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Published on: May 14, 2019
Enterovirus-induced gene expression profile is critical for human pancreatic islet destruction
P Ylipaasto1, T Smura, P Gopalacharyulu
1Intestinal Viruses Unit, National Institute for Health and Welfare (THL), Helsinki, Finland.
Aims/Hypothesis:
Virally induced inflammatory responses, beta cell destruction and release of beta cell autoantigens may lead to autoimmune reactions culminating in type 1 diabetes. Therefore, viral capability to induce beta cell death and the nature of virus-induced immune responses are among key determinants of diabetogenic viruses. We hypothesised that enterovirus infection induces a specific gene expression pattern that results in islet destruction and that such a host response pattern is not shared among all enterovirus infections but varies between virus strains.
Methods:
The changes in global gene expression and secreted cytokine profiles induced by lytic or benign enterovirus infections were studied in primary human pancreatic islet using DNA microarrays and viral strains either isolated at the clinical onset of type 1 diabetes or capable of causing a diabetes-like condition in mice.
Results:
The expression of pro-inflammatory cytokine genes (IL-1-α, IL-1-β and TNF-α) that also mediate cytokine-induced beta cell dysfunction correlated with the lytic potential of a virus. Temporally increasing gene expression levels of double-stranded RNA recognition receptors, antiviral molecules, cytokines and chemokines were detected for all studied virus strains. Lytic coxsackievirus B5 (CBV-5)-DS infection also downregulated genes involved in glycolysis and insulin secretion.
Conclusions/Interpretation:
The results suggest a distinct, virus-strain-specific, gene expression pattern leading to pancreatic islet destruction and pro-inflammatory effects after enterovirus infection. However, neither viral replication nor cytotoxic cytokine production alone are sufficient to induce necrotic cell death. More likely the combined effect of these and possibly cellular energy depletion lie behind the enterovirus-induced necrosis of islets.
Insights
Enterovirus infection triggers specific gene expression patterns in pancreatic islets, leading to inflammation and cell death. These patterns vary by virus strain, influencing the risk of type 1 diabetes development.
Area of Science:
- Virology
- Immunology
- Endocrinology
Background:
- Viral infections, particularly enteroviruses, are implicated in the pathogenesis of type 1 diabetes.
- Beta cell destruction and autoantigen release can initiate autoimmune responses leading to diabetes.
- Understanding virus-induced immune responses and beta cell damage is crucial for identifying diabetogenic viruses.
Purpose of the Study:
- To investigate the specific gene expression patterns induced by enterovirus infections in human pancreatic islets.
- To determine if these patterns differ between lytic and benign enterovirus strains.
- To correlate viral characteristics with the induction of islet destruction and inflammatory responses.
Main Methods:
- Global gene expression and cytokine profiles were analyzed in primary human pancreatic islets.
- DNA microarrays were used to assess changes in gene expression.
- Enterovirus strains, isolated from type 1 diabetes cases or known to cause diabetes-like conditions in mice, were employed.
Main Results:
- Lytic enterovirus infections correlated with the expression of pro-inflammatory cytokine genes (IL-1α, IL-1β, TNF-α), which impair beta cell function.
- All tested enterovirus strains induced increased expression of genes related to double-stranded RNA recognition, antiviral responses, cytokines, and chemokines.
- Lytic Coxsackievirus B5 (CBV-5)-DS infection downregulated genes involved in glycolysis and insulin secretion.
Conclusions:
- Enterovirus infection elicits distinct, virus-strain-specific gene expression patterns that promote pancreatic islet destruction and inflammation.
- Neither viral replication nor cytotoxic cytokine production alone fully explains necrotic cell death.
- Enterovirus-induced islet necrosis likely results from a combination of factors, including viral replication, cytokine production, and cellular energy depletion.
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