Abstract

Pattern recognition receptors (PRRs), such as Nod2, Nlrp3, Tlr2, Trl4, and Tlr9, are directly involved in type 1 diabetes (T1D) susceptibility. However, the role of the cytosolic DNA sensor, AIM2, in T1D pathogenesis is still unknown. Here, we demonstrate that C57BL/6 mice lacking AIM2 (AIM2−/−) are prone to streptozotocin (STZ)-induced T1D, compared to WT C57BL/6 mice. The AIM2−/− mice phenotype is associated with a greater proinflammatory response in pancreatic tissues, alterations in gut microbiota and bacterial translocation to pancreatic lymph nodes (PLNs). These alterations are related to an increased intestinal permeability mediated by tight-junction disruption. Notably, AIM2−/− mice treated with broad-spectrum antibiotics (ABX) are protected from STZ-induced T1D and display a lower pancreatic proinflammatory response. Mechanistically, the AIM2 inflammasome is activated in vivo, leading to an IL-18 release in the ileum at 15 days after an STZ injection. IL-18 favors RegIIIγ production, thus mitigating gut microbiota alterations and reinforcing the intestinal barrier function. Together, our findings show a regulatory role of AIM2, mediated by IL-18, in shaping gut microbiota and reducing bacterial translocation and proinflammatory response against insulin-producing β cells, which ultimately results in protection against T1D onset in an STZ-induced diabetes model.

Highlights

  • Type 1 diabetes (T1D) is an autoimmune disease that occurs when immunological tolerance to self-tissues fails, resulting in the destruction of insulin-producing β cells in genetically predisposed individuals [1]

  • We found that AIM2 transcripts were increased in the pancreatic tissue of type 1 diabetes (T1D) patients, when compared to healthy controls (HC), but no significant alterations were observed in the peripheral blood

  • We demonstrate the importance of the sensor,AIM2, AIM2,in in the the control

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Summary

Introduction

Type 1 diabetes (T1D) is an autoimmune disease that occurs when immunological tolerance to self-tissues fails, resulting in the destruction of insulin-producing β cells in genetically predisposed individuals [1]. T1D triggers include viral infections, gut microbiota alterations and diet [3]. These environmental factors may act in the beginning or progression of the autoimmune disease that results in β cells damage [4]. STZ-induced diabetes represents an immune-mediated mouse model of T1D. In this context, splenocytes from STZ-injected mice causes insulin resistance and diabetes upon adoptive transfer [6,7]. Anti-insulin antibodies were found in the sera of naive

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