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Dysregulation of Gene Expression of Key Signaling Mediators in PBMCs from People with Type 2 Diabetes Mellitus
Nilofer Qureshi1,2, Julia Desousa1,2, Adeela Z Siddiqui1
1Department of Biomedical Sciences, Shock/Trauma Research Center, School of Medicine, University of Missouri-Kansas City, 2411 Holmes Street, Kansas City, MO 64108, USA.
Abstract:
Diabetes is currently the fifth leading cause of death by disease in the USA. The underlying mechanisms for type 2 Diabetes Mellitus (DM2) and the enhanced susceptibility of such patients to inflammatory disorders and infections remain to be fully defined. We have recently shown that peripheral blood mononuclear cells (PBMCs) from non-diabetic people upregulate expression of inflammatory genes in response to proteasome modulators, such as bacterial lipopolysaccharide (LPS) and soybean lectin (LEC); in contrast, resveratrol (RES) downregulates this response. We hypothesized that LPS and LEC will also elicit a similar upregulation of gene expression of key signaling mediators in (PBMCs) from people with type 2 diabetes (PwD2, with chronic inflammation) ex vivo. Unexpectedly, using next generation sequencing (NGS), we show for the first time, that PBMCs from PwD2 failed to elicit a robust LPS- and LEC-induced gene expression of proteasome subunit LMP7 (PSMB8) and mediators of T cell signaling that were observed in non-diabetic controls. These repressed genes included: PSMB8, PSMB9, interferon-γ, interferon-λ, signal-transducer-and-activator-of-transcription-1 (STAT1), human leukocyte antigen (HLA DQB1, HLA DQA1) molecules, interleukin 12A, tumor necrosis factor-α, transporter associated with antigen processing 1 (TAP1), and several others, which showed a markedly weak upregulation with toxins in PBMCs from PwD2, as compared to those from non-diabetics. Resveratrol (proteasome inhibitor) further downregulated the gene expression of these inflammatory mediators in PBMCs from PwD2. These results might explain why PwD2 may be susceptible to infectious disease. LPS and toxins may be leading to inflammation, insulin resistance, and thus, metabolic changes in the host cells.
Insights
People with type 2 diabetes exhibit impaired inflammatory gene responses to bacterial toxins. This suggests a mechanism for their increased susceptibility to infections and chronic inflammation.
Area of Science:
- Immunology
- Metabolic Disorders
- Molecular Biology
Background:
- Type 2 Diabetes Mellitus (DM2) is a leading cause of death, associated with increased susceptibility to infections and inflammation.
- The precise mechanisms underlying DM2 and its link to immune dysfunction are not fully understood.
- Previous research showed resveratrol (RES) downregulates inflammatory gene expression in peripheral blood mononuclear cells (PBMCs).
Purpose of the Study:
- To investigate the ex vivo response of PBMCs from people with type 2 diabetes (PwD2) to bacterial lipopolysaccharide (LPS) and soybean lectin (LEC).
- To compare gene expression patterns in PwD2 with those in non-diabetic controls upon stimulation with LPS and LEC.
- To assess the effect of resveratrol on inflammatory gene expression in PwD2.
Main Methods:
- Peripheral blood mononuclear cells (PBMCs) were isolated from people with type 2 diabetes and non-diabetic controls.
- Cells were stimulated ex vivo with bacterial lipopolysaccharide (LPS) and soybean lectin (LEC).
- Next-generation sequencing (NGS) was used to analyze the gene expression profiles, including proteasome subunits and inflammatory mediators.
Main Results:
- PBMCs from PwD2 showed significantly reduced upregulation of key inflammatory genes (e.g., PSMB8, STAT1, HLA, TNF-α) in response to LPS and LEC compared to non-diabetic controls.
- Genes involved in proteasome function, T cell signaling, and antigen presentation were notably repressed in PwD2.
- Resveratrol further downregulated inflammatory gene expression in PwD2 PBMCs.
Conclusions:
- PwD2 exhibit an impaired inflammatory gene response to common bacterial toxins.
- This dampened response may contribute to the heightened susceptibility of individuals with type 2 diabetes to infections.
- The findings suggest a link between impaired immune cell function, inflammation, insulin resistance, and metabolic changes in type 2 diabetes.
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