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PDE12 in type 1 diabetes
Hasim Tekin1, Knud Josefsen1, Lars Krogvold2,3
1The Bartholin Institute, Department of Pathology, Rigshospitalet, Copenhagen Biocenter, Ole Maaløes Vej 5, 2200, Copenhagen N, Denmark.
Insights
COVID-19 infection may increase type 1 diabetes (T1D) risk in children. Reduced PDE12 expression, a regulator of RNAseL, is linked to T1D and may be influenced by viral infections, potentially explaining the T1D incidence rise.
Area of Science:
- Immunology
- Virology
- Endocrinology
Background:
- Type 1 diabetes (T1D) incidence is rising, particularly in children, with a notable increase observed post-COVID-19 infection.
- The interferon-α-activated RNAseL pathway degrades pathogen RNA but can harm host RNA if poorly regulated.
- PDE12 regulates RNAseL activity by degrading 2'-5' oligoadenylate units.
Purpose of the Study:
- To investigate the role of PDE12 expression and its genetic variations in Type 1 Diabetes (T1D).
- To explore the potential link between decreased PDE12 expression, COVID-19 infection, and the increased incidence of T1D.
Main Methods:
- Analyzed PDE12 gene expression in pancreatic islets from non-diabetic, T1D (newly and recently diagnosed), and T2D individuals.
- Examined PDE12 single-nucleotide polymorphisms (SNPs) in relation to T1D incidence.
- Compared PDE12 expression and SNP data between diabetic and non-diabetic cohorts.
Main Results:
- PDE12 expression was significantly decreased in recently diagnosed T1D patients and in some newly diagnosed T1D patients.
- No significant changes in PDE12 expression were observed in Type 2 Diabetes (T2D) patients.
- Two rare PDE12 SNPs were associated with an increased odds ratio for T1D development (1.80 and 1.74).
Conclusions:
- Reduced PDE12 expression in pancreatic islets is associated with Type 1 Diabetes (T1D), particularly in recently diagnosed individuals.
- Specific PDE12 genetic variations may confer an increased susceptibility to T1D.
- The findings suggest that decreased PDE12 expression, potentially exacerbated by viral infections like COVID-19, could contribute to the observed rise in T1D incidence.
Abstract:
Type 1 diabetes (T1D) incidence is increased after COVID-19 infection in children under 18 years of age. Interferon-α-activated oligoadenylate synthetase and downstream RNAseL activation degrade pathogen RNA, but can also damage host RNA when RNAseL activity is poorly regulated. One such regulator is PDE12 which degrades 2'-5' oligoadenylate units, thereby decreasing RNAseL activity. We analyzed PDE12 expression in islets from non-diabetic donors, individuals with newly (median disease duration 35 days) and recently (5 years) diagnosed T1D, and individuals with type 2 diabetes (T2D). We also analyzed PDE12 single-nucleotide polymorphisms (SNPs) relative to T1D incidence. PDE12 expression was decreased in individuals with recently diagnosed T1D, in three of five individuals with newly diagnosed T1D, but not in individuals with T2D. Two rare PDE12 SNPs were found to have odds ratios of 1.80 and 1.74 for T1D development. We discuss whether decreased PDE12 expression after COVID-19 infection might be part of the up to 2.5-fold increase in T1D incidence.
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