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Diabetes, Vol 45, Issue 2 183-189, Copyright © 1996 by American Diabetes Association
Tumor necrosis factor-alpha and interferon-gamma inhibit insulin secretion and cause DNA damage in unweaned-rat islets. Extent of nitric oxide involvement
A Dunger, JM Cunningham, CA Delaney, JE Lowe, MH Green, AJ Bone and IC Green
Institute of Diabetes, University of Greifswald, Karlsburg, Germany.
Nitric oxide has been implicated as one possible mediator of interleukin-1
beta (IL-1)-induced inhibition of insulin secretion and islet cell damage.
The aim of this study was to define the effects of tumor necrosis
factor-alpha (TNF) and interferon-gamma (IFN) on nitric oxide production,
insulin secretion, and DNA damage in islets from unweaned rats. Treatment
of islets with 0.5-500 U/ml of either TNF or IFN on their own inhibited
glucose-stimulated insulin secretion in a dose-dependent manner (minimum
effective dose 5 U/ml). In combination, the cytokines exerted a pronounced
synergistic inhibitory effect on secretion and were equipotent at causing a
significant and concentration-dependent increase in culture medium nitrite
levels, islet cyclic GMP formation, and DNA damage. Used alone or in
combination, TNF and IFN significantly enhanced the activity of inducible
nitric oxide synthase as determined by measuring the conversion of
14C-labeled arginine to 14C-labeled citrulline and nitric oxide. Use of
arginine-free medium, without or with NG-monomethyl-L-arginine, resulted in
inhibition of nitrite formation by 5-1,000 U/ml IFN+TNF and partial
restoration of the insulin secretory response to glucose. Treatment of rat
islets with increasing doses of TNF+IFN (5, 50, and 500 U/ml) resulted in a
progressive increase in DNA damage, as shown by the comet assay, which
detects DNA strand breaks in individual islet cells. The DNA damage caused
by an intermediate concentration (50 U/ml) of TNF+IFN was comparable to
that generated by IL-1 when used at 20 U/ml. We conclude that TNF and IFN
induce nitric oxide formation, which partially inhibits glucose-induced
insulin secretion and causes significant DNA strand breakage, but that as
cytokine concentrations increase, non-nitric-oxide-mediated events
predominate.

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Copyright © 1996 by the American Diabetes Association.
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