Abstract
A breakdown in self-tolerance underlies autoimmune destruction of β-cells and type 1 diabetes. A cure by restoring β-cell mass is limited by the availability of transplantable β-cells and the need for chronic immunosuppression. Evidence indicates that inhibiting costimulation through the PD-1/PD-L1 pathway is central to immune tolerance. We therefore tested whether induction of islet neogenesis in the liver, protected by PD-L1-driven tolerance, reverses diabetes in NOD mice. We demonstrated a robust induction of neo-islets in the liver of diabetic NOD mice by gene transfer of Neurogenin3, the islet-defining factor, along with betacellulin, an islet growth factor. These neo-islets expressed all the major pancreatic hormones and transcription factors.
Original language | English (US) |
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Pages (from-to) | 529-540 |
Number of pages | 12 |
Journal | Diabetes |
Volume | 64 |
Issue number | 2 |
DOIs | |
State | Published - Feb 1 2015 |
ASJC Scopus subject areas
- Internal Medicine
- Endocrinology, Diabetes and Metabolism