{"id":7924,"date":"2015-11-18T10:00:09","date_gmt":"2015-11-18T18:00:09","guid":{"rendered":"https:\/\/vermont.salk.edu\/?post_type=disclosure&#038;p=7924"},"modified":"2024-01-30T15:50:07","modified_gmt":"2024-01-30T23:50:07","slug":"blocking-immune-cell-treats-new-type-age-related-diabetes","status":"publish","type":"disclosure","link":"https:\/\/www.salk.edu\/zh\/news-release\/blocking-immune-cell-treats-new-type-age-related-diabetes\/","title":{"rendered":"Blocking immune cell treats new type of age-related diabetes"},"content":{"rendered":"<p>LA JOLLA\u2014<a href=\"\/zh\/science\/research\/metabolism-and-diabetes\/\">Diabetes<\/a>\u00a0is often the result of obesity and poor diet choices, but for some older adults the disease might simply be a consequence of aging. New research has discovered that diabetes\u2014or insulin resistance\u2014in aged, lean mice has a different cellular cause than the diabetes that results from weight gain (type 2). And the findings point toward a possible cure for what the co-leading scientists, <a href=\"\/zh\/scientist\/ronald-evans\/\">\u7f57\u7eb3\u5fb7\u00b7\u57c3\u6587\u65af<\/a> \u548c <a href=\"\/zh\/scientist\/ye-zheng\/\">Ye Zheng<\/a>, are now calling a new kind of diabetes (type 4).<\/p>\n<div class=\"faqpressrelease\">\n<p align=\"right\"><a href=\"https:\/\/www.salk.edu\/zh\/news\/salk-news\/faq-on-type-4-diabetes\/\">Click to view<br \/>\nFAQ on type 4 diabetes\u00bb<\/a><\/p>\n<\/div>\n<p>\u201cA lot of diabetes in the elderly goes undiagnosed because they don\u2019t have the classical risk factors for type 2 diabetes, such as obesity,\u201d says Evans, director of Salk\u2019s Gene Expression Laboratory and senior author of the new paper, which was published November 18, 2015 in <em><a href=\"http:\/\/www.nature.com\/nature\/journal\/vaop\/ncurrent\/full\/nature16151.html\" target=\"_blank\" rel=\"noopener\">Nature<\/a><\/em>. \u201cWe hope our discovery not only leads to therapeutics, but to an increased recognition of type 4 diabetes as a distinct disease.\u201d<\/p>\n<p><iframe src=\"\/\/www.youtube.com\/embed\/OcpCURiEN3M\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>In healthy people, the pancreas produces the hormone insulin, which signals to cells to take sugar out of the blood after a meal. In people with diabetes, however, the cycle is broken: either insulin is not produced in response to a meal or the muscle and liver cells don\u2019t respond to the insulin (also known as insulin resistance). In either case, sugar stays in the bloodstream for longer times, leading to a host of health issues ranging from loss of limbs to death.<\/p>\n<figure id=\"attachment_7870\"  class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"img-responsive wp-image-7870 size-col-md-10\" src=\"https:\/\/www.salk.edu\/wp-content\/uploads\/2015\/11\/Sagar-Bapat_Ann-Atkins_Michael-Downes_Ron-Evans_Chris-Liddle_Ye-Zheng_Ruth-Yu_Sihao-Liu_IMG_4199e-945x630.jpg\" alt=\"Sagar Bapat, Ann Atkins, Michael Downes, Ronald Evans, Chris Liddle, Ye Zheng, Ruth Yu and Sihao Liu\" \/><figcaption class=\"wp-caption-text\">From left: Sagar Bapat, Ann Atkins, Michael Downes, Ronald Evans, Chris Liddle, Ye Zheng, Ruth Yu and Sihao Liu<\/p>\n<p><a href=\"https:\/\/www.salk.edu\/wp-content\/uploads\/2015\/11\/Sagar-Bapat_Ann-Atkins_Michael-Downes_Ron-Evans_Chris-Liddle_Ye-Zheng_Ruth-Yu_Sihao-Liu_IMG_4199e.jpg\" target=\"_blank\" rel=\"noopener\">Click here for a high-resolution image.<\/a> <\/p>\n<p>Image: Courtesy of the Salk Institute for Biological Studies<\/figcaption><\/figure>\n<p>Traditionally, diabetes has been grouped into the rarer type 1 disease, which most often appears in childhood when the pancreas stops producing insulin; and type 2, which is characterized by the body\u2019s failure to respond to insulin and most often attributed to being overweight. Both forms of the disease lead to high blood sugar levels. A third type of diabetes results in symptoms mimicking Alzheimer\u2019s. But Evans\u2014after a thin, older family friend developed diabetes\u2014wondered why some people developed the disease later in life without weight gain.