PMID- 22403300 OWN - NLM STAT- MEDLINE DCOM- 20120725 LR - 20211021 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 61 IP - 6 DP - 2012 Jun TI - The novel therapeutic effect of phosphoinositide 3-kinase-gamma inhibitor AS605240 in autoimmune diabetes. PG - 1509-18 LID - 10.2337/db11-0134 [doi] AB - Type 1 diabetes (T1D) remains a major health problem worldwide, with a steadily rising incidence yet no cure. Phosphoinositide 3-kinase-gamma (PI3Kgamma), a member of a family of lipid kinases expressed primarily in leukocytes, has been the subject of substantial research for its role in inflammatory diseases. However, the role of PI3Kgamma inhibition in suppressing autoimmune T1D remains to be explored. We tested the role of the PI3Kgamma inhibitor AS605240 in preventing and reversing diabetes in NOD mice and assessed the mechanisms by which this inhibition abrogates T1D. Our data indicate that the PI3Kgamma pathway is highly activated in T1D. In NOD mice, we found upregulated expression of phosphorylated Akt (PAkt) in splenocytes. Notably, T regulatory cells (Tregs) showed significantly lower expression of PAkt compared with effector T cells. Inhibition of the PI3Kgamma pathway by AS605240 efficiently suppressed effector T cells and induced Treg expansion through the cAMP response element-binding pathway. AS605240 effectively prevented and reversed autoimmune diabetes in NOD mice and suppressed T-cell activation and the production of inflammatory cytokines by autoreactive T cells in vitro and in vivo. These studies demonstrate the key role of the PI3Kgamma pathway in determining the balance of Tregs and autoreactive cells regulating autoimmune diabetes. FAU - Azzi, Jamil AU - Azzi J AD - Transplantation Research Center, Renal Division, Brigham and Women's Hospital and Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA. FAU - Moore, Robert F AU - Moore RF FAU - Elyaman, Wassim AU - Elyaman W FAU - Mounayar, Marwan AU - Mounayar M FAU - El Haddad, Najib AU - El Haddad N FAU - Yang, Sunmi AU - Yang S FAU - Jurewicz, Mollie AU - Jurewicz M FAU - Takakura, Ayumi AU - Takakura A FAU - Petrelli, Alessandra AU - Petrelli A FAU - Fiorina, Paolo AU - Fiorina P FAU - Ruckle, Thomas AU - Ruckle T FAU - Abdi, Reza AU - Abdi R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120308 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (5-quinoxalin-6-ylmethylenethiazolidine-2,4-dione) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Quinoxalines) RN - 0 (Thiazolidinediones) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Animals MH - Diabetes Mellitus, Type 1/*drug therapy/metabolism MH - Female MH - Hyperglycemia/drug therapy/metabolism MH - Mice MH - Mice, Inbred NOD MH - *Phosphoinositide-3 Kinase Inhibitors MH - Phosphorylation/drug effects MH - Proto-Oncogene Proteins c-akt/metabolism MH - Quinoxalines/pharmacology/*therapeutic use MH - Spleen/drug effects/metabolism MH - T-Lymphocytes, Regulatory/*drug effects/metabolism MH - Thiazolidinediones/pharmacology/*therapeutic use PMC - PMC3357271 EDAT- 2012/03/10 06:00 MHDA- 2012/07/26 06:00 PMCR- 2013/06/01 CRDT- 2012/03/10 06:00 PHST- 2012/03/10 06:00 [entrez] PHST- 2012/03/10 06:00 [pubmed] PHST- 2012/07/26 06:00 [medline] PHST- 2013/06/01 00:00 [pmc-release] AID - db11-0134 [pii] AID - 0134 [pii] AID - 10.2337/db11-0134 [doi] PST - ppublish SO - Diabetes. 2012 Jun;61(6):1509-18. doi: 10.2337/db11-0134. Epub 2012 Mar 8.