Pioglitazone prevents mice from multiple low-dose streptozotocin-induced insulitis and diabetes

• Published in: Diabetes research and clinical practice Vol. 44; no. 2; pp. 107 - 114
• Main Authors: Takamura, Toshinari, Ando, Hitoshi, Nagai, Yukihiro, Yamashita, Haruhisa, Nohara, Erika, Kobayashi, Ken-ichi
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01.05.1999; Elsevier Science
• Subjects: Administration, Oral; Animals; Autoimmune diabetes; Biological and medical sciences; Diabetes Mellitus, Experimental - pathology; Diabetes Mellitus, Experimental - physiopathology; Diabetes Mellitus, Experimental - prevention & control; Diabetes Mellitus, Type 1 - pathology; Diabetes Mellitus, Type 1 - physiopathology; Diabetes Mellitus, Type 1 - prevention & control; Diabetes. Impaired glucose tolerance; Dose-Response Relationship, Drug; Drug Administration Schedule; Endocrine pancreas. Apud cells (diseases); Endocrinopathies; Etiopathogenesis. Screening. Investigations. Target tissue resistance; Hypoglycemic Agents - administration & dosage; Hypoglycemic Agents - therapeutic use; Islets of Langerhans - drug effects; Islets of Langerhans - pathology; Male; Medical sciences; Mice; Multiple low-dose streptozotocin; Pioglitazone; PPAR-γ; Streptozocin; Thiazoles - administration & dosage; Thiazoles - therapeutic use; Thiazolidinedione; Thiazolidinediones; Time Factors; Asia; Japan; IFN-γ, interferon-γ; NOS2, type 2 nitric oxide synthase; Multiple low-dose streptozotocin; Pioglitazone; STZ, streptozotocin; Autoimmune diabetes; PPAR-γ, peroxisome proliferator-activated receptor-γ; IL-1β, interleukin-1β; Thiazolidinedione; DMEM, Dulbecco’s modified Eagle’s medium; NO, nitric oxide; MCP-1, monocyte chemoattractant protein-1; MLDS, multiple low-dose streptozotocin; LPS, lipopolysaccharide; PPAR-γ; Endocrinopathy; Disease development; Immunopathology; Animal model; Pathogenesis; Treatment efficiency; Rodentia; Langerhans islet; Autoimmune disease; Prevention; Pathology; Vertebrata; Chemotherapy; Mammalia; Histopathology; Mouse; Animal; Insulin dependent diabetes; Endocrine pancreas; Macrophage
• DOI: 10.1016/S0168-8227(99)00030-3
• ISSN: 0168-8227

Macrophage infiltration into pancreatic islets is thought to be an initial event inducing insulitis in the development of type 1 diabetes. Thiazolidinedione is a direct ligand for peroxisome proliferator-activated receptor-γ, recently reported to inhibit macrophage activation, including cytokine production and type 2 nitric oxide synthase expression. We investigated the effect of pioglitazone, a thiazolidinedione compound, on the development of multiple low-dose streptozotocin (MLDS)-induced autoimmune diabetes in mice. CD-1 mice intraperitoneally injected with five daily sub-diabetogenic doses (30 or 40 mg/kg body weight) of streptozotocin developed mononuclear cell infiltration in and around islets, followed by hyperglycemia. Oral administration of pioglitazone (0.01% food admixture) from 7 days before the first streptozotocin injection prevented or delayed the development of diabetes induced by MLDS. Histologically, pioglitazone blocked the infiltration of mononuclear cells into islets in MLDS mice. Peritoneal macrophages from MLDS mice at day-7 produced significantly large amount of nitric oxide compared with those from control mice. Such activation of peritoneal macrophages was not observed in pioglitazone-treated MLDS mice. These findings suggest that pioglitazone blocks the autoimmune process in the development of MLDS diabetes, partly by inhibiting the macrophage activation.