Abstract

Hypoxia, IL-1β production and oxidative stress are involved in islet graft dysfunction and destruction. However, the link between these events has not yet been determined in transplanted islets. The goal of this study was to determine whether NLRP3 inflammasome is responsible for IL-1β production and if it is activated by hypoxia-induced oxidative stress in transplanted islets. Rat islets were transplanted under the kidney capsule of immunodeficient mice. At different times post-transplantation, blood samples were collected and islet grafts harvested. Rat islets were also incubated in vitro either under normoxia or hypoxia for 24 h, in the absence or presence of inhibitors of NLRP3 inflammasome (CASP1 inhibitor) or oxidative stress (NAC). NLRP3, CASP1, IL1B, BBC3 pro-apoptotic and BCL2 anti-apoptotic genes in transplanted and in vitro incubated islets were then studied using real time PCR. IL-1β released in the blood and in the supernatant was quantified by ELISA. Cell death was analysed by propidium iodide and Annexin-V staining. NLRP3, CASP1 and BBC3 in transplanted rat islets and IL-1β in blood transiently increased during the first days after transplantation. In islets incubated under hypoxia, NRLP3, IL1B and CASP1 and IL-1β released in supernatant increased compared to islets incubated under normoxia. These effects were prevented by the inhibition of NLRP3 inflammasome by CASP1 or oxidative stress by NAC. However, these inhibitors did not prevent hypoxia-induced rat islet death. These data show that NLRP3 inflammasome in rat islets is transiently activated after their transplantation and induced through oxidative stress in vitro. However, NRLP3 inflammasome inhibition does not protect islet cells against hypoxia.

Highlights

  • Pancreatic islet transplantation is a non-invasive method and a promising therapy for type 1 diabetic patients

  • In this study we investigate whether NLRP3 inflammasome is activated in transplanted islets and whether this effect is mediated by hypoxia-induced oxidative stress

  • NLRP3 inflammasome is activated in transplanted islets, rat islets were transplanted under the kidney capsule of immunodeficient mice and, at different times post-transplantation, blood was collected for IL-1β quantification and the graft harvested for NLRP3, CASP1 and BBC3 expression analysis

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Summary

Introduction

Pancreatic islet transplantation is a non-invasive method and a promising therapy for type 1 diabetic patients. Since the publication of the Edmonton protocol in 20001, improved islet isolation procedures and better adapted immunosuppressive treatments enabled maintaining insulin-independence in 50% of the grafted patients after 5 years[2]. NLRP3 inflammasome is a multiprotein complex involved in the production of the proinflammatory cytokine interleukin-1β (IL-1β) This cytokine is involved in β-cell destruction in type 1 diabetes via the innate immune system and plays a deleterious role in islet survival after transplantation[12,13,14,15]. Studies have shown the involvement of oxidative stress in the activation of NLRP3 inflammasome via hypoxia-induced ROS production[9,16]. In this study we investigate whether NLRP3 inflammasome is activated in transplanted islets and whether this effect is mediated by hypoxia-induced oxidative stress

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