“…In their activated state, T-lymphocytes and macrophages, which are primary cellular components of islet insulitis, secrete high levels of IL-1 and IFN-, respectively. IL-1 alone, or in combination with TNFor IFN-, induces an excess production of nitric oxide (NO) by the iNOS in the pancreatic islets (Cetkovic-Cvrlje and Eizirik, 1994;Corbett and McDaniel, 1995;Heitmeier et al, 1997;Kwon et al, 2003a). Nitric oxide is a short-lived and highly reactive radical, which inhibits the Krebs-cycle enzyme aconitase and electron transport chain complexes I and II, resulting in reduced glucose oxidation rates, ATP generation, and insulin production (Welsh et al, 1991;Corbett et al, 1992;Cunningham and Green, 1994).…”