Amrani A, Verdaguer J, Thiessen S, Bou S, Santamaria P
Department of Microbiology, The University of Calgary, Faculty of Medicine, Calgary, Alberta, Canada T2N 4N1.
J Clin Invest. 2000 Feb;105(4):459-68. doi: 10.1172/JCI8185.
Cytokines such as IL-1alpha, IL-1beta, and IFN-gamma have long been implicated in the pathogenesis of autoimmune diabetes, but the mechanisms through which they promote diabetogenesis remain unclear. Here we show that CD4(+) T lymphocytes propagated from transgenic nonobese diabetic (NOD) mice expressing the highly diabetogenic, beta cell-specific 4.1-T-cell receptor (4.1-TCR) can kill IL-1alpha-, IL-1beta-, and IFN-gamma-treated beta cells from NOD mice. Untreated NOD beta cells and cytokine-treated beta cells from Fas-deficient NOD.lpr mice are not targeted by these T cells. Killing of islet cells in vitro was associated with cytokine-induced upregulation of Fas on islet cells and was independent of MHC class II expression. Abrogation of Fas expression in 4.1-TCR-transgenic NOD mice afforded nearly complete protection from diabetes and did not interfere with the development of the transgenic CD4(+) T cells or with their ability to cause insulitis. In contrast, abrogation of perforin expression did not affect beta cell-specific cytotoxicity or the diabetogenic potential of these T cells. These data demonstrate a novel mechanism of action of IL-1alpha, IL-1beta, and IFN-gamma in autoimmune diabetes, whereby these cytokines mark beta cells for Fas-dependent lysis by autoreactive CD4(+) T cells.
长期以来,白细胞介素-1α(IL-1α)、白细胞介素-1β(IL-1β)和干扰素-γ(IFN-γ)等细胞因子一直被认为与自身免疫性糖尿病的发病机制有关,但它们促进糖尿病发生的机制仍不清楚。在此,我们发现,从表达高致糖尿病性、β细胞特异性4.1-T细胞受体(4.1-TCR)的转基因非肥胖糖尿病(NOD)小鼠中增殖的CD4⁺T淋巴细胞,能够杀死经IL-1α、IL-1β和IFN-γ处理的NOD小鼠的β细胞。未经处理的NODβ细胞以及来自Fas缺陷型NOD.lpr小鼠且经细胞因子处理的β细胞不会被这些T细胞靶向攻击。体外胰岛细胞的杀伤与细胞因子诱导的胰岛细胞上Fas的上调有关,且与主要组织相容性复合体II类(MHC class II)的表达无关。在4.1-TCR转基因NOD小鼠中消除Fas表达几乎能完全预防糖尿病,且不干扰转基因CD4⁺T细胞的发育或其引发胰岛炎的能力。相比之下,消除穿孔素表达并不影响β细胞特异性细胞毒性或这些T细胞的致糖尿病潜力。这些数据证明了IL-1α、IL-1β和IFN-γ在自身免疫性糖尿病中的一种新作用机制,即这些细胞因子使β细胞被自身反应性CD4⁺T细胞进行Fas依赖性裂解。