small protein protects pancreatic cells in model of type 1

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Small protein protects pancreatic cells in model of type 1 diabetes 16 August 2021, by Beth Newcomb n mice that had been genetically engineered to develop autoimmune diabetes, “killer” T-cells (darker spots) infiltrate and destroy insulin-producing cells in the pancreas (left). Treatment with injections of MOTS-c reduced T-cell infiltration and prevented the onset of the disease (right). Credit: University of Southern California A new study has shown that treating type 1 diabetes-prone mice with the small protein MOTS- c prevented the immune system from destroying insulin-producing pancreatic cells, effectively preventing the onset of the autoimmune disease. The small protein that first made headlines as an "exercise mimetic" increasingly appears to also have a big role in regulating the immune system , said Assistant Professor of Gerontology Changhan David Lee, co-corresponding author of the study. Regulating the immune system Type 1 diabetes , previously known as juvenile diabetes , is an autoimmune disease that accounts for 5 to 10% of diabetes cases. In patients with type 1 diabetes, the immune system attacks the islet regions of the pancreas, which are made up of hormone-producing cells . When immune cells mistakenly destroy healthy beta cells—the pancreatic cells that produce the sugar-regulating hormone insulin—the body loses the ability to make insulin, control blood sugar levels and properly use sugar for energy. In mice that had been genetically engineered to develop autoimmune diabetes, treatment with injections of MOTS-c prevented the onset of the disease. The new study illustrates how treating mice with MOTS-c supports regulatory T-cells—the immune cells that recognize which cells are the body's own—and thereby reduces the activation of "killer" T-cells that improperly attack healthy cells in the pancreatic islets. "We are able to prevent the onset of type 1 diabetes in mouse models," Lee said. "MOTS-c injections seem to tame the immune system and to tell them not to tackle their own cells." Conversely, in a subsequent analysis in humans, type 1 diabetes patients had significantly lower levels of MOTS-c circulating in their blood compared to non-diabetic patients , and a study of human cells from both diabetic and non-diabetic patients revealed that MOTS-c treatment reduced the activation of "killer" T-cells. New targets for treatments This potential immune-regulating role of MOTS-c highlights possible new targets for treatment of autoimmune diseases beyond type 1 diabetes, Lee explained. "It's been thought for the longest time that the immune system is exclusively encoded in the nuclear genome," Lee said. "Now we're bringing into play an immune regulator that's encoded in the mitochondrial genome ." MOTS-c is one of several more recently identified hormones that are encoded in the DNA of mitochondria, the "powerhouses" of cells that convert food into energy; most other hormones are encoded in DNA in the nucleus. 1 / 2

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Page 1: Small protein protects pancreatic cells in model of type 1

Small protein protects pancreatic cells inmodel of type 1 diabetes16 August 2021, by Beth Newcomb

n mice that had been genetically engineered to developautoimmune diabetes, “killer” T-cells (darker spots)infiltrate and destroy insulin-producing cells in thepancreas (left). Treatment with injections of MOTS-creduced T-cell infiltration and prevented the onset of thedisease (right). Credit: University of Southern California

A new study has shown that treating type 1diabetes-prone mice with the small protein MOTS-c prevented the immune system from destroyinginsulin-producing pancreatic cells, effectivelypreventing the onset of the autoimmune disease.

The small protein that first made headlines as an"exercise mimetic" increasingly appears to alsohave a big role in regulating the immune system,said Assistant Professor of Gerontology ChanghanDavid Lee, co-corresponding author of the study.

Regulating the immune system

Type 1 diabetes, previously known as juvenilediabetes, is an autoimmune disease that accountsfor 5 to 10% of diabetes cases. In patients withtype 1 diabetes, the immune system attacks theislet regions of the pancreas, which are made up ofhormone-producing cells. When immune cellsmistakenly destroy healthy beta cells—the pancreatic cells that produce the sugar-regulatinghormone insulin—the body loses the ability to make

insulin, control blood sugar levels and properly usesugar for energy.

In mice that had been genetically engineered todevelop autoimmune diabetes, treatment withinjections of MOTS-c prevented the onset of thedisease. The new study illustrates how treatingmice with MOTS-c supports regulatory T-cells—theimmune cells that recognize which cells are thebody's own—and thereby reduces the activation of"killer" T-cells that improperly attack healthy cells inthe pancreatic islets.

"We are able to prevent the onset of type 1diabetes in mouse models," Lee said. "MOTS-cinjections seem to tame the immune system and totell them not to tackle their own cells."

Conversely, in a subsequent analysis in humans,type 1 diabetes patients had significantly lowerlevels of MOTS-c circulating in their bloodcompared to non-diabetic patients, and a study ofhuman cells from both diabetic and non-diabeticpatients revealed that MOTS-c treatment reducedthe activation of "killer" T-cells.

New targets for treatments

This potential immune-regulating role of MOTS-chighlights possible new targets for treatment ofautoimmune diseases beyond type 1 diabetes, Leeexplained.

"It's been thought for the longest time that theimmune system is exclusively encoded in thenuclear genome," Lee said. "Now we're bringinginto play an immune regulator that's encoded in the mitochondrial genome."

MOTS-c is one of several more recently identifiedhormones that are encoded in the DNA ofmitochondria, the "powerhouses" of cells thatconvert food into energy; most other hormones areencoded in DNA in the nucleus.

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Page 2: Small protein protects pancreatic cells in model of type 1

Lee and Professor Pinchas Cohen, dean of theUSC Leonard Davis School, first described MOTS-c in 2015, along with its role in restoring insulinsensitivity and counteracting diet-induced and age-dependent insulin resistance—effects commonlyassociated with exercising. The team has alsostudied MOTS-c's role in intracellularcommunication as well as how the hormone isexpressed in the brain to help regulate metabolism.

"The mitochondrial genome encodes for previouslyunknown genes that yield small proteins withmultiple physiological roles, including aging,exercise, metabolism, and immunity," Lee said."Further studies on the molecular mechanism ofthese mitochondrial-encoded peptides are ongoingand may provide novel therapeutic targets forautoimmune conditions, which increases as weage."

"Mitochondrial-encoded MOTS-c preventspancreatic islet destruction in autoimmunediabetes" first appeared online in Cell Reports onJuly 27, 2021.

More information: Byung Soo Kong et al,Mitochondrial-encoded MOTS-c preventspancreatic islet destruction in autoimmunediabetes, Cell Reports (2021). DOI:10.1016/j.celrep.2021.109447

Provided by University of Southern CaliforniaAPA citation: Small protein protects pancreatic cells in model of type 1 diabetes (2021, August 16)retrieved 15 October 2021 from https://medicalxpress.com/news/2021-08-small-protein-pancreatic-cells-diabetes.html

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