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.

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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