ARTICLE
INTRODUCTION
Several mechanisms have been implicated in the pathological processes
leading to ß-cell dysfunction and death in type 1 diabetes, including
ß-cell interaction with cytotoxic T cells through MHC class I molecules
[1], the induction of iNOS expression and NO production [2], the production
of oxygen free radicals [3], and the activation of an apoptotic program
in ß-cells [4]. Most of these mechanisms require the presence of
cytokines, such as IL-1ß and IFN-gamma, secreted by infiltrating
immunocytes [5]. These cytokines can up-regulate MHC class I [6] and induce
iNOS expression in ß-cells [2] and some of the ß-cell neighbors
[7-9], and they can also lead to ß-cell apoptosis [4]. On the other
hand, cytokines can also induce or upregulate expression of proteins which
protect ß-cell from injury, such as heat shock protein 70, manganese
superoxide dismutase, heme oxygenase (reviewed in [10, 11]) and serine
protease inhibitor-3 (SPI-3) [12]. SPI-3 is an acute phase protein which
may play a role in cellular protection against injury [13]. The observation
that chemical serine protease inhibitors prevent IL-1ß-induced ß-cell
dysfunction [14, 15], and the recent report on IL-1ß-induced SPI-3
gene expression in rat pancreatic ß-cells [12], suggest that this
protease inhibitor may be part of the ß-cell defense mechanisms
triggered in response to cell damage.
Most of the effects of cytokines are tightly regulated at the transcriptional
level. By binding to its cell surface receptor, IFN-gamma activates the
tyrosine kinases Jak1 and Jak2 [16]. These kinases phosphorylate the signal
transducer and activator of transcription-1alpha (STAT1alpha), which in
turn binds to gamma-activated sites of various genes [16]. One of the
genes activated by STAT1alpha is interferon regulatory factor-1 (IRF-1)
[17]. IRF-1 is a transcription factor which regulates expression of MHC
class I in different tissues [18] and iNOS expression in macrophages [19].
IRF-1 is also required for induction of apoptosis in T cells [20] and
triggering autoimmune diseases such as collagen-induced arthritis and
experimental allergic encephalomyelitis [21]. IRF-1 expression is upregulated
by IFN-gamma and IL-1ß in human and rat islets and in the rat insulinoma
cell line RINm5F [22], and IRF-1/ mice backcrossed
with diabetes-prone NOD mice do not develop hyperglycemia [23]. These
observations suggest that IRF-1-mediated gene expression, either in ß-cells
or immune-effector cells, may play an important role for ß-cell
destruction during insulitis.
In the present study, we used pancreatic islets and FACS-purified ß-cells
from IRF-1/ mice to evaluate the role for IRF-1
in cytokine-induced MHC class I, SPI-3 and iNOS mRNA expression, and ß-cell
death.
MATERIALS AND METHODS
Animals
The IRF-1/ mice were a generous gift from Dr.
Tak Mak of the Ontario Cancer Institute (Ontario, Canada). The IRF-1/
mice were generated by using the construct pMIRF1neoB containing 4.9 kb
homologues IRF-1 genomic DNA with a 1.2 kb deletion which was replaced
by the neomycin resistance gene [24]. The deletion removed the exons required
for the DNA-binding domain, resulting in an inactive IRF-1 product. The
IRF-1/ mice were then backcrossed 3-times into
a C57Bl/6 background. The animals were bred and maintained, under filter
hoods and fed with sterilized mouse diet and water, at the experimental
animal facility of the Catholic University of Leuven. Wild type C57Bl/6
(wt) mice (purchased from Harlan Nederland, Horst, The Netherlands, and
maintained under similar conditions as the IRF-1/
mice) were used as controls for the IRF-1/ mice.
The homozygosity of IRF-1/ mice was confirmed in
pancreatic (see Figure 2)
and spleen tissue (data not shown) by the absence of IRF-1 mRNA expression.
