Abstract
Indoleamine 2,3 dioxygenase-1 (IDO1) is a powerful immunoregulatory enzyme that is deficient in patients with type 1 diabetes (T1D). In this study, we present the first systematic evaluation of IDO1 expression and localization in human pancreatic tissue. Although IDO1 was constitutively expressed in β-cells from donors without diabetes, less IDO1 was expressed in insulin-containing islets from double autoantibody-positive donors and patients with recent-onset T1D, although it was virtually absent in insulin-deficient islets from donors with T1D. Scatter plot analysis suggested that IDO1 decay occurred in individuals with multiple autoantibodies, prior to β-cell demise. IDO1 impairment might therefore contribute to β-cell demise and could potentially emerge as a promising therapeutic target.
© 2018 by the American Diabetes Association.
Publication types
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Comparative Study
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Adolescent
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Adult
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Aged
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Autoantibodies / metabolism
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Autoimmune Diseases / immunology
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Autoimmune Diseases / metabolism*
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Autoimmune Diseases / pathology
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Autoimmune Diseases / physiopathology
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Autoimmunity*
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Cadaver
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Cohort Studies
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Cross-Sectional Studies
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Diabetes Mellitus, Type 1 / immunology
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Diabetes Mellitus, Type 1 / metabolism*
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Diabetes Mellitus, Type 1 / pathology
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Diabetes Mellitus, Type 1 / physiopathology
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Diabetes Mellitus, Type 2 / immunology
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Diabetes Mellitus, Type 2 / metabolism
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Diabetes Mellitus, Type 2 / pathology
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Diabetes Mellitus, Type 2 / physiopathology
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Disease Progression
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Down-Regulation*
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Female
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Fluorescent Antibody Technique, Indirect
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Humans
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Indoleamine-Pyrrole 2,3,-Dioxygenase / metabolism*
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Insulin / metabolism
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Insulin-Secreting Cells / enzymology*
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Insulin-Secreting Cells / immunology
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Insulin-Secreting Cells / metabolism
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Insulin-Secreting Cells / pathology
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Male
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Middle Aged
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Prediabetic State / immunology
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Prediabetic State / metabolism*
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Prediabetic State / pathology
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Prediabetic State / physiopathology
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Protein Transport
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Young Adult
Substances
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Autoantibodies
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IDO1 protein, human
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Indoleamine-Pyrrole 2,3,-Dioxygenase
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Insulin