PMID- 32131431 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2076-393X (Print) IS - 2076-393X (Electronic) IS - 2076-393X (Linking) VI - 8 IP - 1 DP - 2020 Mar 2 TI - Vaccination Against Amyloidogenic Aggregates in Pancreatic Islets Prevents Development of Type 2 Diabetes Mellitus. LID - 10.3390/vaccines8010116 [doi] LID - 116 AB - Type 2 diabetes mellitus (T2DM) is a chronic progressive disease characterized by insulin resistance and insufficient insulin secretion to maintain normoglycemia. The majority of T2DM patients bear amyloid deposits mainly composed of islet amyloid polypeptide (IAPP) in their pancreatic islets. These-originally beta-cell secretory products-extracellular aggregates are cytotoxic for insulin-producing beta-cells and are associated with beta-cell loss and inflammation in T2DM advanced stages. Due to the absence of T2DM preventive medicaments and the presence of only symptomatic drugs acting towards increasing hormone secretion and action, we aimed at establishing a novel disease-modifying therapy targeting the cytotoxic IAPP deposits in order to prevent the development of T2DM. We generated a vaccine based on virus-like particles (VLPs), devoid of genomic material, coupled to IAPP peptides inducing specific antibodies against aggregated, but not monomeric IAPP. Using a mouse model of islet amyloidosis, we demonstrate in vivo that our vaccine induced a potent antibody response against aggregated, but not soluble IAPP, strikingly preventing IAPP depositions, delaying onset of hyperglycemia and the induction of the associated pro-inflammatory cytokine Interleukin 1beta (IL-1beta). We offer the first cost-effective and safe disease-modifying approach targeting islet dysfunction in T2DM, preventing pathogenic aggregates without disturbing physiological IAPP function. FAU - Roesti, Elisa S AU - Roesti ES AUID- ORCID: 0000-0002-3599-4960 AD - Department of Rheumatology, Immunology and Allergology (RIA), University Hospital, University of Bern, 3010 Bern, Switzerland. AD - Department for BioMedical Research (DBMR), University of Bern, 3010 Bern, Switzerland. FAU - Boyle, Christina N AU - Boyle CN AD - Institute of Veterinary Physiology, University of Zurich, 8006 Zurich, Switzerland. FAU - Zeman, Daniel T AU - Zeman DT AUID- ORCID: 0000-0003-3348-4657 AD - Department of Endocrinology, Diabetes, and Metabolism, University Hospital Basel, 4031 Basel, Switzerland. FAU - Sande-Melon, Marcos AU - Sande-Melon M AD - Institute of Anatomy, University of Bern, 3010 Bern, Switzerland. AD - Spanish National Centre for Cardiovascular Research (CNIC), 28029 Madrid, Spain. FAU - Storni, Federico AU - Storni F AD - Department of Rheumatology, Immunology and Allergology (RIA), University Hospital, University of Bern, 3010 Bern, Switzerland. AD - Department for BioMedical Research (DBMR), University of Bern, 3010 Bern, Switzerland. AD - Department of Visceral Surgery and Medicine, University Hospital of Bern, 3010 Bern, Switzerland. FAU - Cabral-Miranda, Gustavo AU - Cabral-Miranda G AD - Department of Rheumatology, Immunology and Allergology (RIA), University Hospital, University of Bern, 3010 Bern, Switzerland. FAU - Knuth, Alexander AU - Knuth A AD - National Center for Cancer Care & Research (NCCCR), 3050 Doha, State of Qatar. FAU - Lutz, Thomas A AU - Lutz TA AUID- ORCID: 0000-0002-5056-8548 AD - Institute of Veterinary Physiology, University of Zurich, 8006 Zurich, Switzerland. FAU - Vogel, Monique AU - Vogel M AD - Department of Rheumatology, Immunology and Allergology (RIA), University Hospital, University of Bern, 3010 Bern, Switzerland. AD - Department for BioMedical Research (DBMR), University of Bern, 3010 Bern, Switzerland. FAU - Bachmann, Martin F AU - Bachmann MF AD - Department of Rheumatology, Immunology and Allergology (RIA), University Hospital, University of Bern, 3010 Bern, Switzerland. AD - Department for BioMedical Research (DBMR), University of Bern, 3010 Bern, Switzerland. AD - Nuffield Department of Medicine, Centre for Cellular and Molecular Physiology (CCMP), The Jenner Institute, University of Oxford, Oxford OX3 7DQ, UK. LA - eng GR - 310030_185114/SNSF/ PT - Journal Article DEP - 20200302 PL - Switzerland TA - Vaccines (Basel) JT - Vaccines JID - 101629355 PMC - PMC7157615 OTO - NOTNLM OT - T2DM OT - amyloid OT - islet amyloid polypeptide OT - vaccine OT - virus-like particle COIS- The authors declare no conflict of interest. EDAT- 2020/03/07 06:00 MHDA- 2020/03/07 06:01 PMCR- 2020/03/02 CRDT- 2020/03/06 06:00 PHST- 2020/02/11 00:00 [received] PHST- 2020/02/25 00:00 [revised] PHST- 2020/02/26 00:00 [accepted] PHST- 2020/03/06 06:00 [entrez] PHST- 2020/03/07 06:00 [pubmed] PHST- 2020/03/07 06:01 [medline] PHST- 2020/03/02 00:00 [pmc-release] AID - vaccines8010116 [pii] AID - vaccines-08-00116 [pii] AID - 10.3390/vaccines8010116 [doi] PST - epublish SO - Vaccines (Basel). 2020 Mar 2;8(1):116. doi: 10.3390/vaccines8010116.