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?-Cell DNA Damage Response Promotes Islet Inflammation in Type 1 Diabetes.


ABSTRACT: Type 1 diabetes (T1D) is an autoimmune disease where pancreatic ?-cells are destroyed by islet-infiltrating T cells. Although a role for ?-cell defects has been suspected, ?-cell abnormalities are difficult to demonstrate. We show a ?-cell DNA damage response (DDR), presented by activation of the 53BP1 protein and accumulation of p53, in biopsy and autopsy material from patients with recently diagnosed T1D as well as a rat model of human T1D. The ?-cell DDR is more frequent in islets infiltrated by CD45+ immune cells, suggesting a link to islet inflammation. The ?-cell toxin streptozotocin (STZ) elicits DDR in islets, both in vivo and ex vivo, and causes elevation of the proinflammatory molecules IL-1? and Cxcl10. ?-Cell-specific inactivation of the master DNA repair gene ataxia telangiectasia mutated (ATM) in STZ-treated mice decreases the expression of proinflammatory cytokines in islets and attenuates the development of hyperglycemia. Together, these data suggest that ?-cell DDR is an early event in T1D, possibly contributing to autoimmunity.

SUBMITTER: Horwitz E 

PROVIDER: S-EPMC6198335 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Type 1 diabetes (T1D) is an autoimmune disease where pancreatic β-cells are destroyed by islet-infiltrating T cells. Although a role for β-cell defects has been suspected, β-cell abnormalities are difficult to demonstrate. We show a β-cell DNA damage response (DDR), presented by activation of the 53BP1 protein and accumulation of p53, in biopsy and autopsy material from patients with recently diagnosed T1D as well as a rat model of human T1D. The β-cell DDR is more frequent in islets infiltrated  ...[more]

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