Endogenous Levels of Gamma Amino-Butyric Acid Are Correlated to Glutamic-Acid Decarboxylase Antibody Levels in Type 1 Diabetes

Gamma-aminobutyric acid (GABA) is an important inhibitory neurotransmitter in the central nervous system (CNS) and outside of the CNS, found in the highest concentrations in immune cells and pancreatic beta-cells. GABA is gaining increasing interest in diabetes research due to its immune-modulatory...

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Main Authors: Henrik Hill, Andris Elksnis, Per Lundkvist, Kumari Ubhayasekera, Jonas Bergquist, Bryndis Birnir, Per-Ola Carlsson, Daniel Espes
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/1/91
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author Henrik Hill
Andris Elksnis
Per Lundkvist
Kumari Ubhayasekera
Jonas Bergquist
Bryndis Birnir
Per-Ola Carlsson
Daniel Espes
author_facet Henrik Hill
Andris Elksnis
Per Lundkvist
Kumari Ubhayasekera
Jonas Bergquist
Bryndis Birnir
Per-Ola Carlsson
Daniel Espes
author_sort Henrik Hill
collection DOAJ
description Gamma-aminobutyric acid (GABA) is an important inhibitory neurotransmitter in the central nervous system (CNS) and outside of the CNS, found in the highest concentrations in immune cells and pancreatic beta-cells. GABA is gaining increasing interest in diabetes research due to its immune-modulatory and beta-cell stimulatory effects and is a highly interesting drug candidate for the treatment of type 1 diabetes (T1D). GABA is synthesized from glutamate by glutamic acid decarboxylase (GAD), one of the targets for autoantibodies linked to T1D. Using mass spectrometry, we have quantified the endogenous circulating levels of GABA in patients with new-onset and long-standing T1D and found that the levels are unaltered when compared to healthy controls, i.e., T1D patients do not have a deficit of systemic GABA levels. In T1D, GABA levels were negatively correlated with IL-1 beta, IL-12, and IL-15 15 and positively correlated to levels of IL-36 beta and IL-37. Interestingly, GABA levels were also correlated to the levels of GAD-autoantibodies. The unaltered levels of GABA in T1D patients suggest that the GABA secretion from beta-cells only has a minor impact on the circulating systemic levels. However, the local levels of GABA could be altered within pancreatic islets in the presence of GAD-autoantibodies.
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spelling doaj.art-7623d43e37e248ffa239e06a46b71a942023-11-23T13:03:39ZengMDPI AGBiomedicines2227-90592021-12-011019110.3390/biomedicines10010091Endogenous Levels of Gamma Amino-Butyric Acid Are Correlated to Glutamic-Acid Decarboxylase Antibody Levels in Type 1 DiabetesHenrik Hill0Andris Elksnis1Per Lundkvist2Kumari Ubhayasekera3Jonas Bergquist4Bryndis Birnir5Per-Ola Carlsson6Daniel Espes7Department of Women’s and Children’s Health, Uppsala University, 75185 Uppsala, SwedenDepartment of Medical Cell Biology, Uppsala University, 75123 Uppsala, SwedenDepartment of Medical Sciences, Uppsala University, 75309 Uppsala, SwedenDepartment of Chemistry, Analytical, BMC, Uppsala University, 75237 Uppsala, SwedenDepartment of Chemistry, Analytical, BMC, Uppsala University, 75237 Uppsala, SwedenDepartment of Medical Cell Biology, Uppsala University, 75123 Uppsala, SwedenDepartment of Medical Cell Biology, Uppsala University, 75123 Uppsala, SwedenScience for Life Laboratory, Department of Medical Cell Biology, Uppsala University, 75123 Uppsala, SwedenGamma-aminobutyric acid (GABA) is an important inhibitory neurotransmitter in the central nervous system (CNS) and outside of the CNS, found in the highest concentrations in immune cells and pancreatic beta-cells. GABA is gaining increasing interest in diabetes research due to its immune-modulatory and beta-cell stimulatory effects and is a highly interesting drug candidate for the treatment of type 1 diabetes (T1D). GABA is synthesized from glutamate by glutamic acid decarboxylase (GAD), one of the targets for autoantibodies linked to T1D. Using mass spectrometry, we have quantified the endogenous circulating levels of GABA in patients with new-onset and long-standing T1D and found that the levels are unaltered when compared to healthy controls, i.e., T1D patients do not have a deficit of systemic GABA levels. In T1D, GABA levels were negatively correlated with IL-1 beta, IL-12, and IL-15 15 and positively correlated to levels of IL-36 beta and IL-37. Interestingly, GABA levels were also correlated to the levels of GAD-autoantibodies. The unaltered levels of GABA in T1D patients suggest that the GABA secretion from beta-cells only has a minor impact on the circulating systemic levels. However, the local levels of GABA could be altered within pancreatic islets in the presence of GAD-autoantibodies.https://www.mdpi.com/2227-9059/10/1/91type 1 diabetesGABAislets of Langerhans GAD-autoantibodies
spellingShingle Henrik Hill
Andris Elksnis
Per Lundkvist
Kumari Ubhayasekera
Jonas Bergquist
Bryndis Birnir
Per-Ola Carlsson
Daniel Espes
Endogenous Levels of Gamma Amino-Butyric Acid Are Correlated to Glutamic-Acid Decarboxylase Antibody Levels in Type 1 Diabetes
Biomedicines
type 1 diabetes
GABA
islets of Langerhans GAD-autoantibodies
title Endogenous Levels of Gamma Amino-Butyric Acid Are Correlated to Glutamic-Acid Decarboxylase Antibody Levels in Type 1 Diabetes
title_full Endogenous Levels of Gamma Amino-Butyric Acid Are Correlated to Glutamic-Acid Decarboxylase Antibody Levels in Type 1 Diabetes
title_fullStr Endogenous Levels of Gamma Amino-Butyric Acid Are Correlated to Glutamic-Acid Decarboxylase Antibody Levels in Type 1 Diabetes
title_full_unstemmed Endogenous Levels of Gamma Amino-Butyric Acid Are Correlated to Glutamic-Acid Decarboxylase Antibody Levels in Type 1 Diabetes
title_short Endogenous Levels of Gamma Amino-Butyric Acid Are Correlated to Glutamic-Acid Decarboxylase Antibody Levels in Type 1 Diabetes
title_sort endogenous levels of gamma amino butyric acid are correlated to glutamic acid decarboxylase antibody levels in type 1 diabetes
topic type 1 diabetes
GABA
islets of Langerhans GAD-autoantibodies
url https://www.mdpi.com/2227-9059/10/1/91
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