单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Endocrinol,Wuhan,Hubei,Peoples R China内科学系内分泌内科华中科技大学同济医学院附属同济医院[2]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Allergy,Wuhan,Hubei,Peoples R China过敏反应科华中科技大学同济医学院附属同济医院[3]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Organ Transplantat,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China器官移植研究所华中科技大学同济医学院附属同济医院器官移植[4]Huazhong Univ Sci & Technol, Wuhan Childrens Hosp, Tongji Med Coll, Dept Hematol & Oncol, Wuhan, Hubei, Peoples R China[5]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Cardiovasc Surg, 107 Yanjiang West Rd, Guangzhou 510120, Guangdong, Peoples R China中山大学附属第二医院
Type 1 diabetes mellitus (T1DM) is still one of the major threats on global public health. This autoimmune condition is mainly caused by the imbalance of auto-reactive inflammatory effector T cells (Teffs) and protective regulatory T cells (Tregs). Therefore, inhibiting the development of Teffs and/or promoting Tregs provides a therapeutic strategy for preventing the development of T1DM. Pathways of energy metabolism have been shown to play a pivotal role in dictating the activation, differentiation and immune function of T cells. Studies have shown that inhibition of glycolysis suppresses the development of Th1 and Th17 cells, but promotes Treg production. AMP-activated protein kinase (AMPK) is a master sensor and regulator of cellular energy metabolism in mammals, which has also been demonstrated to interfere with T cell differentiation and effector function through inhibiting mammalian target of rapamycin (mTOR) and subsequent inhibition of glycolysis, and enhancement of lipid oxidation. In this study, we found that AMPK activator metformin suppresses T cell proliferation and inhibits the differentiation of Th1 and Th17 cells while promoting the development of Tregs in vitro in a dose-dependent manner. Treatment of NOD mice with metformin significantly mitigated autoimmune insulitis and substantially decreased the number of pro-inflammatory IFN-gamma+ as well as IL17+ CD4 T cells in the spleens of NOD mice. However, a significantly increased percentage of regulatory IL-10+ and Foxp3+ CD4 T cells were seen. We provided a novel potential therapeutic method-by regulating T cell metabolism through targeting AMPK, to reduce the severity of autoimmune insulitis.
基金:
National Natural Science Foundation of P.R. China [81273252]
第一作者单位:[1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Endocrinol,Wuhan,Hubei,Peoples R China
通讯作者:
通讯机构:[3]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Inst Organ Transplantat,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China[5]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Cardiovasc Surg, 107 Yanjiang West Rd, Guangzhou 510120, Guangdong, Peoples R China
推荐引用方式(GB/T 7714):
Duan Wu,Ding Yunchuan,Yu Xuefeng,et al.Metformin mitigates autoimmune insulitis by inhibiting Th1 and Th17 responses while promoting Treg production[J].AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH.2019,11(4):2393-2402.
APA:
Duan, Wu,Ding, Yunchuan,Yu, Xuefeng,Ma, Dongxia,Yang, Bo...&Yang, Chao.(2019).Metformin mitigates autoimmune insulitis by inhibiting Th1 and Th17 responses while promoting Treg production.AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH,11,(4)
MLA:
Duan, Wu,et al."Metformin mitigates autoimmune insulitis by inhibiting Th1 and Th17 responses while promoting Treg production".AMERICAN JOURNAL OF TRANSLATIONAL RESEARCH 11..4(2019):2393-2402