β Cells that Resist Immunological Attack Develop during Progression of Autoimmune Diabetes in NOD Mice.

Cell Metab
Authors
Abstract

Type 1 diabetes (T1D) is a chronic autoimmune disease that involves immune-mediated destruction of β cells. How β cells respond to immune attack is unknown. We identified a population of β cells during the progression of T1D in non-obese diabetic (NOD) mice that survives immune attack. This population develops from normal β cells confronted with islet infiltrates. Pathways involving cell movement, growth and proliferation, immune responses, and cell death and survival are activated in these cells. There is reduced expression of β cell identity genes and diabetes antigens and increased immune inhibitory markers and stemness genes. This new subpopulation is resistant to killing when diabetes is precipitated with cyclophosphamide. Human β cells show similar changes when cultured with immune cells. These changes may account for the chronicity of the disease and the long-term survival of β cells in some patients.

Year of Publication
2017
Journal
Cell Metab
Volume
25
Issue
3
Pages
727-738
Date Published
2017 Mar 07
ISSN
1932-7420
DOI
10.1016/j.cmet.2017.01.005
PubMed ID
28190773
PubMed Central ID
PMC5342930
Links
Grant list
DP3 DK101122 / DK / NIDDK NIH HHS / United States
R01 DK057846 / DK / NIDDK NIH HHS / United States
UC4 DK104205 / DK / NIDDK NIH HHS / United States
UL1 TR001863 / TR / NCATS NIH HHS / United States