Azzi Jamil, Thueson Lindsay, Moore Robert, Abdoli Rozita, Reijonen Helena, Abdi Reza
Transplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Benaroya Research Institute, Seattle, Washington, United States of America.
PLoS One. 2017 Jan 12;12(1):e0169695. doi: 10.1371/journal.pone.0169695. eCollection 2017.
With a steady increase in its incidence and lack of curative treatment, type 1 diabetes (T1D) has emerged as a major health problem worldwide. To design novel effective therapies, there is a pressing need to identify regulatory targets controlling the balance of autoreactive to regulatory-T-cells (Tregs). We previously showed that the inhibition of the γ-subunit of the Phosphoinositide-3-kinase (PI3K), significantly suppress autoimmune-diabetes. To further delineate the mechanisms and the selectivity of specific immune modulation by PI3Kγ-inhibition, we developed a new NOD mouse model of T1D lacking the γ-subunit of PI3K. Strikingly, the loss of PI3Kγ protected 92% of the NOD-mice from developing spontaneous diabetes. The NOD.PI3Kγ-/- mice are protected from insulitis secondary to a defect in CD4 and CD8 autoreactive-T-cells activation and survival. In addition, PI3Kγ-deficiency promoted Treg generation in-vitro and in-vivo. Furthermore, PI3Kγ-inhibitor (AS605240) inhibited proliferation and cytokine production of a human CD4+ T-cell clone specific for GAD555-567 peptide that was isolated from a patient with T1D. These studies demonstrate the key role of the PI3Kγ pathway in regulating autoimmune-diabetes and provide rationales for future devise of anti- PI3Kγ therapy in T1D.
随着1型糖尿病(T1D)发病率的稳步上升且缺乏治愈性治疗方法,它已成为全球主要的健康问题。为了设计新颖有效的治疗方法,迫切需要确定控制自身反应性T细胞与调节性T细胞(Tregs)平衡的调控靶点。我们之前表明,抑制磷酸肌醇-3-激酶(PI3K)的γ亚基可显著抑制自身免疫性糖尿病。为了进一步阐明PI3Kγ抑制介导的特异性免疫调节的机制和选择性,我们构建了一种缺乏PI3Kγ亚基的新型T1D非肥胖糖尿病(NOD)小鼠模型。令人惊讶的是,PI3Kγ的缺失使92%的NOD小鼠免于发生自发性糖尿病。NOD.PI3Kγ-/-小鼠因CD4和CD8自身反应性T细胞激活及存活缺陷而免受胰岛炎影响。此外,PI3Kγ缺陷在体外和体内均促进了Treg的产生。此外,PI3Kγ抑制剂(AS605240)抑制了从一名T1D患者分离出的针对GAD555 - 567肽的人CD4 + T细胞克隆的增殖和细胞因子产生。这些研究证明了PI3Kγ通路在调节自身免疫性糖尿病中的关键作用,并为未来设计T1D的抗PI3Kγ治疗提供了理论依据。