2012
DOI: 10.1111/j.1365-2249.2012.04583.x
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Up-regulation of fas and fasL pro-apoptotic genes expression in type 1 diabetes patients after autologous haematopoietic stem cell transplantation

Abstract: Summary Type 1 diabetes (T1D) is a chronic autoimmune disease characterized by T cell‐mediated destruction of pancreatic β cells, resulting in insulin deficiency and hyperglycaemia. Recent studies have described that apoptosis impairment during central and peripheral tolerance is involved in T1D pathogenesis. In this study, the apoptosis‐related gene expression in T1D patients was evaluated before and after treatment with high‐dose immunosuppression followed by autologous haematopoietic stem cell transplantati… Show more

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Cited by 28 publications
(22 citation statements)
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“…Inducible NO synthase (iNOS) and Fas, important regulators of beta cell apoptosis, are regulated by the noncanonical NF-κB pathway [1,6,38]. Although Fas upregulation is mostly related to cell death in vivo [39,40], decreased iNOS expression and NO production could contribute to the decreased apoptosis in NFκB2-silenced cells [1,6,38]. Importantly, the non-canonical pathway enhances the expression of the chemokines Ccl5, Ccl19 and Cxcl12.…”
Section: Discussionmentioning
confidence: 99%
“…Inducible NO synthase (iNOS) and Fas, important regulators of beta cell apoptosis, are regulated by the noncanonical NF-κB pathway [1,6,38]. Although Fas upregulation is mostly related to cell death in vivo [39,40], decreased iNOS expression and NO production could contribute to the decreased apoptosis in NFκB2-silenced cells [1,6,38]. Importantly, the non-canonical pathway enhances the expression of the chemokines Ccl5, Ccl19 and Cxcl12.…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, further analysis revealed significantly longer survival of the remaining b-cells in those patients with autoantibodies against only one antigen than in those with autoantibodies against two or more antigens, resulting in higher C-peptide levels during follow-up and insulin independence [44]. In a Brazilian cohort of 14 T1D patients, GADA titers were also reduced during post-AHSCT follow-up and correlated with increased C-peptide levels [45], indicating its prognostic value. Although monitoring T-cell specific responses may represent better the autoreactive reactions, no work has yet evaluated the specific islet autoreactive T-cell prognostic value in the AHSCT context for T1D patients.…”
Section: Depletion Of the Autoimmune Repertoirementioning
confidence: 95%
“…These changes are associated with disease remission and are reversed with disease reactivation, indicating persistence of the autoimmune clone [33,34]. De Oliveira and colleagues showed that another effect of "immunologic reset" is up-regulation of fas and fasL proapoptotic genes expression in patients' peripheral blood mononuclear cells after autologous hematopoietic stem cell transplantation [35].…”
Section: Hematopoietic Stem Cell Transplantation For Autoimmune Diseasesmentioning
confidence: 99%