Gysemans Conny, van Etten Evelyne, Overbergh Lutgart, Giulietti Annapaula, Eelen Guy, Waer Mark, Verstuyf Annemieke, Bouillon Roger, Mathieu Chantal
Laboratory of Experimental Medicine and Endocrinology, Department of Experimental Medicine, Katholieke Universiteit Leuven, Leuven, Belgium.
Diabetes. 2008 Jan;57(1):269-75. doi: 10.2337/db07-1095. Epub 2007 Oct 24.
Vitamin D deficiency increases risk for type 1 diabetes in genetically predisposed individuals, while high doses of 1,25-dihydroxyvitamin D(3) [1,25(OH)(2)D(3)] prevent insulitis and diabetes in NOD mice.
Since 1,25(OH)(2)D(3) regulates gene transcription through the vitamin D receptor (VDR), we investigated the role of VDR in diabetes development by creating NOD mice without functional VDR.
VDR(-/-) NOD mice are rachitic and have lower numbers of putative regulator cells [TCR-alpha/beta(+)CD4(-)CD8(-) (natural killer T-cells) and CD4(+)CD25(+) T-cells [in central and peripheral immune organs compared with VDR(+/+) NOD littermates. Lipopolysaccharide-stimulated VDR(-/-) NOD macrophages expressed lower interleukin (IL)-1, IL-6, and CC chemokine ligand 2 mRNA, correlating with less nuclear translocation of p65 nuclear factor-kappaB compared with VDR(+/+) NOD macrophages. Thymic and lymph node dendritic cells from VDR(-/-) NOD mice displayed an even less mature CD11c(+)CD86(+) phenotype than VDR(+/+) NOD mice. Despite this immune phenotype linked to diabetes in NOD mice, VDR(-/-) NOD mice developed insulitis and diabetes at the same rate and incidence as VDR(+/+) NOD littermates.
Despite aggravating known immune abnormalities in NOD mice, disruption of VDR does not alter disease presentation in NOD mice in contrast to the more aggressive diabetes presentation in vitamin D-deficient NOD mice.
维生素D缺乏会增加遗传易感性个体患1型糖尿病的风险,而高剂量的1,25 - 二羟维生素D(3)[1,25(OH)₂D₃]可预防非肥胖糖尿病(NOD)小鼠的胰岛炎和糖尿病。
由于1,25(OH)₂D₃通过维生素D受体(VDR)调节基因转录,我们通过培育无功能性VDR的NOD小鼠来研究VDR在糖尿病发生中的作用。
与VDR(+/+)的NOD同窝小鼠相比,VDR(-/-)的NOD小鼠患佝偻病,且在中枢和外周免疫器官中的假定调节细胞数量较少[TCR - α/β(+)CD4(-)CD8(-)(自然杀伤T细胞)和CD4(+)CD25(+) T细胞]。与VDR(+/+)的NOD巨噬细胞相比,脂多糖刺激的VDR(-/-)的NOD巨噬细胞表达的白细胞介素(IL)-1、IL - 6和CC趋化因子配体2 mRNA较低,这与p65核因子 - κB的核转位较少相关。来自VDR(-/-)的NOD小鼠的胸腺和淋巴结树突状细胞表现出比VDR(+/+)的NOD小鼠更不成熟的CD11c(+)CD86(+)表型。尽管这种免疫表型与NOD小鼠的糖尿病有关,但VDR(-/-)的NOD小鼠发生胰岛炎和糖尿病的速率和发生率与VDR(+/+)的NOD同窝小鼠相同。
尽管VDR的破坏加剧了NOD小鼠已知的免疫异常,但与维生素D缺乏的NOD小鼠中更严重的糖尿病表现相反,VDR的破坏并未改变NOD小鼠的疾病表现。