Tet2 modulates ER stress responses related to β-cell death and autoimmunity in diabetes

Jinxiu Rui1, Madhav Kothari2, Romy Kursawe2

  • 1Department of Immunobiology, New Haven, CT, USA.

Iscience
|March 5, 2026
PubMed

Insights

Tetraplegin-2 (TET2) deficiency protects beta cells from autoimmune Type 1 diabetes by reducing inflammatory T-cells and modulating ER stress responses. This finding offers new insights into beta cell protection mechanisms in autoimmune settings.

Area of Science:

  • Immunology
  • Endocrinology
  • Molecular Biology

Background:

  • Beta cells are crucial for glucose regulation and are targeted in Type 1 diabetes.
  • Tetraplegin-2 (TET2) has been implicated in immune regulation, but its role in beta cell protection during autoimmune diabetes is unclear.

Purpose of the Study:

  • To elucidate the mechanism by which TET2 deficiency protects beta cells in a Type 1 diabetes model.
  • To investigate the impact of TET2 loss on immune cell infiltration and beta cell stress responses.

Main Methods:

  • Utilized Tet2-deficient NOD mice transplanted with wild-type bone marrow to study immune cell infiltration.
  • Analyzed transcription factor binding motifs in Tet2-responsive cis-regulatory elements.
  • Investigated the effects of TET2 inhibition on human islets under endoplasmic reticulum (ER) stress conditions induced by brefeldin A or thapsigargin.

Main Results:

  • Tet2 deficiency led to reduced islet-infiltrating lymphocytes, particularly CD4+ T-cells, in NOD mice.
  • Beta cell-specific enrichment of transcription factors involved in homeostatic and ER stress pathways was observed in Tet2-deficient islets.
  • Pharmacologic inhibition of TET2 in human islets reduced ER stress response genes, inflammatory responses, and stress-induced beta cell death.

Conclusions:

  • TET2 plays a role in regulating ER stress responses that contribute to beta cell death in autoimmune and inflammatory conditions.
  • TET2 inhibition may represent a therapeutic strategy for protecting beta cells in Type 1 diabetes.

Related Concept Videos

Psychoneuroimmunology: Diabetes and Cancer01:19

Psychoneuroimmunology: Diabetes and Cancer

Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
562
Carbohydrate Metabolism01:36

Carbohydrate Metabolism

Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
14.7K
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
5.2K
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
4.0K
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
5.7K
Regulation of the Unfolded Protein Response01:31

Regulation of the Unfolded Protein Response

Inositol-requiring kinase one or IRE1 is the most conserved eukaryotic unfolded protein response (UPR) receptor. It is a type I transmembrane protein kinase receptor with a distinctive site-specific RNase activity. As the binding mechanics of the misfolded proteins with the N-terminal domain of IRE-1 are unclear, three binding models — direct, indirect, and allosteric -- are proposed for receptor activation. Nevertheless, it is known that once a misfolded protein associates with IRE1, it...
3.1K