Nonviral-mediated hepatic expression of IGF-I increases Treg levels and suppresses autoimmune diabetes in mice

XM Anguela, S Tafuro, C Roca, D Callejas, J Agudo… - Diabetes, 2013 - Am Diabetes Assoc
XM Anguela, S Tafuro, C Roca, D Callejas, J Agudo, M Obach, A Ribera, A Ruzo, CJ Mann
Diabetes, 2013Am Diabetes Assoc
In type 1 diabetes, loss of tolerance to β-cell antigens results in T-cell–dependent
autoimmune destruction of β cells. The abrogation of autoreactive T-cell responses is a
prerequisite to achieve long-lasting correction of the disease. The liver has unique
immunomodulatory properties and hepatic gene transfer results in tolerance induction and
suppression of autoimmune diseases, in part by regulatory T-cell (Treg) activation. Hence,
the liver could be manipulated to treat or prevent diabetes onset through expression of key …
In type 1 diabetes, loss of tolerance to β-cell antigens results in T-cell–dependent autoimmune destruction of β cells. The abrogation of autoreactive T-cell responses is a prerequisite to achieve long-lasting correction of the disease. The liver has unique immunomodulatory properties and hepatic gene transfer results in tolerance induction and suppression of autoimmune diseases, in part by regulatory T-cell (Treg) activation. Hence, the liver could be manipulated to treat or prevent diabetes onset through expression of key genes. IGF-I may be an immunomodulatory candidate because it prevents autoimmune diabetes when expressed in β cells or subcutaneously injected. Here, we demonstrate that transient, plasmid-derived IGF-I expression in mouse liver suppressed autoimmune diabetes progression. Suppression was associated with decreased islet inflammation and β-cell apoptosis, increased β-cell replication, and normalized β-cell mass. Permanent protection depended on exogenous IGF-I expression in liver nonparenchymal cells and was associated with increased percentage of intrapancreatic Tregs. Importantly, Treg depletion completely abolished IGF-I-mediated protection confirming the therapeutic potential of these cells in autoimmune diabetes. This study demonstrates that a nonviral gene therapy combining the immunological properties of the liver and IGF-I could be beneficial in the treatment of the disease.
Am Diabetes Assoc