PMID- 35547774 OWN - NLM STAT- MEDLINE DCOM- 20220517 LR - 20221207 IS - 1838-7640 (Electronic) IS - 1838-7640 (Linking) VI - 12 IP - 7 DP - 2022 TI - Cathelicidin-related antimicrobial peptide protects against enteric pathogen-accelerated type 1 diabetes in mice. PG - 3438-3455 LID - 10.7150/thno.61433 [doi] AB - Rationale: Gut barrier disruption caused by enteric pathogen infection results in activated diabetogenic T cells and accelerated type 1 diabetes (T1D). Cathelicidin-related antimicrobial peptide (CRAMP) maintains intestinal barrier integrity, regulates the microbiome, and exerts positive immune-modulatory effects on pancreatic diseases. Methods: The model enteric pathogen Citrobacter rodentium (C. rodentium) was adopted to represent clinical colonic infection with gut barrier disruption. The protective role and gut-pancreas pathophysiological mechanism of CRAMP in enteric pathogen-accelerated T1D were investigated in spontaneous non-obese diabetic (NOD) mice and streptozotocin-induced diabetic mice. Results: Colonic CRAMP production was defective in C. rodentium infection-accelerated T1D. C. rodentium infection triggered the recruitment of interferon-gamma (IFN-gamma)(+) T cells and accelerated T1D. In the C. rodentium-accelerated T1D mice, CRAMP deficiency further aggravated gut barrier disruption, gut dysbiosis, and diabetic phenotype, which could be reversed by CRAMP treatment. The protective effect of CRAMP may be due to CRAMP inhibiting C. rodentium-aggravated gut immune dysregulation, gut dysbiosis, and migration of gut-primed IFN-gamma(+) T cells to the pancreas, thus contributing to gut barrier protection and pancreatic-intestinal immune homeostasis. Conclusion: CRAMP plays a pivotal role in pancreatic-gut crosstalk during C. rodentium-accelerated T1D by gut barrier-protective, immune- and microbial-modulatory mechanisms. Cathelicidin supplementation to restore a healthy gut barrier may represent a novel therapeutic strategy for T1D. CI - (c) The author(s). FAU - Jia, Lingling AU - Jia L AD - Wuxi School of Medicine and School of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. AD - State Key Laboratory of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. AD - College of Food and Pharmaceutical Sciences, Ningbo University, Ningbo 315800, Zhejiang, P. R. China. FAU - Li, Jiahong AU - Li J AD - Wuxi School of Medicine and School of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. FAU - Zhang, Ming AU - Zhang M AD - Wuxi School of Medicine and School of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. FAU - Liu, He AU - Liu H AD - Wuxi School of Medicine and School of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. FAU - Ren, Zhengnan AU - Ren Z AD - Wuxi School of Medicine and School of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. FAU - Dong, Xiao Liang AU - Dong XL AD - Wuxi School of Medicine and School of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. FAU - Pan, Xiaohua AU - Pan X AD - Wuxi School of Medicine and School of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. FAU - Qiu, Ju AU - Qiu J AD - CAS Key Laboratory of Tissue Microenvironment and Tumor, Shanghai Institute of Nutrition and Health, Shanghai Institutes for Biological Sciences, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai 200031, P. R. China. FAU - Pan, Li-Long AU - Pan LL AD - Wuxi School of Medicine and School of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. FAU - Sun, Jia AU - Sun J AD - Wuxi School of Medicine and School of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. AD - State Key Laboratory of Food Science and Technology, Jiangnan University, Wuxi 214122, Jiangsu, P. R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220424 PL - Australia TA - Theranostics JT - Theranostics JID - 101552395 RN - 0 (Antimicrobial Cationic Peptides) RN - 0 (Antimicrobial Peptides) RN - 82115-62-6 (Interferon-gamma) RN - 0 (Cathelicidins) SB - IM MH - Animals MH - Antimicrobial Cationic Peptides MH - Antimicrobial Peptides MH - Citrobacter rodentium/physiology MH - *Diabetes Mellitus, Experimental MH - *Diabetes Mellitus, Type 1 MH - Dysbiosis MH - *Gastrointestinal Microbiome MH - Interferon-gamma MH - Mice MH - Mice, Inbred C57BL MH - Mice, Inbred NOD MH - Cathelicidins PMC - PMC9065195 OTO - NOTNLM OT - antimicrobial peptides OT - gut barrier OT - gut-pancreas crosstalk OT - intestinal IFNgamma+ T cell migration OT - type 1 diabetes COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2022/05/14 06:00 MHDA- 2022/05/18 06:00 PMCR- 2022/01/01 CRDT- 2022/05/13 11:17 PHST- 2021/04/09 00:00 [received] PHST- 2022/01/25 00:00 [accepted] PHST- 2022/05/13 11:17 [entrez] PHST- 2022/05/14 06:00 [pubmed] PHST- 2022/05/18 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - thnov12p3438 [pii] AID - 10.7150/thno.61433 [doi] PST - epublish SO - Theranostics. 2022 Apr 24;12(7):3438-3455. doi: 10.7150/thno.61433. eCollection 2022.