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PMID: 19208913 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Interleukin-21 is required for the development of type 1 diabetes in NOD mice.

Diabetes ·Vol. 58 ·No. 5 ·2009-05-00 ·Pages 1144-55

Sutherland AP, Van Belle T, Wurster AL, Suto A, Michaud M, Zhang D, Grusby MJ, von Herrath M

Abstract

Interleukin (IL)-21 is a type 1 cytokine that has been implicated in the pathogenesis of type 1 diabetes via the unique biology of the nonobese diabetic (NOD) mouse strain. The aim of this study was to investigate a causal role for IL-21 in type 1 diabetes. We generated IL-21R-deficient NOD mice and C57Bl/6 mice expressing IL-21 in pancreatic beta-cells, allowing the determination of the role of insufficient and excessive IL-21 signaling in type 1 diabetes. Deficiency in IL-21R expression renders NOD mice resistant to insulitis, production of insulin autoantibodies, and onset of type 1 diabetes. The lymphoid compartment in IL-21R-/- NOD is normal and does not contain an increased regulatory T-cell fraction or diminished effector cytokine responses. However, we observed a clear defect in autoreactive effector T-cells in IL-21R-/- NOD by transfer experiments. Conversely, overexpression of IL-21 in pancreatic beta-cells induced inflammatory cytokine and chemokines, including IL-17A, IL17F, IFN-gamma, monocyte chemoattractant protein (MCP)-1, MCP-2, and interferon-inducible protein-10 in the pancreas. The ensuing leukocytic infiltration in the islets resulted in destruction of beta-cells and spontaneous type 1 diabetes in the normally diabetes-resistant C57Bl/6 and NOD x C57Bl/6 backgrounds. This work provides demonstration of the essential prodiabetogenic activities of IL-21 on diverse genetic backgrounds (NOD and C57BL/6) and indicates that IL-21 blockade could be a promising strategy for interventions in human type 1 diabetes.

