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Clinical and Diagnostic Laboratory Immunology, 11 1997, 764-768, Vol 4, No. 6
DO Sobel and J Newsome
The BB rat model of human insulin-dependent diabetes mellitus (IDDM)
spontaneously develops diabetes through an autoimmune process. Gamma
interferon (IFN-gamma) is thought to play an important pathogenic role.
This study examined if IFN-gamma administration can, paradoxically, prevent
diabetes in BB rats. Diabetes-prone BB rats were initially injected
intraperitoneally with murine recombinant IFN-gamma (rIFN- gamma) at doses
of 0.5 x 10(4) to 40 x 10(4) U three times a week for 6 weeks beginning at
35 days of age. The effects of altering the duration of treatment (2 to 6
weeks) and the age at which injections were initiated (45 through 65 days)
were also assessed. rIFN-gamma administration prevented the development of
diabetes in a dose- dependent manner. The optimal treatment condition
resulted in a 9.1% incidence of diabetes versus a 90% incidence in control
rats. This diabetes-sparing effect was long lasting and continued to 7
months of age. A 4- to 6-week course resulted in maximal inhibition.
Treatment initiated as late as 55 days of age, when insulitis is already
present, was effective in preventing diabetes. Islet inflammation was
dramatically lower in rIFN-gamma- versus saline-injected rats (P <
0.01). Total leukocyte count and subpopulations of peripheral mononuclear
cells were unaltered by rIFN-gamma. In summary, rIFN-gamma paradoxically
and potently prevents diabetes in BB rats in a dose- dependent fashion by
inhibiting islet inflammation. This diabetes- sparing effect occurs even
when injections are initiated after evidence of the diabetic process is
already present.
Copyright © 1997 by the American Society for Microbiology. All rights reserved.
Gamma interferon prevents diabetes in the BB rat
Division of Pediatric Endocrinology and Metabolism, Georgetown University Medical Center, Washington, D.C. 20007-2197, USA.
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