Islet and ß-cell isolation and culture
Islets were obtained from 10 week old male and female IRF-1/
and wt mice. Pancreases were digested with collagenase and filtered over
500 µm pore mesh nylon screens. From the filtered material, islets
were hand-picked using a siliconized glass pipette, placed into the culture
medium and cultured for 16 hours at 37° C. The islets were then dissociated
with trypsin (20 µg/ml) and sorted by FACStar flow cytometer (Becton
Dickinson, Sunnyvale, CA), as previously described for rat ß-cells
[25]. Evaluation by electron microscopy showed that these preparations
contained more than 95% viable ß-cell (data not shown).
Cell culture was performed in HAM's F-10 medium supplemented with 10
mM glucose, 50 µM IBMX (3-isobutyl-1-methylxanthin), 1% BSA (Boehringer
Mannheim, Mannheim, Germany), 0.1 mg/ml streptomycin (Continental Pharma,
Puteaux, Belgium), 0.075 mg/ml penicillin (Laboratoires Diamant, Brussels,
Belgium) and 2 mM L-glutamine (GIBCO, Paisley, Scotland) [26]. Islets
were cultured for 24 hours in suspension culture dishes of 3 cm diameter
(Nunc, Naperville, IL USA) at a concentration of 50-100 islets in 1 ml
of medium. Purified single ß-cells (3 x 103 cells per
cup) were cultured in Falcon 96-well microtiter plates (Becton Dickinson,
New Jersey, NJ) containing 200 µL of medium. In a group of experiments
with purified ß-cells, performed to determine medium nitrite accumulation,
we used 3-6 x 104 cells per cup in 200 µl of the above
described medium. For long term culture (6 and 9 days), culture medium
was changed every 3 days and fresh cytokines added. Since the culture
conditions described above were originally developed for maintenance of
rat pancreatic ß-cells [26], we initially tested whether they were
adequate for mouse pancreatic ß-cells (obtained from C57Bl/6/DBA
mice). Using FACS-purified ß-cells, we observed 82 ± 2% viable
cells after 10 days of culture (n = 3), which was similar to previous
data with rat ß-cells [27].
Cytokine treatment and nitrite determination
The effect of cytokines was examined after 2 hours, 24 hours, 3, 6 and
9 days of culture in the presence of recombinant murine IFN-gamma (1,000
U/ml, 10 U/ng, Holland Biotechnology, Leiden, The Netherlands) and/or
recombinant human IL-1ß (50 U/ml, 38 U/ng, a kind gift of Dr. C.W.
Reynolds from the National Cancer Institute, Bethesda, USA). In some experiments
to evaluate ß-cell viability, we also added recombinant murine tumor
necrosis factor-alpha (TNF-alpha; 1,000 U/ml, 220 U/ng, Innogenetics,
Gent, Belgium). These concentrations of cytokines were selected based
on previous studies with pancreatic islets [22, 28, 29]. In the experiments
aimed to determine mRNA expression, islets or ß-cells were exposed
to 50 U/ml IL-1ß or 50 U/ml IL-1ß + 1,000 U/ml IFN-gamma,
but not to IFN-gamma alone. This was because of the limited amount of
mouse islets and ß-cells available, and that IFN-gamma alone does
not affect mouse ß-cell function or survival [28] (Pavlovic and
Eizirik, unpublished data). Culture media were collected after 24 hours
for nitrite determination (nitrite is a stable product of NO oxidation),
which was performed spectrophotometrically at 546 nm wavelength after
colored reaction with the Griess reagent [30].
