TY - JOUR A1 - Baum, Petra A1 - Koj, Severin A1 - Klöting, Nora A1 - Blüher, Matthias A1 - Classen, Joseph A1 - Paeschke, Sabine A1 - Gericke, Martin A1 - Toyka, Klaus V. A1 - Nowicki, Marcin A1 - Kosacka, Joanna T1 - Treatment-induced neuropathy in diabetes (TIND) — Developing a disease model in type 1 diabetic rats JF - International Journal of Molecular Sciences N2 - Treatment-induced neuropathy in diabetes (TIND) is defined by the occurrence of an acute neuropathy within 8 weeks of an abrupt decrease in glycated hemoglobin-A1c (HbA1c). The underlying pathogenic mechanisms are still incompletely understood with only one mouse model being explored to date. The aim of this study was to further explore the hypothesis that an abrupt insulin-induced fall in HbA1c may be the prime causal factor of developing TIND. BB/OKL (bio breeding/OKL, Ottawa Karlsburg Leipzig) diabetic rats were randomized in three groups, receiving insulin treatment by implanted subcutaneous osmotic insulin pumps for 3 months, as follows: Group one received 2 units per day; group two 1 unit per day: and group three 1 unit per day in the first month, followed by 2 units per day in the last two months. We serially examined blood glucose and HbA1c levels, motor- and sensory/mixed afferent conduction velocities (mNCV and csNCV) and peripheral nerve morphology, including intraepidermal nerve fiber density and numbers of Iba-1 (ionized calcium binding adaptor molecule 1) positive macrophages in the sciatic nerve. Only in BB/OKL rats of group three, with a rapid decrease in HbA1c of more than 2%, did we find a significant decrease in mNCV in sciatic nerves (81% of initial values) after three months of treatment as compared to those group three rats with a less marked decrease in HbA1c <2% (mNCV 106% of initial values, p ≤ 0.01). A similar trend was observed for sensory/mixed afferent nerve conduction velocities: csNCV were reduced in BB/OKL rats with a rapid decrease in HbA1c >2% (csNCV 90% of initial values), compared to those rats with a mild decrease <2% (csNCV 112% of initial values, p ≤ 0.01). Moreover, BB/OKL rats of group three with a decrease in HbA1c >2% showed significantly greater infiltration of macrophages by about 50% (p ≤ 0.01) and a decreased amount of calcitonin gene related peptide (CGRP) positive nerve fibers as compared to the animals with a milder decrease in HbA1c. We conclude that a mild acute neuropathy with inflammatory components was induced in BB/OKL rats as a consequence of an abrupt decrease in HbA1c caused by high-dose insulin treatment. This experimentally induced neuropathy shares some features with TIND in humans and may be further explored in studies into the pathogenesis and treatment of TIND. KW - BB/OKL rats KW - peripheral neuropathy KW - sciatic nerve KW - TIND KW - Type 1 diabetes Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-285793 SN - 1422-0067 VL - 22 IS - 4 ER - TY - THES A1 - Zheng, Peilin T1 - Ptpn22 silencing in the NOD model of type 1 diabetes indicates the human susceptibility allele of PTPN22 is a gain-of-function variant T1 - Ptpn22 knockdown im NOD Modell für Diabetes Typ 1 belegt einen Aktivitätsgewinn der humanen Krankheitsvariante N2 - PTPN22 encodes the lymphoid tyrosine phosphatase Lyp that can dephosphorylate Lck, ZAP-70 and Fyn to attenuate TCR signaling. A single-nucleotide polymorphism (C1858T) causes a substitution from arginine (R) to tryptophan (W) at 620 residue (R620W). Lyp-620W has been confirmed as a susceptible allele in multiple autoimmune diseases, including type 1 diabetes (T1D). Several independent studies proposed that the disease-associated allele is a gain-of-function variant. However, a recent report found that in human cells and a knockin mouse containing the R620W homolog that Ptpn22 protein degradation is accelerated, indicating Lyp-620W is a loss-of-function variant. Whether Lyp R620W is a gain- or loss-of-function variant remains controversial. To resolve this issue, we generated two lines (P2 and P4) of nonobese diabetic (NOD) mice in which Ptpn22 can be inducibly silenced by RNAi. We found long term silencing of Ptpn22 increased spleen cellularity and regulatory T (Treg) cell numbers, replicating the effect of gene deletion reported in the knockout (KO) B6 mice. Notably, Ptpn22 silencing also increased the reactivity and apoptotic behavior of B lymphocytes, which is consistent with the reduced reactivity and apoptosis of human B cells carrying the alleged gain-of-function PTPN22 allele. Furthermore, loss of Ptpn22 protected P2 KD mice from spontaneous and Cyclophosphamide (CY) induced diabetes. Our data support the notion that Lyp-620W is a gain-of-function variant. Moreover, Lyp may be a valuable target for the treatment of autoimmune diseases. N2 - PTPN22 kodiert die lymphoid tyrosine phosphatase Lyp, die Lck, ZAP-70 und Fyn dephosphorilieren kann, um T Zell Rezeptor Signale zu vermindern. Ein Polymorphismus (C1858T) verursacht einen Aminosäurenaustausch auf Position 620 von Arginin zu Tryptophan (R620W). Lyp-620W erhöht das Risiko einer Vielfalt von Autoimmunerkrankungen, darunter auch Diabetes Typ 1 (T1D). Mehrere Studien haben belegt, dass dieses Krankheitsallel die Funktion von Lyp verstärkt. Eine neuere Studie hat andererseits gezeigt, dass die R620W Variante schneller degradiert wird, was bedeuten würde, dass das C1858T Allel einen Funktionsverlust verursachen könnte. Ob Lyp R620W die Funktion dieser Phosphatase erhöht oder mindert bleibt demnach bis jetzt ungewiss. Um diese Frage zu klären haben wir zwei transgene Mauslinien (P2 und P4) im diabetischen Hintergrund der NOD Maus generiert, in denen Ptpn22 auf induzierbare Weise durch RNAi gehemmt werden kann. Unsere Ergebnisse zeigen, dass die langfristige Hemmung von Ptpn22 zu einer Zunahme der Milzzellularität und der Anzahl regulatorischer T Zellen führt, was dem Phänotyp des Ptpn22 knockout im B6 Hintergrund entspricht. Bemerkenswert ist, dass die Hemmung von Ptpn22 auch zu einer Zunahme der Reaktivität und des apoptotischen Verhaltens von B Lymphozyten führt, also dem entgegengesetzten Phänotypen, der in menschlichen B Zellen beobachtet wurde, die das Krankheitsallel exprimierten. Zusätzlich konnte die Ptpn22 Inhibierung NOD Mäuse vor spontanem und Cyclophosphamid-induziertem Diabetes schützen. Unsere Daten unterstützen also die Hypothese, dass Lyp-620W eine stärkere Aktivität vorweist. Dies würde auch bedeuten, dass Ptpn22 möglicherweise zu therapeutischen Zwecken inhibiert werden könnte, um Autoimmunerkrankungen zu bekämpfen. KW - Diabetes mellitus KW - Typ 1 KW - Genexpression KW - Ptpn22 KW - Diabetes Typ 1 KW - Type 1 diabetes KW - PTPN22 Y1 - 2012 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-73869 ER -