Early stages of type 1 diabetes (T1D) are characterized by local autoimmune inflammation and progressive loss of insulin-producing pancreatic β cells.We show here that exposure to pro-inflammatory cytokines unmasks a marked plasticity of the β-cell regulatory landscape. We expand the repertoire of human islet regulatory elements by mapping stimulusresponsive enhancers linked to changes in the β-cell transcriptome, proteome and 3D chromatin structure. Our data indicates that the β cell response to cytokines is mediated by the induction of novel regulatory regions as well as the activation of primed regulatory elements pre-bound by islet-specific transcription factors. We found that T1D-associated loci are enriched of the newly mapped cis-regulatory regions and identify T1Dassociated variants disrupting cytokine-responsive enhancer activity in human β cells. Our study illustrates how β cells respond to a proinflammatory environment and implicate a role for stimulus-response islet enhancers in T1D.In type 1 diabetes (T1D) early inflammation of the pancreatic islets (insulitis) by T and B cells contributes to both the primary induction and secondary amplification of the immune assault, with inflammatory mediators such as the cytokines interleukin-1β (IL-1β) and interferon-γ (IFN-γ) contributing to the functional suppression and apoptosis of β cells 1-3 .Genome wide association studies (GWAS) have made a substantial contribution to the knowledge of T1D genetic architecture uncovering >60 regions containing thousands of associated genetic variants. Nevertheless, translating variants to function remains a main challenge for T1D and other complex diseases. Most of the associated variants do not reside in coding regions 4 suggesting that they may influence transcript regulation rather than altering protein coding sequences.Recent studies showed a primary enrichment of T1D association signals in T and B cells enhancers 4,5 . A secondary 5 , or a lack of enrichment, was instead observed in islet regulatory regions. While such observation point to a major role of the immune system, we hypothesize that a subset of T1D variants may also act at the β-cell level but only manifest upon islet-cell perturbation and are not captured by the current maps of islet regulatory elements.Ramos-Rodríguez et al.
Pro-inflammatory Cytokines and β-cells Regulatory Changes
3We have now mapped inflammation-induced cis-regulatory networks, transcripts, proteins and 3D chromatin structure changes in human β cells ( Fig. 1a). We leverage these data to unmask functional T1D genetic variants as well as key candidate genes and regulatory pathways contributing to the β cell autoimmune destruction. Such analyses permit elucidation of the role of epigenetic gene regulation and its interaction with T1D genetics in the context of the autoimmune reaction that drives β cell death.Ramos-Rodríguez et al. . To characterize the effect of pro-inflammatory cytokines on the β-cell regulatory landscape we first mapped all accessible or open chromatin sites in human...