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Prevention of Type 1 Diabetes with Acetalated Dextran Microparticles Containing Rapamycin and Pancreatic Peptide P31.

Identifieur interne : 000517 ( Main/Exploration ); précédent : 000516; suivant : 000518

Prevention of Type 1 Diabetes with Acetalated Dextran Microparticles Containing Rapamycin and Pancreatic Peptide P31.

Auteurs : Naihan Chen [États-Unis] ; Charles J. Kroger [États-Unis] ; Roland M. Tisch [États-Unis] ; Eric M. Bachelder [États-Unis] ; Kristy M. Ainslie [États-Unis]

Source :

RBID : pubmed:30051618

Descripteurs français

English descriptors

Abstract

Type 1 diabetes (T1D) is a common autoimmune disease with no cure. T1D subjects are dependent on daily exogenous insulin administration, due to the loss of functional insulin-producing β cells. Needed are immunotherapies that prevent and/or treat T1D. One approach of immunotherapy is to administer an autoantigen to selectively tolerize diabetogenic effector T cells without global immunosuppression. To date, however, strategies of antigen-specific immunotherapy are largely ineffective in the clinic. Using an antigen-specific approach, a biodegradable polymeric delivery vehicle, acetalated dextran microparticles (Ace-DEX MPs), is applied and T1D development is prevented through coadministration of the immunosuppressant rapamycin and the diabetogenic peptide P31 (Rapa/P31/MPs), via alterations of both innate and adaptive immunity. Ex vivo, adoptively transferred CD4+ T cells exhibit reduced proliferation and an increased ratio of FoxP3+ to IFNγ+ T cells. In vitro analysis indicates dendritic cells exhibit a less mature phenotype following coculture with Rapa/P31/MPs, which results in reduced CD4+ T cell proliferation and proinflammatory cytokine production (IFNγ and IL-2), but promotes PD-1 expression. Together these results demonstrate Ace-DEX MP-based antigen-specific therapy effectively tolerizes diabetogenic CD4+ T cells to prevent T1D, thereby demonstrating one of the first successful attempts of T1D prevention using a single-formulation particulate delivery platform.

DOI: 10.1002/adhm.201800341
PubMed: 30051618


Affiliations:


