Progression of type 1 diabetes from the prediabetic stage is controlled by interferon-α signaling

Proc Natl Acad Sci U S A. 2017 Apr 4;114(14):3708-3713. doi: 10.1073/pnas.1700878114. Epub 2017 Mar 21.

Abstract

Blockade of IFN-α but not IFN-β signaling using either an antibody or a selective S1PR1 agonist, CYM-5442, prevented type 1 diabetes (T1D) in the mouse Rip-LCMV T1D model. First, treatment with antibody or CYM-5442 limited the migration of autoimmune "antiself" T cells to the external boundaries around the islets and prevented their entry into the islets so they could not be positioned to engage, kill, and thus remove insulin-producing β cells. Second, CYM-5442 induced an exhaustion signature in antiself T cells by up-regulating the negative immune regulator receptor genes Pdcd1, Lag3, Ctla4, Tigit, and Btla, thereby limiting their killing ability. By such means, insulin production was preserved and glucose regulation maintained, and a mechanism for S1PR1 immunomodulation described.

Keywords: IFN-alpha; S1PR1; type 1 diabetes; type I interferon.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Diabetes Mellitus, Type 1 / immunology
  • Diabetes Mellitus, Type 1 / prevention & control*
  • Disease Models, Animal
  • Disease Progression
  • Indans / administration & dosage*
  • Indans / pharmacology
  • Insulin / metabolism
  • Insulin-Secreting Cells / immunology
  • Interferon-alpha / metabolism*
  • Islets of Langerhans / immunology
  • Mice
  • Oxadiazoles / administration & dosage*
  • Oxadiazoles / pharmacology
  • Prediabetic State / drug therapy*
  • Prediabetic State / immunology
  • Receptors, Immunologic / metabolism
  • Receptors, Lysosphingolipid / agonists*
  • Signal Transduction / drug effects
  • Sphingosine-1-Phosphate Receptors
  • T-Lymphocytes / drug effects*
  • T-Lymphocytes / immunology

Substances

  • 2-(4-(5-(3,4-diethoxyphenyl)-1,2,4-oxadiazol-3-yl)-2,3-dihydro-1H-inden-1-yl amino)ethanol
  • Indans
  • Insulin
  • Interferon-alpha
  • Oxadiazoles
  • Receptors, Immunologic
  • Receptors, Lysosphingolipid
  • S1pr1 protein, mouse
  • Sphingosine-1-Phosphate Receptors