A dual role for TNF-α in type 1 diabetes: islet-specific expression abrogates the ongoing autoimmune process when induced late but not early during pathogenesis

U Christen, T Wolfe, U Möhrle, AC Hughes… - The Journal of …, 2001 - journals.aai.org
U Christen, T Wolfe, U Möhrle, AC Hughes, E Rodrigo, EA Green, RA Flavell
The Journal of Immunology, 2001journals.aai.org
We report here that islet-specific expression of TNF-α can play a dual role in autoimmune
diabetes, depending on its precise timing in relation to the ongoing autoimmune process. In
a transgenic model (rat insulin promoter-lymphocytic choriomeningitis virus) of virally
induced diabetes, TNF-α enhanced disease incidence when induced through an islet-
specific tetracycline-dependent promoter system early during pathogenesis. Blockade of
TNF-α during this phase prevented diabetes completely, suggesting its pathogenetic …
Abstract
We report here that islet-specific expression of TNF-α can play a dual role in autoimmune diabetes, depending on its precise timing in relation to the ongoing autoimmune process. In a transgenic model (rat insulin promoter-lymphocytic choriomeningitis virus) of virally induced diabetes, TNF-α enhanced disease incidence when induced through an islet-specific tetracycline-dependent promoter system early during pathogenesis. Blockade of TNF-α during this phase prevented diabetes completely, suggesting its pathogenetic importance early in disease development. In contrast, TNF-α expression abrogated the autoimmune process when induced late, which was associated with a reduction of autoreactive CD8 lymphocytes in islets and their lytic activities. Thus, the fine-tuned kinetics of an autoreactive process undergo distinct stages that respond in a differential way to the presence of TNF-α. This observation has importance for understanding the complex role of inflammatory cytokines in autoimmunity.
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