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<term>CD4-Positive T-Lymphocytes (metabolism)</term>
<term>Cell Proliferation (drug effects)</term>
<term>Cells, Cultured (MeSH)</term>
<term>Dextrans (chemistry)</term>
<term>Diabetes Mellitus, Type 1 (metabolism)</term>
<term>Diabetes Mellitus, Type 1 (prevention & control)</term>
<term>Female (MeSH)</term>
<term>Flow Cytometry (MeSH)</term>
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<term>Forkhead Transcription Factors (metabolism)</term>
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<term>Cellules à insuline (métabolisme)</term>
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<term>Diabète de type 1 (prévention et contrôle)</term>
<term>Facteurs de transcription Forkhead (génétique)</term>
<term>Facteurs de transcription Forkhead (métabolisme)</term>
<term>Femelle (MeSH)</term>
<term>Interféron gamma (métabolisme)</term>
<term>Interleukine-2 (métabolisme)</term>
<term>Lymphocytes T CD4+ (effets des médicaments et des substances chimiques)</term>
<term>Lymphocytes T CD4+ (métabolisme)</term>
<term>Polypeptide pancréatique (administration et posologie)</term>
<term>Polypeptide pancréatique (composition chimique)</term>
<term>Prolifération cellulaire (effets des médicaments et des substances chimiques)</term>
<term>Sirolimus (administration et posologie)</term>
<term>Sirolimus (composition chimique)</term>
<term>Sirolimus (usage thérapeutique)</term>
<term>Souris (MeSH)</term>
<term>Souris de lignée BALB C (MeSH)</term>
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<term>Sirolimus</term>
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<term>Pancreatic Polypeptide</term>
<term>Sirolimus</term>
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<term>Polypeptide pancréatique</term>
<term>Sirolimus</term>
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<term>Dextrane</term>
<term>Polypeptide pancréatique</term>
<term>Sirolimus</term>
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<term>Forkhead Transcription Factors</term>
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<term>Cellules à insuline</term>
<term>Diabète de type 1</term>
<term>Facteurs de transcription Forkhead</term>
<term>Interféron gamma</term>
<term>Interleukine-2</term>
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<term>Cellules cultivées</term>
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<term>Femelle</term>
<term>Souris</term>
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<div type="abstract" xml:lang="en">Type 1 diabetes (T1D) is a common autoimmune disease with no cure. T1D subjects are dependent on daily exogenous insulin administration, due to the loss of functional insulin-producing β cells. Needed are immunotherapies that prevent and/or treat T1D. One approach of immunotherapy is to administer an autoantigen to selectively tolerize diabetogenic effector T cells without global immunosuppression. To date, however, strategies of antigen-specific immunotherapy are largely ineffective in the clinic. Using an antigen-specific approach, a biodegradable polymeric delivery vehicle, acetalated dextran microparticles (Ace-DEX MPs), is applied and T1D development is prevented through coadministration of the immunosuppressant rapamycin and the diabetogenic peptide P31 (Rapa/P31/MPs), via alterations of both innate and adaptive immunity. Ex vivo, adoptively transferred CD4
<sup>+</sup>
T cells exhibit reduced proliferation and an increased ratio of FoxP3
<sup>+</sup>
to IFNγ
<sup>+</sup>
T cells. In vitro analysis indicates dendritic cells exhibit a less mature phenotype following coculture with Rapa/P31/MPs, which results in reduced CD4
<sup>+</sup>
T cell proliferation and proinflammatory cytokine production (IFNγ and IL-2), but promotes PD-1 expression. Together these results demonstrate Ace-DEX MP-based antigen-specific therapy effectively tolerizes diabetogenic CD4
<sup>+</sup>
T cells to prevent T1D, thereby demonstrating one of the first successful attempts of T1D prevention using a single-formulation particulate delivery platform.</div>
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<AbstractText>Type 1 diabetes (T1D) is a common autoimmune disease with no cure. T1D subjects are dependent on daily exogenous insulin administration, due to the loss of functional insulin-producing β cells. Needed are immunotherapies that prevent and/or treat T1D. One approach of immunotherapy is to administer an autoantigen to selectively tolerize diabetogenic effector T cells without global immunosuppression. To date, however, strategies of antigen-specific immunotherapy are largely ineffective in the clinic. Using an antigen-specific approach, a biodegradable polymeric delivery vehicle, acetalated dextran microparticles (Ace-DEX MPs), is applied and T1D development is prevented through coadministration of the immunosuppressant rapamycin and the diabetogenic peptide P31 (Rapa/P31/MPs), via alterations of both innate and adaptive immunity. Ex vivo, adoptively transferred CD4
<sup>+</sup>
T cells exhibit reduced proliferation and an increased ratio of FoxP3
<sup>+</sup>
to IFNγ
<sup>+</sup>
T cells. In vitro analysis indicates dendritic cells exhibit a less mature phenotype following coculture with Rapa/P31/MPs, which results in reduced CD4
<sup>+</sup>
T cell proliferation and proinflammatory cytokine production (IFNγ and IL-2), but promotes PD-1 expression. Together these results demonstrate Ace-DEX MP-based antigen-specific therapy effectively tolerizes diabetogenic CD4
<sup>+</sup>
T cells to prevent T1D, thereby demonstrating one of the first successful attempts of T1D prevention using a single-formulation particulate delivery platform.</AbstractText>
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<name sortKey="Chen, Naihan" sort="Chen, Naihan" uniqKey="Chen N" first="Naihan" last="Chen">Naihan Chen</name>
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