Induction of Tolerance in Type 1 Diabetes via Both CD4+CD25+ T Regulatory Cells and T Regulatory Type 1 Cells

M Battaglia, A Stabilini, E Draghici, B Migliavacca… - Diabetes, 2006 - Am Diabetes Assoc
M Battaglia, A Stabilini, E Draghici, B Migliavacca, S Gregori, E Bonifacio, MG Roncarolo
Diabetes, 2006Am Diabetes Assoc
Success in developing novel therapies to recommence self-tolerance in autoimmunity
depends on the induction of T regulatory (Tr) cells. Here, we report that rapamycin combined
with interleukin (IL)-10 efficiently blocks type 1 diabetes development and induces long-term
immunotolerance in the absence of chronic immunosuppression in nonobese diabetic
(NOD) mice. Rapamycin mediates accumulation in the pancreas of suppressive CD4+
CD25+ FoxP3+ Tr cells, which prevent diabetes. IL-10 induces Tr type 1 (Tr1) cells, which …
Success in developing novel therapies to recommence self-tolerance in autoimmunity depends on the induction of T regulatory (Tr) cells. Here, we report that rapamycin combined with interleukin (IL)-10 efficiently blocks type 1 diabetes development and induces long-term immunotolerance in the absence of chronic immunosuppression in nonobese diabetic (NOD) mice. Rapamycin mediates accumulation in the pancreas of suppressive CD4+CD25+FoxP3+ Tr cells, which prevent diabetes. IL-10 induces Tr type 1 (Tr1) cells, which reside in the spleen and prevent migration of diabetogenic T-cells to the draining lymph nodes. These two Tr cell subsets act in concert to control diabetogenic T-cells that are still present in long-term tolerant mice. Rapamycin plus IL-10 treatment, promoting distinct subsets of Tr cells, may constitute a novel and potent tolerance-inducing protocol for immune-mediated diseases.
Am Diabetes Assoc