2013
DOI: 10.1530/eje-12-0693
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MECHANISMS IN ENDOCRINOLOGY: Insulin and type 1 diabetes: immune connections

Abstract: Insulin is the hormone produced by pancreatic b-cells, with a central role in carbohydrate and fat metabolism. Together with its precursors preproinsulin and proinsulin, insulin is also a key target antigen (Ag) of the autoimmune islet destruction leading to type 1 diabetes. Being recognized by both autoantibodies (aAbs) and autoreactive T cells, insulin plays a triggering role, at least in rodent models, in diabetes pathogenesis. It is expressed not only by b-cells but also in the thymus, where it plays a maj… Show more

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Cited by 30 publications
(24 citation statements)
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“…ROS damage and AGE accumulation are well known causes of aging and diabetes (Osawa and Kato, 2005;Nass et al, 2007). In addition, many autoantibodies associated with diabetes and aging have been detected (Morohoshi et al, 2012;Ziegler and Bonifacio, 2012;Culina et al, 2013). However, autoantibody production in this model has not yet been reported.…”
Section: Ajimentioning
confidence: 82%
“…ROS damage and AGE accumulation are well known causes of aging and diabetes (Osawa and Kato, 2005;Nass et al, 2007). In addition, many autoantibodies associated with diabetes and aging have been detected (Morohoshi et al, 2012;Ziegler and Bonifacio, 2012;Culina et al, 2013). However, autoantibody production in this model has not yet been reported.…”
Section: Ajimentioning
confidence: 82%
“…The demonstration that insulin-producing cells are present in the thymus [24], a place not apparently related to the pancreas, together with our results revealing the protective role of B-1 cells against diabetes led us to hypothesize that B-1 cells might also produce this hormone.…”
Section: B-1 Cells Produce Insulin In Aperc Culturementioning
confidence: 61%
“…Thus, our data suggest that B-1 cells are able to produce or induce a factor in primary cultures that acts like insulin, as a constitutive characteristic of these cells. To investigate this hypothesis associated to the fact that there is insulin secretion in other sites not related to the pancreas [24], we investigated the presence of insulin in adherent cells from APerC cultures. Intriguingly, insulin-producing cells were found in this culture.…”
Section: Discussionmentioning
confidence: 99%
“…25 The initiating events in T1D pathogenesis that trigger the provision of b-cell antigens (the first described target antigen is insulin) to dendritic cells and presentation to T cells for their activation are yet to be elucidated. 26 As depicted in the Fig 2, proinflammatory cytokines, produced by infiltrating leukocytes and islet cells, including interleukin-1b (IL-1b), tumor necrosis factor-a (TNF-a), and interferon g (IFN-g), play a central role in b-cell failure and the development of diabetes. 27 The destruction is caused by infiltration of the islets of Langerhans by dendritic cells, macrophages, and T lymphocytes, is specific for insulinproducing b cells, and does not affect glucagon-producing (a) or somatostatinproducing (d) cells.…”
Section: Multifactorial Etiology Of T1dmentioning
confidence: 99%