Department of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA; The Andrew M. and Jane M. Bursky Center for Human Immunology and Immunotherapy Programs, Washington University School of Medicine, St. Louis, MO, USA.
Department of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.
Immunity. 2024 Jul 9;57(7):1629-1647.e8. doi: 10.1016/j.immuni.2024.04.017. Epub 2024 May 15.
The pancreatic islet microenvironment is highly oxidative, rendering β cells vulnerable to autoinflammatory insults. Here, we examined the role of islet resident macrophages in the autoimmune attack that initiates type 1 diabetes. Islet macrophages highly expressed CXCL16, a chemokine and scavenger receptor for oxidized low-density lipoproteins (OxLDLs), regardless of autoimmune predisposition. Deletion of Cxcl16 in nonobese diabetic (NOD) mice suppressed the development of autoimmune diabetes. Mechanistically, Cxcl16 deficiency impaired clearance of OxLDL by islet macrophages, leading to OxLDL accumulation in pancreatic islets and a substantial reduction in intra-islet transitory (Tex) CD8 T cells displaying proliferative and effector signatures. Tex cells were vulnerable to oxidative stress and diminished by ferroptosis; PD-1 blockade rescued this population and reversed diabetes resistance in NOD.Cxcl16 mice. Thus, OxLDL scavenging in pancreatic islets inadvertently promotes differentiation of pathogenic CD8 T cells, presenting a paradigm wherein tissue homeostasis processes can facilitate autoimmune pathogenesis in predisposed individuals.
胰岛微环境具有高度的氧化特性,使β细胞容易受到自身免疫性损伤。在这里,我们研究了胰岛固有巨噬细胞在引发 1 型糖尿病的自身免疫攻击中的作用。胰岛巨噬细胞高度表达 CXCL16,这是一种趋化因子和氧化型低密度脂蛋白(OxLDL)的清道夫受体,而与自身免疫易感性无关。在非肥胖型糖尿病(NOD)小鼠中删除 Cxcl16 抑制了自身免疫性糖尿病的发展。从机制上讲,Cxcl16 缺乏会损害胰岛巨噬细胞对 OxLDL 的清除,导致胰岛内 OxLDL 积累,并使胰岛内瞬时(Tex)CD8 T 细胞显著减少,这些细胞表现出增殖和效应特征。Tex 细胞易受氧化应激和铁死亡的影响;PD-1 阻断挽救了这一群体,并逆转了 NOD.Cxcl16 小鼠的糖尿病耐药性。因此,胰岛中 OxLDL 的清除会无意中促进致病性 CD8 T 细胞的分化,提出了一种组织内稳态过程可以促进易感个体自身免疫发病机制的范例。
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