Yamada K, Takane N, Otabe S, Inada C, Inoue M, Nonaka K
Department of Medicine, Kurume University School of Medicine, Fukuoka, Japan.
Diabetes. 1993 Jul;42(7):1026-31. doi: 10.2337/diab.42.7.1026.
Cytokines have been regarded as effector molecules responsible for beta-cell death and major histocompatibility complex hyperexpression in endocrine pancreas of type I diabetes. However, the mechanism that results in beta-cell-selective destruction has not been elucidated. We demonstrated in this study, using cell lines of transformed mouse beta-cells and alpha-cells, that only pancreatic beta-cells but not alpha-cells produced tumor necrosis factor-alpha when exposed to interleukin-1 beta. Northern blot analysis confirmed the beta-cell-selective expression of tumor necrosis factor-alpha mRNA. Interleukin-1 beta also provoked tumor necrosis factor-alpha mRNA expression in vitro by normal mouse islet cells. Because tumor necrosis factor-alpha has been shown to potentiate beta-cell cytotoxicity of interleukin-1 and interferon-gamma, tumor necrosis factor-alpha produced in situ by beta-cells might be self-destructive. In fact, a low dose of interleukin-1 beta in combination with a low dose of interferon-gamma preferentially injured beta-cells. Hence endogenous tumor necrosis factor-alpha production by beta-cells may be involved in beta-cell-selective destruction in type 1 diabetes.
细胞因子被认为是导致I型糖尿病患者内分泌胰腺中β细胞死亡和主要组织相容性复合体过度表达的效应分子。然而,导致β细胞选择性破坏的机制尚未阐明。在本研究中,我们使用转化的小鼠β细胞和α细胞系证明,当暴露于白细胞介素-1β时,只有胰腺β细胞而非α细胞产生肿瘤坏死因子-α。Northern印迹分析证实了肿瘤坏死因子-α mRNA的β细胞选择性表达。白细胞介素-1β在体外也可刺激正常小鼠胰岛细胞表达肿瘤坏死因子-α mRNA。由于肿瘤坏死因子-α已被证明可增强白细胞介素-1和干扰素-γ对β细胞的细胞毒性,β细胞原位产生的肿瘤坏死因子-α可能具有自我破坏性。事实上,低剂量的白细胞介素-1β与低剂量的干扰素-γ联合使用会优先损伤β细胞。因此,β细胞产生内源性肿瘤坏死因子-α可能参与1型糖尿病中β细胞的选择性破坏。