mRNA isolation and RT-PCR
Poly(A)+ RNA was isolated from islets or cell aggregates
(0.5 to 1 x 105 cells) using oligo(dT)25-coated
polystyrene Dynabeads (Dynal, Oslo, Norway). The reverse transcription
reaction was performed at 42° C for 1 hour, and contained (per 10
µl) mRNA equivalent to 6 x 103 cells, 1x reverse transcription
buffer, 5 mM MgCl2, 1 mM of each dNTP, 2.5 µM random hexamer
primers and 100 units of Moloney murine leukemia virus reverse transcriptase
(Perkin Elmer, Norwalk, CT). The subsequent PCR reaction contained (in
25 µl reaction solution): 5 µl cDNA, 0.4 µM of forward
and reverse primers, 200 µM of each dNTP, 1x PCR buffer, 2 mM MgCl2,
and 0.625 U AmpliTaq Gold DNA polymerase (Perkin Elmer). PCR specificity
and efficiency was improved by using hot start PCR with a 12 min predenaturation
at 95° C and then 27 (glyceraldehyde-3-phosphate dehydrogenase
GAPDH), 28 (MHC-I) and 31 (iNOS, IRF-1, SPI-3) cycles at 94° C for
45 s, 58° C for 45s and 72° C for 80 s. For the insulin gene,
cDNA was diluted 40-fold and PCR performed for 22 cycles using the thermo-profile
described above. The number of cycles was selected to allow linear amplification
of the cDNA under study. To enable comparisons between the relative amounts
of target cDNA among the different samples, external standards for each
target cDNA and for the house keeping gene GAPDH cDNA were used in the
PCR reactions. In order to prepare these standards, PCR products of specific
bands amplified from cDNA were detected on the ethidium bromide-stained
agarose gel and their concentrations estimated by comparison against known
amounts of molecular weight markers run in the same gel. Dilution series
containing decreasing amounts of target cDNA templates were then prepared
and amplified simultaneously with islet or ß-cell cDNA samples.
The PCR amplification efficiencies for cDNA samples and their respective
standards were then compared by densitometry (see below). The primer sequences
used were IRF-1F 5'-TCTGAGTGGCATATGCAGATGGAC-3'; IRF-1R 5'-GGTCAGAGACCCAAACTATGGTGC-3';
MHC-IF 5'-TCGCTGAGGTATTTCGTCAC-3'; MHC-IR 5'-TCTTCGTTCAGGGCGATGTA-3';
iNOS-F 5'-GACAGCACAGAATGTTCCAG-3'; iNOS-R 5'-TGGCCAGATGTTCCTCTATT-3';
GAPDH-F 5'-TCACTCAAGATTGTCAGCAA-3', GAPDH-R 5'-AGATCCACGACGGACACATT-3';
insulin-F 5'-CCCACCCAGGCTTTTGTCAA-3'; insulin-R 5'-GTAGAGGGAGCAGATGCTGG-3';
SPI3-F: 5'-CAAATTTGTCCCAATGTCTGC-3'; SPI3-R: 5'-AAGGTTGCACAGTCCCATCAA-3'.
The ethidium bromide-stained agarose gels were photographed under UV-transillumination
using Kodak Digital Science DC40 camera (Kodak, Rochester, NY, USA) and
the PCR band intensities on the image were quantified by Biomax 1D Image
analysis software (Kodak) and expressed in pixel intensities (O.D.). The
target cDNA present in each sample was corrected for the respective GAPDH
value.
Assessment of ß-cell viability
The viability of islet cell preparations was assessed after 5 days exposure
to cytokines. The islets were incubated for 15 min with propidium iodide
(PI, 10 µg/ml) and Hoechst (HO) 342 (20 µg/ml) [27]. PI is a
highly polar dye, which penetrates only cells with damaged membranes,
staining their nuclei red; HO 342 freely crosses the plasma membrane,
entering cells with both damaged and intact membranes and leading to DNA
being stained blue [27, 29]. The approximate percentage of dead cells
was estimated by two individual observers who were unaware of the sample
identity. Note that evaluation of cell death in whole islets is difficult
due to superposition of cells. Thus, these observations should be considered
as semi-quantitative. The percentages of apoptotic and necrotic cells
in the single ß-cell preparations were assessed after 3, 6 and 9
days exposure to cytokines [29]. The cells were examined under an inverted
fluorescence microscope with UV excitation at 340-380 nm. Viable cells
were identified by their intact nuclei with blue fluorescence (HO 342),
necrotic cells by their intact nuclei with yellow-red fluorescence (HO
342 + PI), apoptotic cells by their fragmented nuclei, exhibiting either
a blue (HO 342; early apoptosis) or yellow-red fluorescence (HO 343 +
PI; late apoptosis). This fluorescence assay for single ß-cells
has been validated by electron microscopy, and offers the advantage of
being quantitative [27]. Under each experimental condition, a minimum
of 500 cells were counted. The necrosis and apoptosis indices were calculated
as ((% necrotic or apoptotic cells under experimental condition
% necrotic or apoptotic cells in control)/(100 % dead cells in
control)) x 100 [31].
