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Nrf2 represses the onset of type 1 diabetes in non-obese diabetic mice
Yoko Yagishita1, Akira Uruno2, Dionysios V Chartoumpekis3
1Y Yagishita, Department of Medical Biochemistry, Tohoku University Graduate School of Medicine, Sendai, Japan.
Abstract:
The transcription factor Nrf2 (NF-E2-related factor 2) plays a critical role in oxidative stress responses. Although activation of Nrf2 signaling is known to exert anti-inflammatory effects, the function of Nrf2 in inflammation-mediated autoimmune disorders, such as type 1 diabetes, is not well established. To address the roles of Nrf2 in protection against autoreactive T-cell-induced type 1 diabetes, we used non-obese diabetic (NOD) mice, which are a polygenic model of human type 1 diabetes, to generate a genetic model for assessment of the contribution of Nrf2 activation to prevention and/or treatment of type 1 diabetes. Because Keap1 (Kelch-like ECH-associated protein 1) negatively regulates Nrf2, we used Keap1 gene knockdown driven by either hypomorphic or knockout Keap1 alleles, which enhanced Nrf2 signaling to moderate or excess levels, respectively. Nrf2 activation in the NOD::Keap1 FA/- mice inhibited T-cell infiltration within or near the islets, ameliorated impairment of insulin secretion and prevented the development of diabetes mellitus. Notably, Nrf2 activation decreased both the plasma interferon-γ (IFN-γ) levels and the IFN-γ-positive cell numbers in the pancreatic islets. The amelioration of diabetes was also observed in the NOD mice with two hypomorphic Keap1 alleles (Keap1FA/FA) by intermediate activation of Nrf2. Both NOD::Keap1FA/- and NOD::Keap1FA/FA mice had a decreased incidence of diabetes mellitus, demonstrating that activation of Nrf2 signaling prevented the onset of type 1 diabetes mellitus in NOD mice. Thus, Nrf2 appears to be a potential target for the prevention and treatment of type 1 diabetes.
Insights
Activating the Nrf2 (NF-E2-related factor 2) pathway protected against type 1 diabetes in mouse models. This involved reducing T-cell infiltration and inflammation, suggesting Nrf2 as a therapeutic target.
Area of Science:
- Immunology
- Endocrinology
- Molecular Biology
Background:
- The transcription factor Nrf2 (NF-E2-related factor 2) is crucial for oxidative stress response and possesses anti-inflammatory properties.
- The precise role of Nrf2 in autoimmune disorders like type 1 diabetes, particularly in the context of T-cell-mediated autoimmunity, remains incompletely understood.
Purpose of the Study:
- To investigate the protective effects of Nrf2 activation against autoreactive T-cell-induced type 1 diabetes.
- To assess the potential of Nrf2 as a therapeutic target for type 1 diabetes prevention and treatment using a genetic model.
Main Methods:
- Utilized non-obese diabetic (NOD) mice, a model for human type 1 diabetes.
- Generated genetic models by employing Keap1 (Kelch-like ECH-associated protein 1) gene knockdown (hypomorphic or knockout alleles) to enhance Nrf2 signaling.
- Assessed the impact of Nrf2 activation on T-cell infiltration, insulin secretion, diabetes incidence, and inflammatory markers like interferon-γ (IFN-γ).
Main Results:
- Nrf2 activation in NOD mice significantly inhibited T-cell infiltration in pancreatic islets.
- Enhanced Nrf2 signaling ameliorated insulin secretion impairment and prevented the development of type 1 diabetes.
- Reduced plasma IFN-γ levels and decreased IFN-γ-positive cells within islets were observed, indicating suppressed inflammation.
Conclusions:
- Activation of Nrf2 signaling effectively prevents the onset of type 1 diabetes in NOD mice.
- Nrf2 plays a critical role in protecting against autoimmune T-cell-mediated pancreatic islet destruction.
- Nrf2 represents a promising therapeutic target for the prevention and treatment of type 1 diabetes.
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