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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2010-7-27
pubmed:abstractText
The prevention of diabetes by the immunomodulatory agent FTY720 (fingolimod) was studied in the LEW.1AR1-iddm (IDDM) rat, an animal model of human type 1 diabetes. Immune cell subtypes and cytokine profiles in pancreatic islets, secondary lymphoid tissue, and serum were analyzed for signs of immune cell activation. Animals were treated with FTY720 (1 mg/kg body weight) for 40 d starting on d 50 of life. Changes in gene and protein expression of cytokines, CD8 markers, monocyte chemoattractant protein-1, inducible NO synthase, and caspase 3 were evaluated. Treatment with FTY720 prevented diabetes manifestation and islet infiltration around d 60 of life, the usual time of spontaneous diabetes development. On d 120, 30 d after the end of FTY720 therapy, diabetes prevention persisted. However, six of 12 treated animals showed increased gene expression of IL-1beta, TNF-alpha, and CD8 markers in pancreas-draining lymph nodes, indicating immune cell activation. In parallel, serum concentrations of these proinflammatory cytokines were increased. These six animals also showed macrophage infiltration without proinflammatory cytokine expression in a small minority (2-3%) of islets. Interestingly, regulatory T lymphocytes were significantly increased in the efferent vessels of the pancreas-draining lymph nodes only in animals without signs of immune cell activation but not in the rats with immune cell activation. This provides an indication for a lack of protective capacity in the animals with activated immune cells. Thus, FTY720 treatment prevented the manifestation of diabetes by promoting the retention of activated immune cells in the lymph nodes, thereby avoiding islet infiltration and beta-cell destruction by proinflammatory cytokines.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
1945-7170
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
151
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
3555-65
pubmed:meshHeading
pubmed-meshheading:20501676-Animals, pubmed-meshheading:20501676-Antigens, CD8, pubmed-meshheading:20501676-Cytokines, pubmed-meshheading:20501676-Diabetes Mellitus, Experimental, pubmed-meshheading:20501676-Diabetes Mellitus, Type 1, pubmed-meshheading:20501676-Drug Evaluation, Preclinical, pubmed-meshheading:20501676-Female, pubmed-meshheading:20501676-Gene Expression Regulation, pubmed-meshheading:20501676-Immune System, pubmed-meshheading:20501676-Immunomodulation, pubmed-meshheading:20501676-Immunosuppressive Agents, pubmed-meshheading:20501676-Lymph Nodes, pubmed-meshheading:20501676-Lymphocyte Activation, pubmed-meshheading:20501676-Male, pubmed-meshheading:20501676-Pancreas, pubmed-meshheading:20501676-Propylene Glycols, pubmed-meshheading:20501676-Rats, pubmed-meshheading:20501676-Sphingosine
pubmed:year
2010
pubmed:articleTitle
Diabetes prevention by immunomodulatory FTY720 treatment in the LEW.1AR1-iddm rat despite immune cell activation.
pubmed:affiliation
Institute of Clinical Biochemistry, Hannover Medical School, Hannover, Germany. joerns.anne@mh-hannover.de
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't