Mechanisms and therapeutic strategies of immune checkpoint molecules and regulators in type 1 diabetes

BackgroundConsidered a significant risk to health and survival, type 1 diabetes (T1D) is a heterogeneous autoimmune disease characterized by hyperglycemia caused by an absolute deficiency of insulin, which is mainly due to the immune-mediated destruction of pancreatic beta cells.Scope of reviewIn re...

Full description

Bibliographic Details
Main Authors: Jia-Tong Ding, Kang-Ping Yang, Kong-Lan Lin, Yu-Ke Cao, Fang Zou
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.1090842/full
_version_ 1797956478050500608
author Jia-Tong Ding
Jia-Tong Ding
Kang-Ping Yang
Kong-Lan Lin
Yu-Ke Cao
Fang Zou
author_facet Jia-Tong Ding
Jia-Tong Ding
Kang-Ping Yang
Kong-Lan Lin
Yu-Ke Cao
Fang Zou
author_sort Jia-Tong Ding
collection DOAJ
description BackgroundConsidered a significant risk to health and survival, type 1 diabetes (T1D) is a heterogeneous autoimmune disease characterized by hyperglycemia caused by an absolute deficiency of insulin, which is mainly due to the immune-mediated destruction of pancreatic beta cells.Scope of reviewIn recent years, the role of immune checkpoints in the treatment of cancer has been increasingly recognized, but unfortunately, little attention has been paid to the significant role they play both in the development of secondary diabetes with immune checkpoint inhibitors and the treatment of T1D, such as cytotoxic T-lymphocyte antigen 4(CTLA-4), programmed cell death protein-1(PD-1), lymphocyte activation gene-3(LAG-3), programmed death ligand-1(PD-L1), and T-cell immunoglobulin mucin protein-3(TIM-3). Here, this review summarizes recent research on the role and mechanisms of diverse immune checkpoint molecules in mediating the development of T1D and their potential and theoretical basis for the prevention and treatment of diabetes.Major conclusionsImmune checkpoint inhibitors related diabetes, similar to T1D, are severe endocrine toxicity induced with immune checkpoint inhibitors. Interestingly, numerous treatment measures show excellent efficacy for T1D via regulating diverse immune checkpoint molecules, including co-inhibitory and co-stimulatory molecules. Thus, targeting immune checkpoint molecules may exhibit potential for T1D treatment and improve clinical outcomes.
first_indexed 2024-04-10T23:50:24Z
format Article
id doaj.art-9355811ab6814cf2be69a31e4ab7832f
institution Directory Open Access Journal
issn 1664-2392
language English
last_indexed 2024-04-10T23:50:24Z
publishDate 2023-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Endocrinology
spelling doaj.art-9355811ab6814cf2be69a31e4ab7832f2023-01-10T19:39:09ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-01-011310.3389/fendo.2022.10908421090842Mechanisms and therapeutic strategies of immune checkpoint molecules and regulators in type 1 diabetesJia-Tong Ding0Jia-Tong Ding1Kang-Ping Yang2Kong-Lan Lin3Yu-Ke Cao4Fang Zou5Department of Endocrinology and Metabolism, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaThe Second Clinical Medicine School, Nanchang University, Nanchang, ChinaThe Second Clinical Medicine School, Nanchang University, Nanchang, ChinaThe Second Clinical Medicine School, Nanchang University, Nanchang, ChinaSchool of Ophthalmology & Optometry, Nanchang University, Nanchang, ChinaDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Nanchang University, Nanchang, ChinaBackgroundConsidered a significant risk to health and survival, type 1 diabetes (T1D) is a heterogeneous autoimmune disease characterized by hyperglycemia caused by an absolute deficiency of insulin, which is mainly due to the immune-mediated destruction of pancreatic beta cells.Scope of reviewIn recent years, the role of immune checkpoints in the treatment of cancer has been increasingly recognized, but unfortunately, little attention has been paid to the significant role they play both in the development of secondary diabetes with immune checkpoint inhibitors and the treatment of T1D, such as cytotoxic T-lymphocyte antigen 4(CTLA-4), programmed cell death protein-1(PD-1), lymphocyte activation gene-3(LAG-3), programmed death ligand-1(PD-L1), and T-cell immunoglobulin mucin protein-3(TIM-3). Here, this review summarizes recent research on the role and mechanisms of diverse immune checkpoint molecules in mediating the development of T1D and their potential and theoretical basis for the prevention and treatment of diabetes.Major conclusionsImmune checkpoint inhibitors related diabetes, similar to T1D, are severe endocrine toxicity induced with immune checkpoint inhibitors. Interestingly, numerous treatment measures show excellent efficacy for T1D via regulating diverse immune checkpoint molecules, including co-inhibitory and co-stimulatory molecules. Thus, targeting immune checkpoint molecules may exhibit potential for T1D treatment and improve clinical outcomes.https://www.frontiersin.org/articles/10.3389/fendo.2022.1090842/fullimmune checkpointsimmune checkpoint inhibitorstype 1 diabeteslymphocyteimmunotherapy
spellingShingle Jia-Tong Ding
Jia-Tong Ding
Kang-Ping Yang
Kong-Lan Lin
Yu-Ke Cao
Fang Zou
Mechanisms and therapeutic strategies of immune checkpoint molecules and regulators in type 1 diabetes
Frontiers in Endocrinology
immune checkpoints
immune checkpoint inhibitors
type 1 diabetes
lymphocyte
immunotherapy
title Mechanisms and therapeutic strategies of immune checkpoint molecules and regulators in type 1 diabetes
title_full Mechanisms and therapeutic strategies of immune checkpoint molecules and regulators in type 1 diabetes
title_fullStr Mechanisms and therapeutic strategies of immune checkpoint molecules and regulators in type 1 diabetes
title_full_unstemmed Mechanisms and therapeutic strategies of immune checkpoint molecules and regulators in type 1 diabetes
title_short Mechanisms and therapeutic strategies of immune checkpoint molecules and regulators in type 1 diabetes
title_sort mechanisms and therapeutic strategies of immune checkpoint molecules and regulators in type 1 diabetes
topic immune checkpoints
immune checkpoint inhibitors
type 1 diabetes
lymphocyte
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fendo.2022.1090842/full
work_keys_str_mv AT jiatongding mechanismsandtherapeuticstrategiesofimmunecheckpointmoleculesandregulatorsintype1diabetes
AT jiatongding mechanismsandtherapeuticstrategiesofimmunecheckpointmoleculesandregulatorsintype1diabetes
AT kangpingyang mechanismsandtherapeuticstrategiesofimmunecheckpointmoleculesandregulatorsintype1diabetes
AT konglanlin mechanismsandtherapeuticstrategiesofimmunecheckpointmoleculesandregulatorsintype1diabetes
AT yukecao mechanismsandtherapeuticstrategiesofimmunecheckpointmoleculesandregulatorsintype1diabetes
AT fangzou mechanismsandtherapeuticstrategiesofimmunecheckpointmoleculesandregulatorsintype1diabetes