Abstract
A major hypothesis for the etiology of type 1 diabetes (T1D) postulates initiation by viral infection, leading to double-stranded RNA (dsRNA)-mediated interferon response and inflammation; however, a causal virus has not been identified. Here, we use a mouse model, corroborated with human islet data, to demonstrate that endogenous dsRNA in beta cells can lead to a diabetogenic immune response, thus identifying a virus-independent mechanism for T1D initiation. We found that disruption of the RNA editing enzyme adenosine deaminases acting on RNA (ADAR) in beta cells triggers a massive interferon response, islet inflammation, and beta cell failure and destruction, with features bearing striking similarity to early-stage human T1D. Glycolysis via calcium enhances the interferon response, suggesting an actionable vicious cycle of inflammation and increased beta cell workload.
Original language | English |
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Pages (from-to) | 48-61.e6 |
Journal | Cell Metabolism |
Volume | 36 |
Issue number | 1 |
DOIs | |
State | Published - 2 Jan 2024 |
Bibliographical note
Publisher Copyright:© 2023 The Authors
Keywords
- RNA editing
- beta cells
- interferon response
- islet inflammation
- metabolic stress
- type 1 diabetes