Statistical analysis
Results are presented as means ± SEM of data obtained from islets
and ß-cells isolated from male and female animals. No significant
differences were observed between male and female mice regarding the different
parameters studied (data not shown), allowing pooling of the data. The
statistical differences between the groups were determined by paired Student's
t-test or, when indicated, by analysis of variance (ANOVA) followed by
the multiple t-tests with the Bonferroni correction. In all experiments,
islets or pure ß-cell preparations obtained from one set of animals
(3 to 5 mice) were considered as one individual observation. Thus, each
independent experiment was performed with a separate set of animals and
on a separate day.
RESULTS
Cytokine-induced IRF-1 mRNA expression in islets
isolated from wt mice
To determine whether IFN-gamma and/or IL-1ß induce IRF-1 expression
in mouse pancreatic islets, as previously described for rat and human
islets [22], islets obtained from wt mice were exposed to these cytokines
for 2 hours (Figure 1).
There was a low basal expression of IRF-1 mRNA in wt islets, which was
strongly upregulated by both IL-1ß (5-fold) and IFN-gamma (20-fold),
or by a combination of these two cytokines (50-fold) (Figure
1). This increased IRF-1 expression was maintained even after
24 hours exposure to cytokines (Figure
2). On the other hand, islets obtained from IRF-1/
mice did not express IRF-1 mRNA under either basal condition or after
exposure to IL-1ß or IL-1ß + IFN-gamma (Figure
2; data not shown), confirming the IRF-1-deficient state of these
mice.
Cytokine-induced MHC class I, iNOS, SPI-3 and insulin
mRNA expression and medium nitrite accumulation in islets isolated from
wt and IRF-1/ mice
MHC class I mRNA was expressed under basal condition both in wt and
IRF-1/ islets (Figure
2). These levels were higher in wt than in the IRF-1/
islets (Table 1). Upon
addition of the cytokines IL-1ß or IL-1ß + IFN-gamma, MHC
class I mRNA levels increased in both groups, reaching higher levels in
islets isolated from wt mice (Table
1). However, expressing the data as fold-increase above the basal
level, indicated similar values for wt (IL-1ß, 1.4 ± 0.4, n
= 7; IL-1ß + IFN-gamma, 2.0 ± 0.02, n = 7) and IRF-1/
islets (IL-1ß, 1.4 ± 0.1, n = 6; IL-1ß + IFN-gamma, 2.5
± 0.3, n = 7).
SPI-3 mRNA expression was not detectable in the wt islets under basal
condition (Figure 2, Table 1),
but was induced by IL-1ß. This induction was significantly decreased
after exposure to IL-1ß + IFN-gamma, suggesting an inhibitory role
for IFN-gamma. Islets from IRF-1/ mice also expressed
SPI-3 mRNA under basal condition. This expression was upregulated by IL-1ß,
but, contrary to the observations recorded for wt islets this effect was
strongly potentiated by the addition of IFN-gamma (Figure
2, Table 1).
There was no iNOS expression under basal condition in wt or IRF-1/
islets, but in both strains iNOS mRNA was induced by IL-1ß, and
further increased by IFN-gamma. Following cytokine exposure, iNOS mRNA
expression was lower in IRF-1/ than in wt islets
(Table 1).
