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Blood, 1 August 2007, Vol. 110, No. 3, pp. 954-961.
Prepublished online as a Blood First Edition Paper on May 4, 2007; DOI 10.1182/blood-2006-08-043786.


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IMMUNOBIOLOGY

Functional deficiencies of granulocyte-macrophage colony stimulating factor and interleukin-3 contribute to insulitis and destruction of ß cells

Thomas Enzler1, Silke Gillessen1, Michael Dougan1, James P. Allison2, Donna Neuberg3, Darryl A. Oble4, Martin Mihm4, and Glenn Dranoff1

1 Department of Medical Oncology, Dana-Farber Cancer Institute and Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA; 2 Howard Hughes Medical Institute and Program in Immunology, Memorial Sloan-Kettering Cancer Center, New York, NY; 3 Department of Biostatistics and Computational Biology, Dana-Farber Cancer Institute and Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA; and 4 Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA

The pathogenesis of type 1 diabetes (T1D) involves the immune-mediated destruction of insulin-producing ß cells in the pancreatic islets of Langerhans. Genetic analysis of families with a high incidence of T1D and nonobese diabetic (NOD) mice, a prototypical model of the disorder, uncovered multiple susceptibility loci, although most of the underlying immune defects remain to be delineated. Here we report that aged mice doubly deficient in granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin-3 (IL-3) manifest insulitis, destruction of insulin-producing ß cells, and compromised glucose homeostasis. Macrophages from mutant mice produce increased levels of p40 after LPS stimulation, whereas concurrent ablation of interferon-{gamma} (IFN-{gamma}) ameliorates the disease. The administration of antibodies that block cytotoxic T lymphocyte associated antigen-4 (CTLA-4) to young mutant mice precipitates the onset of insulitis and hyperglycemia. These results, together with previous reports of impaired hematopoietic responses to GM-CSF and IL-3 in patients with T1D and in NOD mice, indicate that functional deficiencies of these cytokines contribute to diabetes.


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J. Immunol.Home page
S. Gaudreau, C. Guindi, M. Menard, G. Besin, G. Dupuis, and A. Amrani
Granulocyte-Macrophage Colony-Stimulating Factor Prevents Diabetes Development in NOD Mice by Inducing Tolerogenic Dendritic Cells that Sustain the Suppressive Function of CD4+CD25+ Regulatory T Cells
J. Immunol., September 15, 2007; 179(6): 3638 - 3647.
[Abstract] [Full Text] [PDF]



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