Journal
DIABETES
Volume 57, Issue 5, Pages 1236-1245Publisher
AMER DIABETES ASSOC
DOI: 10.2337/db07-0844
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OBJECTIVE-Viral infections contribute to the pathogenesis of type 1 diabetes. Viruses, or viral products such as double-stranded RNA (dsRNA), affect pancreatic beta-cell survival and trigger autoimmunity by unknown mechanisms. We presently investigated the mediators and downstream effectors of dsRNA-induced beta-cell death. RESEARCH DESIGN AND METHODS-Primary rat beta-cells and islet cells from wild-type, toll-like receptor (TLR) 3, type I interferon receptor (IFNAR1), or interferon regulatory factor (IRF)-3 knockout mice were exposed to external dsRNA (external polyinosinic-polycytidylic acid [PICex]) or were transfected with dsRNA ([PICin]). RESULTS-TLR3 signaling mediated PICex-induced nuclear factor-kappa B (NF-kappa B) and IRF-3 activation and beta-cell apoptosis. PICin activated NF-kappa B and IRF-3 in a TLR3-independent manner, induced eukaryotic initiation factor 2 alpha phosphorylation and triggered a massive production of interferon (IFN)-beta.This contributed to beta-cell death, as islet cells from IFNAR1(-/-) or IRF 3(-/-) mice were protected against PICin-induced apoptosis. CONCLUSIONS-PICex and PICin trigger beta-cell apoptosis via the TLR-3 pathway or IRF-3 signaling, respectively. Execution of PICin-mediated apoptosis depends on autocrine effects of type
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