress markers returned to baseline after 24-48 h following cytokine removal. In contrast, MHC class I overexpression at the cell surface persisted for at least 7 days. Treatment with JAK inhibitors, when added with IFN-α, prevented MHC class I overexpression, but when added 24 h after IFN-α exposure these inhibitors failed to accelerate MHC class I return to baseline. CONCLUSIONS/INTERPRETATION: IFN-α mediates a long-lasting and preferential MHC class I overexpression in human beta cells, which is not affected by the subsequent addition of JAK inhibitors. These observations suggest that IFN-α-stimulated long-lasting MHC class I expression may amplify beta cell antigen presentation during the early phase of type 1 diabetes and that IFN-α inhibitors might need to be used at very early stages of the disease to be effective.
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Authors | Alexandra Coomans de Brachène, Reinaldo S Dos Santos, Laura Marroqui, Maikel L Colli, Lorella Marselli, Raghavendra G Mirmira, Piero Marchetti, Decio L Eizirik |
Journal | Diabetologia
(Diabetologia)
Vol. 61
Issue 3
Pg. 636-640
(03 2018)
ISSN: 1432-0428 [Electronic] Germany |
PMID | 29305625
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Chemical References |
- 4-(cyclopropylamino)-2-((4-(4-(ethylsulfonyl)piperazin-1-yl)phenyl)amino)pyrimidine-5-carboxamide
- Histocompatibility Antigens Class I
- Interferon-alpha
- Janus Kinase Inhibitors
- Nitriles
- Pyrazoles
- Pyrimidines
- Sulfones
- ruxolitinib
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Topics |
- Blotting, Western
- Cell Line
- Diabetes Mellitus, Type 1
(metabolism)
- Endoplasmic Reticulum Stress
(drug effects)
- Enzyme-Linked Immunosorbent Assay
- Flow Cytometry
- Histocompatibility Antigens Class I
(metabolism)
- Humans
- Insulin-Secreting Cells
(drug effects, metabolism)
- Interferon-alpha
(pharmacology)
- Islets of Langerhans
(cytology, drug effects)
- Janus Kinase Inhibitors
(pharmacology)
- Nitriles
- Pyrazoles
(pharmacology)
- Pyrimidines
(pharmacology)
- Real-Time Polymerase Chain Reaction
- Sulfones
(pharmacology)
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