Induction of tolerance in type 1 diabetes via both CD4+ CD25+ T regulatory cells and T regulatory type 1 cells

Induction of tolerance in type 1 diabetes via both CD4+ CD25+ T regulatory cells and T regulatory type 1 cells
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DOI:
10.2337/db05-1576
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发表时间:
2006-06-01
期刊:
影响因子:
7.7
通讯作者:
Roncarolo, Maria-Grazia
Roncarolo, Maria-Grazia
中科院分区:
医学1区
文献类型:
--
作者:
Battaglia, Manuela;Stabilini, Angela;Roncarolo, Maria-Grazia

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成功开发新的治疗方法,重新启动自身免疫性自身耐受依赖于T调节(Tr)细胞的诱导。在这里,我们报告说,雷帕霉素与白细胞介素(IL)-10联合有效地阻止I型糖尿病的发展,并诱导长期免疫耐受的非肥胖糖尿病(NOD)小鼠在没有慢性免疫抑制。雷帕霉素介导抑制性CD 4(+)CD 25(+)FoxP 3(+)Tr细胞在胰腺中的积累,从而预防糖尿病。IL-10诱导Tr 1型(Tr 1)细胞,其驻留在脾脏中并防止致糖尿病T细胞迁移到引流淋巴结。这两个Tr细胞亚群共同作用,控制长期耐受小鼠中仍然存在的致糖尿病T细胞。雷帕霉素加IL-10治疗,促进不同的Tr细胞亚群,可能构成一种新的和有效的免疫介导的疾病的耐受诱导方案。
Success in developing novel therapies to recommence self-tolerance in autoimmunity depends on the induction of T regulatory (Tr) cells. Here, we report that rapamycin combined with interleukin (IL)-10 efficiently blocks type I diabetes development and induces long-term immunotolerance in the absence of chronic immunosuppression in nonobese diabetic (NOD) mice. Rapamycin mediates accumulation in the pancreas of suppressive CD4(+)CD25(+) FoxP3(+) Tr cells, which prevent diabetes. IL-10 induces Tr type 1 (Tr1) cells, which reside in the spleen and prevent migration of diabetogenic T-cells to the draining lymph nodes. These two Tr cell subsets act in concert to control diabetogenic T-cells that are still present in long-term tolerant mice. Rapamycin plus IL-10 treatment, promoting distinct subsets of Tr cells, may constitute a novel and potent tolerance-inducing protocol for immune-mediated diseases.