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Diabetes 55:2437-2445, 2006
DOI: 10.2337/db05-1673
© 2006 by the American Diabetes Association
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CD40–CD40 Ligand Interaction Activates Proinflammatory Pathways in Pancreatic Islets

Florencia M. Barbé-Tuana, Dagmar Klein, Hirohito Ichii, Dora M. Berman, Lane Coffey, Norma S. Kenyon, Camillo Ricordi, and Ricardo L. Pastori

From the Diabetes Research Institute, University of Miami Leonard M. Miller School of Medicine, Miami, Florida

Address correspondence and reprint requests to R.L. Pastori, PhD, Diabetes Research Institute, University of Miami Leonard M. Miller School of Medicine, 1450 NW 10th Ave., Miami, FL 33136. E-mail: rpastori{at}med.miami.edu

Abbreviations: APC, antigen-presenting cell; 7-AAD, 7-aminoactinomycin D; ERK, extracellular signal–regulated kinase; ICAM, intercellular adhesion molecule; I{kappa}B, inhibitor of {kappa}B; IL, interleukin; IFN-{gamma}, {gamma}-interferon; mAb, monoclonal antibody; MAPK, mitogen-activated protein kinase; MCP, monocyte chemoattractant protein; MEK, mitogen extracellular kinase; MIP, macrophage inflammatory protein; NF, nuclear factor; NHP, nonhuman primate; Th1, T-helper 1; TNF, tumor necrosis factor

Pancreatic islet transplantation is becoming an alternative to insulin therapy in patients suffering from brittle type 1 diabetes. A major obstacle to the procedure is the early graft loss caused by nonspecific inflammation at the site of implantation. We recently discovered that CD40, a member of tumor necrosis factor (TNF) receptor family, is expressed in pancreatic ß-cells. CD40 expression in nonhematopoietic cells is generally associated with inflammation. Therefore, we investigated the potential proinflammatory role of CD40 in human and nonhuman primate islets. Islet ß-cells responded to CD40L interaction by secreting interleukin (IL)-6, IL-8, monocyte chemoattractant protein-1, and macrophage inflammatory protein (MIP)-1ß, the latter a chemokine first reported to be produced by islets. Induction of IL-8 and MIP-1ß was confirmed at the transcriptional level by quantitative RT-PCR. MIP-1ß expression in ß-cells was verified by double-immunofluorescence staining. CD40-CD40L interaction activates extracellular signal–regulated kinase 1/2 and nuclear factor-{kappa}B pathways in insulinoma NIT-1 cells, and inhibitors of either pathway suppress cytokine/chemokine production in islets. Moreover, ligation of CD40 receptor upregulates intercellular adhesion molecule-1, associated with inflammation, at both transcriptional and translational levels. Our results in vitro indicate that the CD40 receptor expressed by ß-cells could be activated in vivo, inducing proinflammatory responses contributing to early islet graft loss after transplantation.


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[Abstract] [Full Text] [PDF]




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Copyright © 2006 by the American Diabetes Association.