Abstract |
Fas (CD95) triggers programmed cell death and is involved in cell-mediated cytotoxicity and in shutting off the immune response. Inherited loss-of-function mutations hitting the Fas system cause the autoimmune/lymphoproliferative syndrome (ALPS). We have recently shown that ALPS patients' families display increased frequency of common autoimmune diseases, including type 1 diabetes. This work evaluates Fas function in type 1 diabetic patients without typical ALPS. Cell death induced by anti-Fas monoclonal antibody was investigated in T-cells from 13 patients with type 1 diabetes alone and 19 patients with type 1 diabetes plus other autoimmune diseases ( IDDM-P). Moreover, we analyzed 19 patients with thyroiditis alone (TYR), because most IDDM-P patients displayed thyroiditis. Frequency of resistance to Fas-induced cell death was significantly higher in patients with IDDM-P (73%) than in type 1 diabetic (23%) or TYR (16%) patients or in normal control subjects (3%). The defect was specific because resistance to methyl- prednisolone-induced cell death was not significantly increased in any group. Fas was always expressed at normal levels, and no Fas mutations were detected in four Fas-resistant IDDM-P patients. Analysis of the families of two Fas-resistant patients showing that several members were Fas-resistant suggests that the defect has a genetic component. Moreover, somatic fusion of T-cells from Fas-resistant subjects and the Fas-sensitive HUT78 cell line generates Fas-resistant hybrid cells, which suggests that the Fas resistance is due to molecules exerting a dominant-negative effect on a normal Fas system. These data suggest that Fas defects may be a genetic factor involved in the development of polyreactive type 1 diabetes.
|
Authors | S DeFranco, S Bonissoni, F Cerutti, G Bona, F Bottarel, F Cadario, A Brusco, G Loffredo, I Rabbone, A Corrias, C Pignata, U Ramenghi, U Dianzani |
Journal | Diabetes
(Diabetes)
Vol. 50
Issue 3
Pg. 483-8
(Mar 2001)
ISSN: 0012-1797 [Print] United States |
PMID | 11246866
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
|
Chemical References |
- Antibodies, Monoclonal
- fas Receptor
|
Topics |
- Adolescent
- Adult
- Antibodies, Monoclonal
(pharmacology)
- Autoimmune Diseases
(complications)
- Cell Death
(drug effects, physiology)
- Cell Line
- Child
- Diabetes Mellitus, Type 1
(complications, genetics, physiopathology)
- Drug Resistance
- Female
- Humans
- Male
- Mutation
- Reference Values
- T-Lymphocytes
(immunology, physiology)
- Thyroiditis
(physiopathology)
- fas Receptor
(analysis, genetics, immunology, physiology)
|