2006
DOI: 10.1016/j.cell.2006.10.038
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TRPV1+ Sensory Neurons Control β Cell Stress and Islet Inflammation in Autoimmune Diabetes

Abstract: In type 1 diabetes, T cell-mediated death of pancreatic beta cells produces insulin deficiency. However, what attracts or restricts broadly autoreactive lymphocyte pools to the pancreas remains unclear. We report that TRPV1(+) pancreatic sensory neurons control islet inflammation and insulin resistance. Eliminating these neurons in diabetes-prone NOD mice prevents insulitis and diabetes, despite systemic persistence of pathogenic T cell pools. Insulin resistance and beta cell stress of prediabetic NOD mice are… Show more

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Cited by 306 publications
(324 citation statements)
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“…NOD mice deficient in B7-2 develop spontaneous peripheral poly-neuropathy, but not diabetes (19). And, the peri-islet Schwann cells have been shown to be an early target in NOD diabetes and, more recently, an important role for pancreatic sensory neurons in islet inflammation has been uncovered (18,22).…”
Section: Discussionmentioning
confidence: 99%
“…NOD mice deficient in B7-2 develop spontaneous peripheral poly-neuropathy, but not diabetes (19). And, the peri-islet Schwann cells have been shown to be an early target in NOD diabetes and, more recently, an important role for pancreatic sensory neurons in islet inflammation has been uncovered (18,22).…”
Section: Discussionmentioning
confidence: 99%
“…Trpv1 is a receptor for capsaicin on nociceptive neurons in dorsal root and trigeminal ganglia, and capsaicin engagement of Tprv1 expressed on immature dendritic cells leads to their maturation and induction of antigen-presenting function (66). The diabetes-associated allele of Idd4.1 was identified as a hypofunctional mutant of Tprv1 that influences peripheral neuronal control of ␤ cell stress and islet inflammation in NOD mice via a proinflammatory state (67). Importantly, H 3 R stimulation has been shown to prevent capsaicin-induced substance P release from C-fibers (68,69).…”
Section: Discussionmentioning
confidence: 99%
“…Because autonomic axons are mostly unmyelinated, our results provide evidence that axonal neuropathy in GLD might also occur independent from demyelination. Together, these findings indicate a crucial role for axonal function in the regulation of various visceral functions, including thymus and secondary lymphoid organs and also at the base for other diseases such as diabetes (Razavi et al, 2006). At this time, we cannot exclude that both epigenetic (loss of autonomic innervation of lymphoid organ) and cell autonomous (GALC deficiency in hematopoietic precursors) contribute to disease progression.…”
Section: Autonomic Denervation Of the Gld Thymusmentioning
confidence: 92%