PMID- 20884174 OWN - NLM STAT- MEDLINE DCOM- 20110523 LR - 20211020 IS - 1095-9157 (Electronic) IS - 0896-8411 (Print) IS - 0896-8411 (Linking) VI - 35 IP - 4 DP - 2010 Dec TI - Successful modulation of type 2 diabetes in db/db mice with intra-bone marrow--bone marrow transplantation plus concurrent thymic transplantation. PG - 414-23 LID - 10.1016/j.jaut.2010.09.001 [doi] AB - There is increasing evidence that both autoimmune and autoinflammatory mechanisms are involved in the development of not only type 1 diabetes mellitus (T1 DM), but also type 2 diabetes mellitus (T2 DM). Our laboratory has focused on this concept, and in earlier efforts replaced the bone marrow cells (BMCs) of leptin receptor-deficient (db/db) mice, an animal model of T2DM, with those of normal C57BL/6 (B6) mice by IBM-BMT. However, the outcome was poor due to incomplete recovery of T cell function. Therefore, we hypothesized that intra-bone marrow-bone marrow transplantation plus thymus transplantation (IBM-BMT + TT) could be used to treat T2 DM by normalizing the T cell imbalance. Hence we addressed this issue by using such dual transplantation and demonstrate herein that seven weeks later, recipient db/db mice manifested improved body weight, reduced levels of blood glucose, and a reduction of plasma IL-6 and IL-1beta. More importantly, this treatment regimen showed normal CD4/CD8 ratios, and increased plasma adiponectin levels, insulin sensitivity, and the number of insulin-producing cells. Furthermore, the expression of pancreatic pAKT, pLKB1, pAMPK and HO-1 was increased in the mice treated with IBM-BMT + TT. Our data show that IBM-BMT + TT treatment normalizes T cell subsets, cytokine imbalance and insulin sensitivity in the db/db mouse, suggesting that IBM-BMT + TT is a viable therapeutic option in the treatment of T2 DM. CI - Copyright (c) 2010 Elsevier Ltd. All rights reserved. FAU - Li, Ming AU - Li M AD - Department of Stem Cell Disorders, Kansai Medical University, Moriguchi City, Osaka 570-8506, Japan. FAU - Abraham, Nader G AU - Abraham NG FAU - Vanella, Luca AU - Vanella L FAU - Zhang, Yuming AU - Zhang Y FAU - Inaba, Muneo AU - Inaba M FAU - Hosaka, Naoki AU - Hosaka N FAU - Hoshino, Sho-Ichi AU - Hoshino S FAU - Shi, Ming AU - Shi M FAU - Ambrosini, Yoko Miyamoto AU - Ambrosini YM FAU - Gershwin, M Eric AU - Gershwin ME FAU - Ikehara, Susumu AU - Ikehara S LA - eng GR - R01 DK068134/DK/NIDDK NIH HHS/United States GR - P01 HL034300/HL/NHLBI NIH HHS/United States GR - HL34300/HL/NHLBI NIH HHS/United States GR - HL55601/HL/NHLBI NIH HHS/United States GR - DK068134/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - J Autoimmun JT - Journal of autoimmunity JID - 8812164 RN - 0 (Adiponectin) RN - 0 (Adipoq protein, mouse) RN - 0 (Blood Glucose) RN - 0 (Interleukin-1beta) RN - 0 (Interleukin-6) RN - 0 (Receptors, Leptin) SB - IM MH - Adiponectin/blood MH - Animals MH - Blood Glucose/biosynthesis/genetics MH - Bone Marrow Transplantation MH - Diabetes Mellitus, Type 2/blood/*immunology/*therapy MH - Disease Models, Animal MH - Gene Expression Regulation MH - Humans MH - *Immunotherapy MH - Insulin-Secreting Cells/pathology MH - Interleukin-1beta/biosynthesis/genetics MH - Interleukin-6/biosynthesis/genetics MH - Mice MH - Mice, Inbred C57BL MH - Mice, Mutant Strains MH - Receptors, Leptin/deficiency MH - T-Lymphocytes/immunology/*metabolism/pathology MH - Thymus Gland/*transplantation PMC - PMC5553687 MID - NIHMS889059 EDAT- 2010/10/05 06:00 MHDA- 2011/05/24 06:00 PMCR- 2017/08/11 CRDT- 2010/10/02 06:00 PHST- 2010/08/14 00:00 [received] PHST- 2010/09/02 00:00 [revised] PHST- 2010/09/03 00:00 [accepted] PHST- 2010/10/02 06:00 [entrez] PHST- 2010/10/05 06:00 [pubmed] PHST- 2011/05/24 06:00 [medline] PHST- 2017/08/11 00:00 [pmc-release] AID - S0896-8411(10)00100-9 [pii] AID - 10.1016/j.jaut.2010.09.001 [doi] PST - ppublish SO - J Autoimmun. 2010 Dec;35(4):414-23. doi: 10.1016/j.jaut.2010.09.001.