Polymorphism in the innate immune receptor SIRPα controls CD47 binding and autoimmunity in the nonobese diabetic

Andrea Sut Ling Wong1, Steven Mortin-Toth2, Michael Sung2

  • 1Department of Immunology, Faculty of Medicine, University of Toronto, Toronto, Ontario M5S1A8, Canada; Program in Genetics and Genome Biology, The Hospital for Sick Children Research Institute, Toronto, Ontario M5G1X8, Canada;

Insights

Signal regulatory protein alpha (SIRPα) drives type 1 diabetes (T1D) by promoting islet inflammation. Genetic variations in SIRPα enhance its binding to CD47, increasing T cell proliferation and disease severity in NOD mice.

Area of Science:

  • Immunology
  • Genetics
  • Endocrinology

Background:

  • The signal regulatory protein (SIRP) locus is linked to type 1 diabetes (T1D) risk.
  • The NOD mouse model is a key tool for studying T1D pathogenesis.

Purpose of the Study:

  • Identify genes within the insulin-dependent diabetes locus 13.2 (Idd13.2) contributing to T1D.
  • Investigate the role of SIRPα in T1D development and progression.

Main Methods:

  • Utilized the NOD mouse model to analyze genetic variations in SIRPα.
  • Assessed SIRPα binding to CD47, T cell proliferation, and disease acceleration.
  • Examined interactions between Sirpa and the Idd5 locus.

Main Results:

  • Identified Sirpa as a T1D risk gene within Idd13.2, driving islet inflammation.
  • The NOD variant of SIRPα showed increased CD47 binding, enhanced T cell proliferation, and greater diabetogenic potency.
  • Myeloid cell-specific Sirpa expression accelerated T1D in a dose-dependent manner and interacted with Idd5.

Conclusions:

  • SIRPα sequence and expression levels significantly modulate T1D immunopathogenesis.
  • Sirpa acts as a T1D risk gene, contributing to disease progression through complex genetic interactions.