ULB Center for Diabetes Research, Medical Faculty, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Welbio, Medical Faculty, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Front Endocrinol (Lausanne). 2020 Sep 15;11:568446. doi: 10.3389/fendo.2020.568446. eCollection 2020.
Type 1 diabetes (T1D) is a chronic disease caused by the selective destruction of the insulin-producing pancreatic beta cells by infiltrating immune cells. We presently evaluated the transcriptomic signature observed in beta cells in early T1D and compared it with the signatures observed following exposure of human islets to inflammatory or metabolic stresses, with the aim of identifying "footprints" of the immune assault in the target beta cells. We detected similarities between the beta cell signatures induced by cytokines present at different moments of the disease, i.e., interferon-α (early disease) and interleukin-1β plus interferon-γ (later stages) and the beta cells from T1D patients, identifying biological process and signaling pathways activated during early and late stages of the disease. Among the first responses triggered on beta cells was an enrichment in antiviral responses, pattern recognition receptors activation, protein modification and MHC class I antigen presentation. During putative later stages of insulitis the processes were dominated by T-cell recruitment and activation and attempts of beta cells to defend themselves through the activation of anti-inflammatory pathways (i.e., IL10, IL4/13) and immune check-point proteins (i.e., PDL1 and HLA-E). Finally, we mined the beta cell signature in islets from T1D patients using the Connectivity Map, a large database of chemical compounds/drugs, and identified interesting candidates to potentially revert the effects of insulitis on beta cells.
1 型糖尿病(T1D)是一种由浸润免疫细胞选择性破坏产生胰岛素的胰腺β细胞引起的慢性疾病。我们目前评估了早期 T1D 中β细胞观察到的转录组特征,并将其与人类胰岛暴露于炎症或代谢应激后观察到的特征进行了比较,目的是确定免疫攻击在靶β细胞中的“足迹”。我们发现,在疾病的不同时间点存在的细胞因子诱导的β细胞特征之间存在相似性,即干扰素-α(早期疾病)和白细胞介素-1β加干扰素-γ(后期)与 T1D 患者的β细胞之间存在相似性,确定了在疾病的早期和晚期激活的生物学过程和信号通路。在β细胞上触发的第一个反应中,抗病毒反应、模式识别受体激活、蛋白质修饰和 MHC Ⅰ类抗原呈递富集。在胰岛炎的假定后期,过程主要由 T 细胞募集和激活以及β细胞通过激活抗炎途径(即 IL10、IL4/13)和免疫检查点蛋白(即 PDL1 和 HLA-E)来保护自己来主导。最后,我们使用大型化学化合物/药物数据库 Connectivity Map 在 T1D 患者的胰岛中挖掘β细胞特征,并确定了有希望逆转胰岛炎对β细胞影响的候选药物。