Insulin mRNA was similar in both wt and IRF-1/
islets under basal conditions, with optical densities (O.D. corrected
by GAPDH O.D.; islet treatment as described in Table
1) of respectively 1.4 ± 0.1 (n = 5) and 1.4 ± 0.1 (n
= 4). After exposure to IL-1ß, this expression was significantly
reduced in wt islets (O.D. 0.9 ± 0.1; p < 0.01 versus basal
condition, i.e. no cytokine added, n = 5), but it was unaffected
in IRF-1/ islets (O.D. 1.4 ± 0.1; n = 4).
Simultaneous exposure to IL-1ß + IFN-gamma led to a further decrease
in insulin mRNA expression in wt islets (O.D. 0.6 ± 0.1; p < 0.002
versus basal condition, n = 5), and had also an inhibitory effect,
albeit less severe than in wt islets, on insulin mRNA expression in the
IRF-1/ islets (O.D. 0.9 ± 0.1; p < 0.002
versus basal condition, n = 4).
Nitrite production by wt islets doubled upon addition of IL-1ß
and was increased 5-fold upon stimulation with the cytokine combination
IL-1ß + IFN-gamma (Table
1). There was no increase in the nitrite accumulation in IRF-1/
islets after exposure to IL-1ß alone, but these islets responded
with a 3-fold increase in nitrite production following stimulation with
IL-1ß + IFN-gamma (Table
1).
Viability of islet cells isolated from wt and IRF-1/
mice after 5 days exposure to IL-1ß + IFN-gamma
Under basal conditions both wt and IRF-1/ islets
were well preserved after 5 days culture (Figure 3),
showing mostly viable cells (< 10% dead cells). The combination of
IL-1ß + IFN-gamma induced islet cell death (Figure
3), but the degree of cell destruction was clearly lower in the
IRF-1/ islets, where death occurred in approximately
31 ± 4% of the cells versus 85 ± 3% in the wt islets
(n = 4, p < 0.0001).
Cytokine-induced MHC class I, iNOS and SPI-3 mRNA
expression and medium nitrite accumulation in FACS-purified pancreatic
ß-cells isolated from wt and IRF-1/ mice
MHC class I mRNA was expressed under basal condition both in wt and
IRF-1/ ß-cells (Table
2). Upon addition of the cytokines IL-1ß or IL-1ß
+ IFN-gamma, MHC class I mRNA levels increased in both groups (Table
2). When expressing the data as fold-increase above the basal
level, there were similar values for wt (IL-1ß, 1.4 ± 0.1;
IL-1ß + IFN-gamma, 3.6 ± 0.3; n = 3) and IRF-1/
ß-cells (IL-1ß, 2.0 ± 0.3; IL-1ß + IFN-gamma, 4.2
± 0.6; n = 3).
In ß-cells from wt mice SPI-3 mRNA was not detectable under basal
condition (Table 2), but
it was induced by IL-1ß. This induction was somewhat decreased after
exposure to IL-1ß + IFN-gamma. ß-cells obtained from IRF-1/
mice expressed SPI-3 mRNA under basal condition and this expression was
upregulated by IL-1ß, an effect further potentiated by IFN-gamma
(Table 2).
There was no iNOS mRNA expression under basal conditions in wt or IRF-1/
ß-cells, but in both strains there was a minor iNOS expression following
IL-1ß exposure, which was further increased by IFN-gamma (Table
2). Neither ß-cells isolated from wt nor those isolated
from IRF-1/ mice increased medium nitrite accumulation
in response to IL-1ß treatment. Exposure to IL-1ß + IFN-gamma
induced a nearly 2-fold increase in medium nitrite in both wt and IRF-1/
ß-cells. Contrary to the observation in whole islets (Table
1), ß-cells isolated from IRF-1/
mice produced similar amounts of nitrite as wt ß-cells.
Cell death in FACS-purified ß-cells isolated
from wt and IRF-1/ mice following 3, 6 and 9 days
exposure to combinations of cytokines.
