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CLINICAL STUDY |
Department of Clinical Sciences-Endocrinology, University La Sapienza, Rome, Italy, 1 National Center for Food Quality and Risk Assessment, Istituto Superiore di Sanita, Rome, Italy, 2 Department of Experimental Medicine and Pathology, University La Sapienza, Rome, Italy and 3 Diabetes Unit, Department of Internal Medicine, Endocrine and Metabolic Sciences and Biochemistry, University of Siena, Siena, Italy
(Correspondence should be addressed to F Dotta, U. O. di Diabetologia, 3° Lotto, 5S, Policlinico Le Scotte, Viale Bracci 18, 53100 Siena, Italy; Email: fradotta{at}tin.it)
Objective: Activation-induced cell death (AICD) is a major mechanism in the regulation of peripheral tolerance and its impairment can determine the development of autoimmunity. In the present study, in order to evaluate the role of caspase-3 in type 1 diabetes mellitus (T1DM) AICD, caspase-3 expression was analyzed in peripheral blood lymphocytes from 37 new onset T1DM patients and from 36 normal control subjects (NC) in resting conditions and after anti-Fas-triggered apoptosis.
Methods: Caspase-3 expression was determined by semiquantitative RT-PCR and Western blot. Apoptosis was induced in activated lymphocytes by anti-Fas monoclonal antibody and quantified by flow cytometry and morphological analysis.
Results: Caspase-3 mRNA expression was reduced in resting lymphocytes in 18/37 T1DM patients and in 1/36 NC (P < 0.01). Patients studied for both Fas-mediated AICD and caspase-3 mRNA expression revealed that a reduced caspase-3 mRNA expression in resting lymphocytes occurred in all patients showing resistance to Fas-mediated apoptosis (T1DM vs NC, P < 0.02) with the exception of 3 patients who exhibited normal caspase-3 expression levels. Caspase-3 protein analysis confirmed mRNA data and showed an impaired expression of caspase-3 active form in T1DM subjects compared with NC.
Conclusions: Our data show that defective expression and function of caspase-3 in peripheral lymphocytes of T1DM patients may contribute to the development of AICD resistance in type 1 diabetes.
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F. Vendrame, M. Segni, D. Grassetti, V. Tellone, G. Augello, V. Trischitta, M. Torlontano, and F. Dotta Impaired Caspase-3 Expression by Peripheral T Cells in Chronic Autoimmune Thyroiditis and in Autoimmune Polyendocrine Syndrome-2 J. Clin. Endocrinol. Metab., December 1, 2006; 91(12): 5064 - 5068. [Abstract] [Full Text] [PDF] |
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