Wang H, Li Y, Sun Q, Yang G
Department of Endocrinology, Peking Union Medical College Hospital, Beijing 100730, China.
Chin Med J (Engl). 2000 May;113(5):433-6.
To detect oral administration of recombinant human insulin to nonobese diabetic (NOD) mice for preventing them from diabetes and insulitis and to detect the effects of oral administration of insulin on Fas and Fas ligand expression on islet of Langerhans.
Sixty-four female NOD mice were divided into two groups. One group (34) was orally administered recombination human insulin 1 mg in 500 microliters PBS and the other (30) 500 microliters PBS only at age of 5 weeks old, twice a week for the first week, then weekly until 30 weeks of age.
Oral administration of insulin to female NOD mice can significantly suppress diabetes and insulitis. The insulitis was less severe in the group fed with insulin than that in the control group (score of insulitis: 1.25 +/- 0.45 vs 3.0 +/- 0.76 at 16 weeks of age, P < 0.01). We examined Fas ligand and Fas expression on islets of Langerhans in both groups of NOD mice by using immunohistochemical techniques. We find that Fas only expressed on islets when the mice suffered the diabetes, whereas Fas ligand expressed on islets of the mice fed with insulin at 16 and 20 week of ages. We did not find Fas ligand positive staining on the islet feeding with PBS.
We speculated that oral insulin may induce Fas ligand expression on the islets and plays a role in protecting the pancreatic beta-cell from autoimmune destruction. These results show that oral insulin affected autoimmune diabetes and insulitis in NOD mice. The immune mechanism of oral tolerance is closely related to the change of Fas ligand and Fas system.
检测口服重组人胰岛素对非肥胖糖尿病(NOD)小鼠糖尿病及胰岛炎的预防作用,并检测口服胰岛素对胰岛Fas及Fas配体表达的影响。
64只雌性NOD小鼠分为两组。一组(34只)于5周龄时口服溶于500微升PBS中的重组人胰岛素1毫克,另一组(30只)仅口服500微升PBS,第一周每周两次,之后每周一次,直至30周龄。
给雌性NOD小鼠口服胰岛素可显著抑制糖尿病及胰岛炎。胰岛素喂养组的胰岛炎较对照组轻(16周龄时胰岛炎评分:1.25±0.45 vs 3.0±0.76,P<0.01)。我们采用免疫组化技术检测了两组NOD小鼠胰岛上Fas配体和Fas的表达。我们发现,仅在小鼠患糖尿病时Fas在胰岛上表达,而在16周龄和20周龄时,胰岛素喂养组小鼠的胰岛上有Fas配体表达。在PBS喂养组的胰岛上未发现Fas配体阳性染色。
我们推测口服胰岛素可能诱导胰岛上Fas配体表达,并在保护胰岛β细胞免受自身免疫破坏中发挥作用。这些结果表明口服胰岛素影响NOD小鼠的自身免疫性糖尿病及胰岛炎。口服耐受的免疫机制与Fas配体和Fas系统的变化密切相关。