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Diabetes Publish Ahead of Print published online ahead of print March 12, 2007
DOI: 10.2337/db06-1579

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Original Research

Toxic Human IAPP Oligomers are Intracellular, and Vaccination to Induce Anti-toxic Oligomer Antibodies Does not Prevent Human IAPP Induced Beta-Cell Apoptosis in Human IAPP Transgenic Mice.

Chia-Yu Lin1, Tatyana Gurlo1, Rakez Kayed2, Alexandra E. Butler1, Leena Haataja1, Charles G. Glabe2, and Peter C. Butler1

1 Larry Hillblom Islet Research Center, David Geffen School of Medicine, University of California, Los Angeles, CA 90095-7345
2 Department of Molecular Biology and Biochemistry, University of California, Irvine, CA 92697

Correspondence: pbutler{at}mednet.ucla.edu

Objective:: The islet in Type 2 diabetes is characterized by deficit in beta-cells, increased beta-cell apoptosis and islet amyloid derived from islet amyloid polypeptide (IAPP). The toxic form of amyloidogenic protein oligomers are distinct and smaller than amyloid fibrils and act by disrupting membranes. Using antibodies that bind to toxic IAPP oligomers (but not IAPP monomers or fibrils) and a vaccination based approach, we sought to establish if IAPP toxic oligomers form intra- or extracellularly, and if vaccination to induce anti-toxic oligomer antibodies prevents IAPP induced apoptosis in human IAPP transgenic mice.

Methods:: Pancreas was sampled from two human IAPP (h-IAPP) transgenic mouse models and examined by immunohistochemistry for toxic oligomers. The same murine models were vaccinated with toxic oligomers of Alzheimer beta protein (Aß P1-40) and anti-oligomer titers, blood glucose and islet pathology were monitored.

Results:: Toxic oligomers were detected intracellularly in ~20-40% h-IAPP transgenic beta-cells. Vaccine induced high titers of anti-h-IAPP toxic oligomers in both transgenic models but beta-cell apoptosis was if anything further increased in vaccinated mice so that neither loss of beta-cell mass, nor diabetes onset was delayed.

Conclusions:: IAPP toxic oligomers form in h-IAPP transgenic mouse models, and anti toxic oligomer antibodies do not prevent h-IAPP induced beta-cell apoptosis. These data suggest approaches that prevent h-IAPP oligomer formation may be more useful in prevention of type 2 diabetes than a vaccination based approach.



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