Exposure of wt or IRF-1/ ß-cells to IL-1ß
+ IFN-gamma had only a minor impact on the necrosis and apoptosis indices
in purified ß-cells (data not shown). For this reason, cells were
exposed to the cytokine combination IL-1ß + IFN-gamma + TNF-alpha,
which had been previously shown to induce apoptosis in human ß-cells
[29]. Combinations of cytokines induced a significant and similar increase
in necrosis and apoptosis indices in both wt and IRF-1/
ß-cells after 6 days of culture. Following 9 days of cytokine exposures
most of the wt or IRF-1/ ß-cells were dead
(Figure 4).
DISCUSSION
We have previously suggested that IRF-1 activation is required for cytokine-induced
iNOS expression in the rat insulinoma cell line RINmF5 and in rat and
human pancreatic islets [22]. This suggestion was mostly based on indirect
evidence, and at this point it was not possible to block IRF-1 expression
and/or its nuclear binding. An alternative approach to study this question
is the use of mice with targeted disruption of the IRF-1 gene [24]. Since
our previous studies were performed in human or in rat islets (or rat
insulin-producing RINmF5 cells) [22], we began by testing whether wild
type mouse islets also express IRF-1 in response to cytokines. We observed
that IFN-gamma, alone or in combination with IL-1ß, induces an early
(2 hours) and marked increase in IRF-1 expression in mouse islets, thus
validating the use of this experimental model to answer our question.
Following exposure to IL-1ß or IL-1ß + IFN-gamma, islets
isolated from IRF-1/ mice presented a 30-50% reduction
in iNOS mRNA expression and nitrite production, as compared to wt islets.
This partial decrease is different from results obtained in IRF-1/
macrophages, where a nearly complete absence of iNOS activity in response
to cytokines and LPS was observed [19]. Interestingly, FACS-purified ß-cells
from both wt and IRF-1/ islets failed to produce
NO in response to IL-1ß alone. In agreement with these data, we
observed that the mouse insulinoma cell line MIN6 also fails to produce
NO in response to IL-1ß (Pavlovic and Eizirik, unpublished data).
This differs from results obtained in rat ß-cells and insulinoma
cell lines, where IL-1ß alone induces NO production [2, 32-34],
but is similar to our previous observations with human islets [35] or
human ductal cells [9], where IL-1ß + IFN-gamma are required for
iNOS expression. Exposure of wt or IRF-1/ ß-cells
to a combination of IL-1ß + IFN-gamma resulted in a clear and similar
induction of iNOS expression and NO production, indicating that the potentiating
effect of IFN-gamma on IL-1ß-induced iNOS expression in ß-cell
does not require IRF-1. We have recently described that STAT1 has a more
important role than IRF-1 in iNOS expression in insulin producing cells
[33]. Thus, it is conceivable that IFN-gamma-induced STAT1 activation
in the IRF-1/ may compensate for the lack of IRF-1.
The fact that whole mouse islets produced nitrite in response to IL-1ß
alone, and that IRF-1/ islets have a lower nitrite
synthesis than wt islets, suggests that part of the nitrite production
is derived from islet non-ß-cells. Indeed, freshly isolated islets
contain around 30-40% non-ß-cells, of both endocrine and non-endocrine
origin. Among these non-ß-cells, macrophages, endothelial and ductal
cells are potential sites of NO production [7-9]. Macrophages can contribute
to islet NO production by both direct NO synthesis [7] and by releasing
cytokines which in turn further up-regulate iNOS expression in ß-cells
[32, 36]. As mentioned above, IRF-1 is required for iNOS expression and
NO production by macrophages [19]. Thus, it is conceivable that a functional
inhibition of islet macrophages in IRF-1/ mice
contributed, at least in part, for the observed decrease in total islet
NO production by these mice.
