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与Toll样受体2(TLR2)和脱铁素1相关的固有免疫反应调节T细胞对胰腺β细胞抗原的反应,并预防1型糖尿病。

TLR2- and Dectin 1-associated innate immune response modulates T-cell response to pancreatic β-cell antigen and prevents type 1 diabetes.

作者信息

Karumuthil-Melethil Subha, Sofi M Hanief, Gudi Radhika, Johnson Benjamin M, Perez Nicolas, Vasu Chenthamarakshan

机构信息

Department of Surgery, University of Illinois at Chicago, Chicago, IL.

Department of Microbiology and Immunology, College of Medicine, Medical University of South Carolina, Charleston, SC.

出版信息

Diabetes. 2015 Apr;64(4):1341-57. doi: 10.2337/db14-1145. Epub 2014 Nov 5.

Abstract

The progression of autoimmune diseases is dictated by deviations in the fine balance between proinflammatory versus regulatory responses, and pathogen recognition receptors (PRRs) play a key role in maintaining this balance. Previously, we have reported that ligation of Toll-like receptor 2 (TLR2) and Dectin 1 on antigen-presenting cells by zymosan results in a regulatory immune response that prevents type 1 diabetes (T1D). Here, we show that TLR2 and Dectin 1 engagement by zymosan promotes regulatory T-cell (Treg) responses against the pancreatic β-cell-specific antigen (Ag). Unlike the TLR4 ligand, bacterial lipopolysaccharide, which induced proinflammatory cytokines and pathogenic T cells, zymosan induced a mixture of pro- and anti-inflammatory factors and Tregs, both in vitro and in vivo. Ag-specific T cells that are activated using zymosan-exposed dendritic cells (DCs) expressed Foxp3 and produced large amounts of IL-10, TGF-β1, and IL-17. NOD mice that received β-cell-Ag-loaded, zymosan-exposed DCs showed delayed hyperglycemia. Injection of NOD mice at the prediabetic age and early hyperglycemic stage with β-cell-Ag, along with zymosan, results in a superior protection of the NOD mice from diabetes as compared with mice that received zymosan alone. This therapeutic effect was associated with increased frequencies of IL-10-, IL-17-, IL-4-, and Foxp3-positive T cells, especially in the pancreatic lymph nodes. These results show that zymosan can be used as an immune regulatory adjuvant for modulating the T-cell response to pancreatic β-cell-Ag and reversing early-stage hyperglycemia in T1D.

摘要

自身免疫性疾病的进展取决于促炎反应与调节反应之间精细平衡的偏差,病原体识别受体(PRR)在维持这种平衡中起关键作用。此前,我们报道过,酵母聚糖与抗原呈递细胞上的Toll样受体2(TLR2)和脱噬素1结合会引发调节性免疫反应,从而预防1型糖尿病(T1D)。在此,我们表明酵母聚糖与TLR2和脱噬素1结合可促进针对胰腺β细胞特异性抗原(Ag)的调节性T细胞(Treg)反应。与诱导促炎细胞因子和致病性T细胞的TLR4配体细菌脂多糖不同,酵母聚糖在体外和体内均诱导了促炎和抗炎因子以及Treg的混合产生。用暴露于酵母聚糖的树突状细胞(DC)激活的Ag特异性T细胞表达Foxp3并产生大量的IL-10、TGF-β1和IL-17。接受负载β细胞Ag且暴露于酵母聚糖的DC的非肥胖糖尿病(NOD)小鼠出现高血糖延迟。在糖尿病前期年龄和早期高血糖阶段给NOD小鼠注射β细胞Ag以及酵母聚糖,与仅接受酵母聚糖的小鼠相比,能为NOD小鼠提供更好的糖尿病保护。这种治疗效果与IL-10、IL-17、IL-4和Foxp3阳性T细胞频率增加有关,尤其是在胰腺淋巴结中。这些结果表明,酵母聚糖可用作免疫调节佐剂,用于调节T细胞对胰腺β细胞Ag的反应并逆转T1D的早期高血糖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a5b/4375080/25fa04faef43/db141145f1.jpg

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