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Published online July 9, 2007
Diabetes 56:2561-2568, 2007
DOI: 10.2337/db06-1372
© 2007 by the American Diabetes Association
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Essential Role for Signal Transducer and Activator of Transcription-1 in Pancreatic ß-Cell Death and Autoimmune Type 1 Diabetes of Nonobese Diabetic Mice

Sunshin Kim1, Hun Sik Kim1, Kun Wook Chung1, Seung Hoon Oh1, Jong Won Yun2, Sin-Hyeog Im3, Moon-Kyu Lee1, Kwang-Won Kim1, and Myung-Shik Lee1

1 Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
2 Department of Biotechnology, Daegu University, Kyungsan, Kyungbuk, Korea
3 Department of Life Science, Gwangju Institute of Science and Technology, Gwangju, Korea

Address correspondence and reprint requests to Myung-Shik Lee, Department of Medicine, Samsung Medical Center, 50 Irwon-dong Kangnam-ku, Seoul 135-710, Korea. E-mail: mslee{at}smc.samsung.co.kr

Abbreviations: CFSE, 5,6-carboxylfluorescein diacetate succinimidyl ester; CTLA-4, cytotoxic T-cell antigen 4; EAE, experimental allergic encephalomyelitis; IFN, interferon; IL, interleukin; JAK, janus kinase; MLN, mesenteric lymph nodes; MTT, 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide; PLN, pancreatic lymph nodes; STAT1, signal transducer and activator of transcription-1; TNF, tumor necrosis factor; XIAP, X-linked inhibitor of apoptosis

OBJECTIVE—We have reported important roles for signal transducer and activator of transcription-1 (STAT1) in pancreatic ß-cell death by cytokines in vitro. However, in vivo evidence supporting the role for STAT1 in natural type 1 diabetes has not been reported. We studied whether STAT1 plays an important role in the development of natural type 1 diabetes.

RESEARCH DESIGN AND METHODS—We produced nonobese diabetic (NOD)/STAT1–/– mice by backcrossing and studied the in vivo role of STAT1 in ß-cell death and type 1 diabetes.

RESULTS—STAT1–/– islet cells were resistant to death by interferon (IFN)-{gamma}/tumor necrosis factor (TNF)-{alpha} or IFN-{gamma}/interleukin (IL)-1ß combination. Cytochrome c translocation by IFN-{gamma}/TNF-{alpha} was abrogated in STAT1–/– islet cells. The induction of X-linked inhibitor of apoptosis protein by TNF-{alpha} was inhibited by IFN-{gamma} in STAT1+/– islet cells but not in STAT1–/– islet cells. Inducible nitric oxide (NO) synthase induction and NO production by IFN-{gamma}/IL-1ß were impaired in STAT1–/– islet cells. Strikingly, diabetes and insulitis were completely abrogated in NOD/STAT1–/– mice. Development of diabetes after CD4+ diabetogenic T-cell transfer was inhibited in those mice. STAT1–/– neonatal pancreata were not destroyed when grafted into diabetic NOD/BDC2.5 mice that developed CD4+ T-cell–dependent islet cell death. In NOD/STAT1–/– mice, autoreactive T-cell priming was not impaired, but Th1 differentiation was impaired. A janus kinase (JAK) 2 inhibitor upstream of STAT1 attenuated islet cell death by IFN-{gamma}/TNF-{alpha} or IFN-{gamma}/IL-1ß and delayed diabetes onset in NOD/BDC2.5-SCID mice.

CONCLUSIONS—These data demonstrate a critical role for STAT1 in ß-cell death, T-cell immunoregulation, and type 1 diabetes in vivo and suggest potential therapeutic values of STAT1 or JAK inhibitors in the treatment/prevention of type 1 diabetes.


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