Another mRNA induced by cytokines in mouse islets
and ß-cells was SPI-3. SPI-3 is a natural protease inhibitor, induced
by cytokines and other forms of cell stress in hepatocytes [37], brain
cells [13] and rat pancreatic ß-cells [12]. SPI-3 may have a role
in cellular protection against injury [13, 37], and it has been previously
described that chemical protease inhibitors prevent IL-1ß-induced
ß-cell dysfunction [14, 15]. Interestingly, while IFN-gamma induced
a clear decrease in IL-1ß-induced SPI-3 expression in wt islets
or ß-cells, the same cytokine potentiated by 5-fold the stimulatory
effect of IL-1ß in IRF-1/ islets or ß-cells.
This indicates that IRF-1 mediates the inhibitory effect of IFN-gamma
on SPI-3 expression and that, in the absence of this transcription factor,
a stimulatory component of the cytokine action (possibly mediated via
STAT1 activation) predominates and further increases the cellular content
of SPI-3 mRNA. Blockers of NO production induce a partial protection against
the deleterious effects of cytokines in rat [2, 38] and mouse islets [28].
Thus, it is conceivable that a partial decrease in NO production (see
above), paralleled by a several-fold increase in SPI-3 expression, contributed
to the observed protection against cytokine-induced cell death in IRF-1/
pancreatic islets, as compared to the wt islet cells. This improved viability
was accompanied by a better preserved insulin mRNA expression, reinforcing
the idea that ß-cells located in the IRF-1/
islets are partially protected from IL-1ß + IFN-gamma effects. On
the other hand, FACS purified ß-cells from IRF-1/
mice were as sensitive as ß-cells from wt mice to cytokine-induced
cell death. The modes of ß-cell death were both necrosis and apoptosis,
which is somewhat different from our previous observations in human islet
cells, where combination of cytokines induced mostly apoptosis [29]. Considering
that IRF-1/ ß-cells exposed to cytokines
also overexpress SPI-3, it seems that this serine protease inhibitor,
in the absence of a decreased NO (or other radicals) production, is not
sufficient to prevent cytokine-induced cell death. As discussed above,
other islet cell types may contribute to cytokine-induced ß-cell
death in whole islets. In the absence of these non-ß-cells, IRF-1
is not a major mediator of the direct, toxic effects of combinations of
cytokines in ß-cells.
Another potential mechanism by which cytokines contribute to ß-cell
destruction in type 1 diabetes mellitus is via upregulation of
ß-cell MHC class I expression [6]. The requirement of IRF-1 for
upregulation of MHC class I expression varies in different tissues [18],
although there is no information regarding the ß-cells. We have
observed that islets and ß-cells isolated from IRF-1/
mice present a partial (30%) decrease in basal MHC class I expression,
but are able to respond to cytokines with an increased expression of this
mRNA. This suggests that, as discussed above for iNOS, other pathways
of cytokine signal transduction besides IRF-1 are important for this phenomenon
in pancreatic ß-cells.
As a whole, the present and previous data obtained in other tissues
from IRF-1/ mice, indicate that IFN-gamma contributes
to the expression of iNOS and MHC class I mRNA by different signal transduction
pathways in diverse cell types [19, 20, 23, 39]. In this respect, IRF-1
is probably more important for cytokine signaling in the immune system
[21] than in pancreatic ß-cells (present data). If this is the case,
the recent observation that NOD mice deficient in IRF-1 do not develop
diabetes [23], is probably explained by the inhibition of immune effector
cells, rather than by the blocking of IFN-gamma effects at the ß-cell
level.
CONCLUSION
Acknowledgments.
The technical assistance of E. Verheugen, R. Leemans and J. Laureys is
gratefully acknowledged. This work was supported by grants from the Juvenile
Diabetes Foundation International (JDFI 1-1998-4); Flemish Scientific
Research Foundation (FWO, G.0216.99 and a postdoctoral fellowship (C.A.
Gysemans)); from the Belgium National Ministry of Science (IUAP P4/21);
and by a Shared Cost Action in Medical and Health Research of the European
Community (BMH4-CT98-3448).
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