Abstract Antigen-specific immunomodulation remains an important goal in the treatment of type 1 diabetes (T1D). We hypothesize that in vivo targeting of biodegradable microparticles (MPs) to DCs delivering immunomodulatory agents can promote a tolerogenic DC phenotype and induce Tregs in vivo, in order to ameliorate type 1 diabetes in NOD mice. To test this hypothesis, poly(lactide-co-glycolide) MPs were loaded with antigen - insulin B:9-23, and immunomodulatory factors - vitamin D3 (D3), TGF-B1 and GM-CSF. These MP formulations were injected subcutaneously into 4 week old female NOD mice followed by a booster at 5 weeks of age. Formulations (n = 10) consisted of a.) blank MPs, b.) MPs loaded with insulin peptide only, c.) MPs loaded with GM-CSF + insulin peptide, d.) MPs loaded with D3+TGF-B1+insulin peptide, e.) MPs loaded with GM-CSF+D3+TGF-B1 + insulin peptide. Blood glucose was measured once a week until 32 weeks of age (currently at 22 weeks). Kaplan-Meier analysis at this point reveals an overall p-value of 0.094 for survival proportions among groups, with the highest proportion of non-diabetic mice attributed to the formulation of MPs loaded with GM-CSF+D3+TGF-B1+insulin peptide (60% non-diabetic), compared to the blank MPs with the lowest proportion (20% non-diabetic), suggesting delayed onset of T1D. In vitro mechanistic assessments demonstrate MP formulations are capable of promoting tolerogenic DC phenotype and inducing syngeneic CD4+CD25+foxp3+ regulatory Tcells.
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