Yeste Ada, Takenaka Maisa C, Mascanfroni Ivan D, Nadeau Meghan, Kenison Jessica E, Patel Bonny, Tukpah Ann-Marcia, Babon Jenny Aurielle B, DeNicola Megan, Kent Sally C, Pozo David, Quintana Francisco J
Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Department of Medicine, Diabetes Division, Diabetes Center of Excellence, University of Massachusetts Medical School, Worcester, MA 01605, USA.
Sci Signal. 2016 Jun 21;9(433):ra61. doi: 10.1126/scisignal.aad0612.
Type 1 diabetes (T1D) is a T cell-dependent autoimmune disease that is characterized by the destruction of insulin-producing β cells in the pancreas. The administration to patients of ex vivo-differentiated FoxP3(+) regulatory T (Treg) cells or tolerogenic dendritic cells (DCs) that promote Treg cell differentiation is considered a potential therapy for T1D; however, cell-based therapies cannot be easily translated into clinical practice. We engineered nanoparticles (NPs) to deliver both a tolerogenic molecule, the aryl hydrocarbon receptor (AhR) ligand 2-(1'H-indole-3'-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), and the β cell antigen proinsulin (NPITE+Ins) to induce a tolerogenic phenotype in DCs and promote Treg cell generation in vivo. NPITE+Ins administration to 8-week-old nonobese diabetic mice suppressed autoimmune diabetes. NPITE+Ins induced a tolerogenic phenotype in DCs, which was characterized by a decreased ability to activate inflammatory effector T cells and was concomitant with the increased differentiation of FoxP3(+) Treg cells. The induction of a tolerogenic phenotype in DCs by NPs was mediated by the AhR-dependent induction of Socs2, which resulted in inhibition of nuclear factor κB activation and proinflammatory cytokine production (properties of tolerogenic DCs). Together, these data suggest that NPs constitute a potential tool to reestablish tolerance in T1D and potentially other autoimmune disorders.
1型糖尿病(T1D)是一种T细胞依赖性自身免疫性疾病,其特征是胰腺中产生胰岛素的β细胞被破坏。向患者施用体外分化的FoxP3(+)调节性T(Treg)细胞或促进Treg细胞分化的耐受性树突状细胞(DC)被认为是T1D的一种潜在治疗方法;然而,基于细胞的疗法不易转化为临床实践。我们设计了纳米颗粒(NP),以递送耐受性分子芳烃受体(AhR)配体2-(1'H-吲哚-3'-羰基)-噻唑-4-羧酸甲酯(ITE)和β细胞抗原胰岛素原(NPITE+Ins),以在DC中诱导耐受性表型并促进体内Treg细胞的产生。向8周龄的非肥胖糖尿病小鼠施用NPITE+Ins可抑制自身免疫性糖尿病。NPITE+Ins在DC中诱导了一种耐受性表型,其特征是激活炎性效应T细胞的能力降低,并伴随着FoxP3(+) Treg细胞分化的增加。NP对DC中耐受性表型的诱导是由AhR依赖性诱导的Socs2介导的,这导致核因子κB激活和促炎细胞因子产生受到抑制(耐受性DC的特性)。总之这些数据表明,NP是在T1D以及潜在的其他自身免疫性疾病中重建耐受性的一种潜在工具。