Aim/hypothesis
IFNα, a cytokine expressed in human islets from type 1 diabetes patients, plays a key role in the pathogenesis of diabetes by up-regulating inflammation, endoplasmic reticulum (ER) stress and MHC class I overexpression, three hallmarks of islet histology in early type 1 diabetes. We presently tested whether expression of these mediators of beta cell loss is reversible upon IFNα withdrawal or IFNα pathway inhibition.
Methods
IFNα-induced MHC class I overexpression, ER stress and inflammation were evaluated by flow cytometry, immunofluorescence and RT-PCR in human EndoC-βH1 cells or human islets exposed to IFNα with or without the presence of JAK inhibitors. Protein expression was evaluated by western blot.
Results
IFNα-induced expression of inflammatory and ER stress markers returned to baseline after 24–48 h following cytokine removal. By contrast, MHC class I overexpression at the cell surface persisted for at least 7 days. Treatment with JAK inhibitors, added together with IFNα, prevented MHC class I overexpression, but when added 24 h after IFNα exposure these inhibitors failed to accelerate MHC class I return to baseline.
Conclusion/interpretation
IFNα mediates a long-lasting and preferential MHC class I overexpression in human beta cells, which is not affected by the subsequent addition of JAK inhibitors. These observations suggest that IFNα-stimulated long-lasting MHC class I expression may amplify beta cell antigen presentation during the early phases of type 1 diabetes and that IFNα-inhibitors might need to be used at very early stages of the disease to be effective.