MeSH Terms
Animals Diabetes Mellitus, Type 1/genetics,pathology,physiopathology Insulin/metabolism Insulin Antibodies/metabolism Insulin Secretion Interleukins/deficiency,genetics,physiology Islets of Langerhans/metabolism Mice Mice, Inbred C57BL Mice, Inbred NOD Mice, Knockout Pancreas/pathology,physiopathology RNA/genetics Receptors, Interleukin-1/deficiency,physiology Reverse Transcriptase Polymerase Chain Reaction Signal Transduction Spleen/pathology,transplantation
Chemicals
Insulin Insulin Antibodies Interleukins Receptors, Interleukin-1 RNA interleukin-21
Authors & Affiliations
8 authors, click to expand affiliations / ORCID
Sutherland Andrew P R
Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, Massachusetts, USA.
Van Belle Tom
Wurster Andrea L
Suto Akira
Michaud Monia
Zhang Dorothy
Grusby Michael J
von Herrath Matthias
References (51)
51 references, click to expand
  1. IL-21 limits NK cell responses and promotes antigen-specific T cell activation: a mediator of the transition from innate to adaptive immunity.
    Immunity. 2002 Apr;16(4):559-69 PMID: 11970879
  2. Cellular and molecular mechanisms for the initiation and progression of beta cell destruction resulting from the collaboration between macrophages and T cells.
    Autoimmunity. 1998;27(2):109-22 PMID: 9583742
  3. A critical role for IL-21 in regulating immunoglobulin production.
    Science. 2002 Nov 22;298(5598):1630-4 PMID: 12446913
  4. Interleukin 21 is a T helper (Th) cell 2 cytokine that specifically inhibits the differentiation of naive Th cells into interferon gamma-producing Th1 cells.
    J Exp Med. 2002 Oct 7;196(7):969-77 PMID: 12370258
  5. Cytokines and their roles in pancreatic islet beta-cell destruction and insulin-dependent diabetes mellitus.
    Biochem Pharmacol. 1998 Apr 15;55(8):1139-49 PMID: 9719467
  6. IL-21 initiates an alternative pathway to induce proinflammatory T(H)17 cells.
    Nature. 2007 Jul 26;448(7152):484-487 PMID: 17581588
  7. A fundamental role for interleukin-21 in the generation of T follicular helper cells.
    Immunity. 2008 Jul 18;29(1):127-37 PMID: 18602282
  8. IL-21 limits peripheral lymphocyte numbers through T cell homeostatic mechanisms.
    PLoS One. 2008 Sep 05;3(9):e3118 PMID: 18773086
  9. Adoptive transfer of diabetes into immunodeficient NOD-scid/scid mice. Relative contributions of CD4+ and CD8+ T-cells from diabetic versus prediabetic NOD.NON-Thy-1a donors.
    Diabetes. 1993 Jan;42(1):44-55 PMID: 8093606
  10. IL-21 is produced by NKT cells and modulates NKT cell activation and cytokine production.
    J Immunol. 2007 Mar 1;178(5):2827-34 PMID: 17312126
  11. Generation of T follicular helper cells is mediated by interleukin-21 but independent of T helper 1, 2, or 17 cell lineages.
    Immunity. 2008 Jul 18;29(1):138-49 PMID: 18599325
  12. Mature mainstream TCR alpha beta+CD4+ thymocytes expressing L-selectin mediate "active tolerance" in the nonobese diabetic mouse.
    J Immunol. 1998 Sep 1;161(5):2620-8 PMID: 9725264
  13. IL-21 signaling is critical for the development of type I diabetes in the NOD mouse.
    Proc Natl Acad Sci U S A. 2008 Sep 16;105(37):14028-33 PMID: 18779574
  14. Major histocompatibility complex class I-deficient NOD-B2mnull mice are diabetes and insulitis resistant.
    Diabetes. 1994 Mar;43(3):505-9 PMID: 8314025
  15. Initiation of autoimmune diabetes by developmentally regulated presentation of islet cell antigens in the pancreatic lymph nodes.
    J Exp Med. 1999 Jan 18;189(2):331-9 PMID: 9892615
  16. The role of macrophages in T cell-mediated autoimmune diabetes in nonobese diabetic mice.
    J Exp Med. 1999 Jan 18;189(2):347-58 PMID: 9892617
  17. Physiological beta cell death triggers priming of self-reactive T cells by dendritic cells in a type-1 diabetes model.
    J Exp Med. 2003 Nov 17;198(10):1527-37 PMID: 14623908
  18. Neonatal beta-cell apoptosis: a trigger for autoimmune diabetes?
    Diabetes. 2000 Jan;49(1):1-7 PMID: 10615942
  19. Biology of IL-21 and the IL-21 receptor.
    Immunol Rev. 2004 Dec;202:84-95 PMID: 15546387
  20. NKT cells and IFN-gamma establish the regulatory environment for the control of diabetogenic T cells in the nonobese diabetic mouse.
    J Immunol. 2006 Feb 1;176(3):1645-54 PMID: 16424194
  21. Interleukin-21 inhibits dendritic cell activation and maturation.
    Blood. 2003 Dec 1;102(12):4090-8 PMID: 12893770
  22. Virus-induced autoimmune diabetes: most beta-cells die through inflammatory cytokines and not perforin from autoreactive (anti-viral) cytotoxic T-lymphocytes.
    Diabetes. 2000 Nov;49(11):1801-9 PMID: 11078446
  23. A functional role for interleukin-21 in promoting the synthesis of the T-cell chemoattractant, MIP-3alpha, by gut epithelial cells.
    Gastroenterology. 2007 Jan;132(1):166-75 PMID: 17241869
