Increased Expression of Monocyte CD11b (Mac-1) in Overweight Recent-Onset Type 1 Diabetic Children

Vincenza Cifarelli1, Ingrid M Libman, Angela Deluca

  • 1Division of Immunogenetics, Department of Pediatrics, Children´s Hospital of Pittsburgh, University of Pittsburgh, School of Medicine, Pittsburgh, PA 15213, USA.

Insights

Type 1 diabetes mellitus (T1DM) patients exhibit heightened monocyte activation and adhesion, indicating a proinflammatory state. Obesity exacerbates this monocyte activation in T1DM.

Area of Science:

  • Immunology
  • Endocrinology
  • Metabolic Diseases

Background:

  • Inflammation is implicated in type 1 diabetes mellitus (T1DM) pathogenesis and vascular complications.
  • Obesity is associated with low-grade systemic inflammation.

Purpose of the Study:

  • To characterize the inflammatory response in T1DM by analyzing monocyte activation markers.
  • To investigate the effects of glycemic control and BMI on monocyte phenotype in T1DM.

Main Methods:

  • Flow cytometry was used to analyze monocyte surface antigens (CD11b, CD49d, CD54, CD62L, CD64) in 51 T1DM patients.
  • Monocyte adhesion capacity to human umbilical vein endothelial cells (HUVEC) was assessed.

Main Results:

  • Monocytes from T1DM patients showed higher CD11b expression at disease onset compared to 2 months post-diagnosis.
  • Elevated CD11b levels correlated with HbA1c < 8% and were significantly correlated with HbA1c.
  • Overweight T1DM children (BMI >/= 85th percentile) exhibited higher monocyte activation.
  • T1DM monocytes displayed increased adhesion to HUVEC.

Conclusions:

  • T1DM patients present with circulating immune cells in a proinflammatory state, characterized by primed or activated monocytes.
  • Obesity is a significant factor contributing to monocyte activation in diabetes.
Abstract

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