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PMID: 19666548 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

IL-1 antagonism reduces hyperglycemia and tissue inflammation in the type 2 diabetic GK rat.

Proceedings of the National Academy of Sciences of the United States of America ·Vol. 106 ·No. 33 ·2009-08-18 ·Pages 13998-4003

Ehses JA, Lacraz G, Giroix MH, Schmidlin F, Coulaud J, Kassis N, Irminger JC, Kergoat M, Portha B, Homo-Delarche F, Donath MY

Abstract

Recent studies suggest an inflammatory process, characterized by local cytokine/chemokine production and immune cell infiltration, regulates islet dysfunction and insulin resistance in type 2 diabetes. However, the factor initiating this inflammatory response is not known. Here, we characterized tissue inflammation in the type 2 diabetic GK rat with a focus on the pancreatic islet and investigated a role for IL-1. GK rat islets, previously characterized by increased macrophage infiltration, displayed increased expression of several inflammatory markers including IL-1beta. In the periphery, increased expression of IL-1beta was observed primarily in the liver. Specific blockade of IL-1 activity by the IL-1 receptor antagonist (IL-1Ra) reduced the release of inflammatory cytokines/chemokines from GK islets in vitro and from mouse islets exposed to metabolic stress. Islets from mice deficient in IL-1beta or MyD88 challenged with glucose and palmitate in vitro also produced significantly less IL-6 and chemokines. In vivo, treatment of GK rats with IL-1Ra decreased hyperglycemia, reduced the proinsulin/insulin ratio, and improved insulin sensitivity. In addition, islet-derived proinflammatory cytokines/chemokines (IL-1beta, IL-6, TNFalpha, KC, MCP-1, and MIP-1alpha) and islet CD68(+), MHC II(+), and CD53(+) immune cell infiltration were reduced by IL-1Ra treatment. Treated GK rats also exhibited fewer markers of inflammation in the liver. We conclude that elevated islet IL-1beta activity in the GK rat promotes cytokine and chemokine expression, leading to the recruitment of innate immune cells. Rather than being directly cytotoxic, IL-1beta may drive tissue inflammation that impacts on both beta cell functional mass and insulin sensitivity in type 2 diabetes.

MeSH Terms
Animals Antigens, CD/biosynthesis Antigens, Differentiation, Myelomonocytic/biosynthesis Antigens, Differentiation, T-Lymphocyte/biosynthesis Diabetes Mellitus, Experimental/metabolism Diabetes Mellitus, Type 2/metabolism Hyperglycemia/pathology Inflammation/pathology Interleukin 1 Receptor Antagonist Protein/metabolism Interleukin-1/antagonists & inhibitors,metabolism Interleukin-1beta/metabolism Interleukin-6/metabolism Islets of Langerhans/metabolism Macrophages/metabolism Mice Myeloid Differentiation Factor 88/metabolism Rats Rats, Wistar Tetraspanin 25
Chemicals
Antigens, CD Antigens, Differentiation, Myelomonocytic Antigens, Differentiation, T-Lymphocyte CD53 protein, human CD68 antigen, human Cd53 protein, mouse Cd53 protein, rat Interleukin 1 Receptor Antagonist Protein Interleukin-1 Interleukin-1beta Interleukin-6 Myd88 protein, mouse Myeloid Differentiation Factor 88 Tetraspanin 25
Authors & Affiliations
11 authors, click to expand affiliations / ORCID
Ehses J A
Division of Endocrinology, Diabetes, and Nutrition and Center for Integrated Human Physiology, University Hospital of Zurich, 8045 Zurich, Switzerland. [email protected]
Lacraz G
Giroix M-H
Schmidlin F
Coulaud J
Kassis N
Irminger J-C
Kergoat M
Portha B
Homo-Delarche F
Donath M Y
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Article Info
Journal
Proceedings of the National Academy of Sciences of the United States of America
Abbr.
Proc Natl Acad Sci U S A
ISSN
1091-6490
Published
2009-08-18
Epub
2009-00-30
Pages
13998-4003
Language
English
Region
United States
NLM ID
7505876
PMCID
PMC2729009
Subset
IM
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