  24. Innocuous IFNgamma induced by adjuvant-free antigen restores normoglycemia in NOD mice through inhibition of IL-17 production.
    J Exp Med. 2008 Jan 21;205(1):207-18 PMID: 18195074
  25. An update on cytokines in the pathogenesis of insulin-dependent diabetes mellitus.
    Diabetes Metab Rev. 1998 Jun;14(2):129-51 PMID: 9679667
  26. Interleukin 21: a cytokine/cytokine receptor system that has come of age.
    J Leukoc Biol. 2008 Aug;84(2):348-56 PMID: 18467657
  27. Increased expression of CCL2 in insulin-producing cells of transgenic mice promotes mobilization of myeloid cells from the bone marrow, marked insulitis, and diabetes.
    Diabetes. 2008 Nov;57(11):3025-33 PMID: 18633103
  28. Interleukin-21 stimulates antigen uptake, protease activity, survival and induction of CD4+ T cell proliferation by murine macrophages.
    Clin Exp Immunol. 2008 Mar;151(3):487-95 PMID: 18190607
  29. Expression levels of CXC chemokine receptors 3 are associated with clinical phenotype of type 1 diabetes.
    Ann N Y Acad Sci. 2006 Oct;1079:186-9 PMID: 17130553
  30. Natural killer cells distinguish innocuous and destructive forms of pancreatic islet autoimmunity.
    Proc Natl Acad Sci U S A. 2004 May 25;101(21):8102-7 PMID: 15141080
  31. Distinct activation signals determine whether IL-21 induces B cell costimulation, growth arrest, or Bim-dependent apoptosis.
    J Immunol. 2004 Jul 1;173(1):657-65 PMID: 15210829
  32. Early expression of antiinsulin autoantibodies of humans and the NOD mouse: evidence for early determination of subsequent diabetes.
    Proc Natl Acad Sci U S A. 2000 Feb 15;97(4):1701-6 PMID: 10677521
  33. In situ beta cell death promotes priming of diabetogenic CD8 T lymphocytes.
    J Immunol. 2002 Feb 1;168(3):1466-72 PMID: 11801690
  34. Insulin-dependent diabetes mellitus induced in transgenic mice by ectopic expression of class II MHC and interferon-gamma.
    Cell. 1988 Mar 11;52(5):773-82 PMID: 2449974
  35. Interleukin 21 and its receptor are involved in NK cell expansion and regulation of lymphocyte function.
    Nature. 2000 Nov 2;408(6808):57-63 PMID: 11081504
  36. Regulation of B cell differentiation and plasma cell generation by IL-21, a novel inducer of Blimp-1 and Bcl-6.
    J Immunol. 2004 Nov 1;173(9):5361-71 PMID: 15494482
  37. Dendritic cells and macrophages are the first and major producers of TNF-alpha in pancreatic islets in the nonobese diabetic mouse.
    J Immunol. 1998 Apr 1;160(7):3585-93 PMID: 9531322
  38. Resistance alleles at two non-major histocompatibility complex-linked insulin-dependent diabetes loci on chromosome 3, Idd3 and Idd10, protect nonobese diabetic mice from diabetes.
    J Exp Med. 1994 Nov 1;180(5):1705-13 PMID: 7964456
  39. Control of matrix metalloproteinase production in human intestinal fibroblasts by interleukin 21.
    Gut. 2006 Dec;55(12):1774-80 PMID: 16682426
  40. Th17: the third member of the effector T cell trilogy.
    Curr Opin Immunol. 2007 Dec;19(6):652-7 PMID: 17766098
  41. Central role of defective interleukin-2 production in the triggering of islet autoimmune destruction.
    Immunity. 2008 May;28(5):687-97 PMID: 18468463
  42. Cellular and molecular changes accompanying the progression from insulitis to diabetes.
    Eur J Immunol. 1999 Jan;29(1):245-55 PMID: 9933106
  43. Homeostatic expansion of T cells during immune insufficiency generates autoimmunity.
    Cell. 2004 Apr 16;117(2):265-77 PMID: 15084263
  44. B lymphocytes are critical antigen-presenting cells for the initiation of T cell-mediated autoimmune diabetes in nonobese diabetic mice.
    J Immunol. 1998 Oct 15;161(8):3912-8 PMID: 9780157
  45. IL-21 is highly produced in Helicobacter pylori-infected gastric mucosa and promotes gelatinases synthesis.
    J Immunol. 2007 May 1;178(9):5957-65 PMID: 17442980
  46. IP-10 and type 1 diabetes: a question of time and location.
    Autoimmunity. 2004 Jun;37(4):273-82 PMID: 15518041
  47. Loss of pancreatic islet tolerance induced by beta-cell expression of interferon-gamma.
    Nature. 1990 Aug 30;346(6287):844-7 PMID: 2118234
  48. Genetic control of autoimmune diabetes in the NOD mouse.
    Annu Rev Immunol. 1995;13:179-200 PMID: 7612220
  49. The role of infiltrating macrophages in islet destruction and regrowth in a transgenic model.
    J Autoimmun. 1995 Aug;8(4):483-92 PMID: 7492345
  50. Interleukin-21: a modulator of lymphoid proliferation, apoptosis and differentiation.
    Nat Rev Immunol. 2005 Sep;5(9):688-98 PMID: 16138102
  51. The NOD mouse: a model of immune dysregulation.
    Annu Rev Immunol. 2005;23:447-85 PMID: 15771578
Article Info
Journal
Diabetes
Abbr.
Diabetes
ISSN
1939-327X
Published
2009-05-00
Epub
2009-00-10
Pages
1144-55
Language
English
Region
United States
NLM ID
0372763
PMCID
PMC2671036
Subset
IM
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