IL-1 antagonism reduces hyperglycemia and tissue inflammation in the type 2 diabetic GK rat

JA Ehses, G Lacraz, MH Giroix… - Proceedings of the …, 2009 - National Acad Sciences
JA Ehses, G Lacraz, MH Giroix, F Schmidlin, J Coulaud, N Kassis, JC Irminger, M Kergoat…
Proceedings of the National Academy of Sciences, 2009National Acad Sciences
Recent studies suggest an inflammatory process, characterized by local cytokine/chemokine
production and immune cell infiltration, regulates islet dysfunction and insulin resistance in
type 2 diabetes. However, the factor initiating this inflammatory response is not known. Here,
we characterized tissue inflammation in the type 2 diabetic GK rat with a focus on the
pancreatic islet and investigated a role for IL-1. GK rat islets, previously characterized by
increased macrophage infiltration, displayed increased expression of several inflammatory …
Recent studies suggest an inflammatory process, characterized by local cytokine/chemokine production and immune cell infiltration, regulates islet dysfunction and insulin resistance in type 2 diabetes. However, the factor initiating this inflammatory response is not known. Here, we characterized tissue inflammation in the type 2 diabetic GK rat with a focus on the pancreatic islet and investigated a role for IL-1. GK rat islets, previously characterized by increased macrophage infiltration, displayed increased expression of several inflammatory markers including IL-1β. In the periphery, increased expression of IL-1β was observed primarily in the liver. Specific blockade of IL-1 activity by the IL-1 receptor antagonist (IL-1Ra) reduced the release of inflammatory cytokines/chemokines from GK islets in vitro and from mouse islets exposed to metabolic stress. Islets from mice deficient in IL-1β or MyD88 challenged with glucose and palmitate in vitro also produced significantly less IL-6 and chemokines. In vivo, treatment of GK rats with IL-1Ra decreased hyperglycemia, reduced the proinsulin/insulin ratio, and improved insulin sensitivity. In addition, islet-derived proinflammatory cytokines/chemokines (IL-1β, IL-6, TNFα, KC, MCP-1, and MIP-1α) and islet CD68+, MHC II+, and CD53+ immune cell infiltration were reduced by IL-1Ra treatment. Treated GK rats also exhibited fewer markers of inflammation in the liver. We conclude that elevated islet IL-1β activity in the GK rat promotes cytokine and chemokine expression, leading to the recruitment of innate immune cells. Rather than being directly cytotoxic, IL-1β may drive tissue inflammation that impacts on both β cell functional mass and insulin sensitivity in type 2 diabetes.
National Acad Sciences