<\/p>\n<p>Evans, along with Zheng, an assistant professor in Salk\u2019s Nomis Foundation Laboratories for Immunobiology and Microbial Pathogenesis, and colleagues, set out to compare the immune systems of healthy mice, those with obesity-related diabetes and those with age-related diabetes. The mice with age-related disease, they found, had abnormally high levels of immune cells called T regulatory cells (Tregs) inside their fat tissue. Mice with obesity-related diabetes, on the other hand, had normal levels of Tregs within the tissue, despite having more fat tissue.<\/p>\n<figure  class=\"wp-caption alignright\"><img decoding=\"async\" class=\"img-responsive\" src=\"https:\/\/www.salk.edu\/wp-content\/uploads\/2015\/11\/tregs-diabetes.jpg\" alt=\"tregs-diabetes\" \/><figcaption class=\"wp-caption-text\">Salk researchers show that diabetes in elderly, lean animals is caused by an overabundance of immune cells in fat. In this graphic, fat tissue is shown with representations of the immune cells called Tregs (orange). In aged mice with diabetes (represented on the right), Tregs are overexpressed in fat tissue and trigger insulin resistance. When Tregs are blocked, the fat cells in mice become insulin sensitive again. <\/p>\n<p><a href=\"https:\/\/www.salk.edu\/wp-content\/uploads\/2015\/11\/Aging-fat.jpg\" target=\"_blank\" rel=\"noopener\">Click here for a high-resolution image.<\/a> <\/p>\n<p>Image: Courtesy of the Salk Institute for Biological Studies<\/figcaption><\/figure>\n<p>\u201cWe created a census of immune cells in the fat of these mice,\u201d says Sagar Bapat, a graduate student in the Evans and Zheng labs and first author of the new paper. \u201cSimply by counting cell types, we immediately saw that there were more Tregs in the older mice with diabetes than any other group.\u201d<\/p>\n<p>Normally, Bapat explains, Tregs help calm inflammation. Because fat tissue is constantly broken down and built back up as it stores and releases energy, it requires low levels of inflammation to constantly remodel itself. But as someone ages, the new research suggests, Tregs gradually accumulate within fat. And if the cells reach a tipping point where they completely block inflammation in fat tissue, they can cause fat deposits to build up inside unseen areas of the body, including the liver, leading to insulin resistance.<\/p>\n<p>\u201cIt was a little bit surprising since normally Tregs are supposed to be beneficial for the body,\u201d says Zheng.<\/p>\n<p>When the scientists blocked Treg cells from accumulating in the fat by targeting a molecule that the immune cells require, mice no longer developed type 4 diabetes in old age. However, if mice became obese, blocking the Tregs in fat did not prevent type 2 insulin resistance.<\/p>\n<p>\u201cIt turns out that for this type of diabetes, the treatment is not losing weight,\u201d says Evans. \u201cThe treatment is actually losing these cells, and we show that it\u2019s possible to do that.\u201d<\/p>\n<p>The researchers now want to find out exactly how Tregs interact with fat tissue and whether the immune cells accumulate in other organs during normal aging. They\u2019re also planning studies to see whether the results hold true in humans. \u201cWe\u2019re working with clinicians to get samples from older, lean people with diabetes to see if this cell type is also implicated in human disease,\u201d says Michael Downes, a senior staff scientist at Salk involved in the new study.<\/p>\n<p>Other researchers on the study were Jae Myoung Suh, Sungsoon Fang, Sihao Liu, Yang Zhang, Albert Cheng, Carmen Zhou, Yuqiong Liang, Mathias LeBlanc, Annette R. Atkins and Ruth T. Yu of the Salk Institute; and Christopher Liddle of the University of Sydney.<\/p>\n<p>The work and the researchers involved were supported by grants from the <a href=\"http:\/\/www.nih.gov\/\" target=\"_blank\" rel=\"noopener\">National Institutes of Health<\/a>, <a href=\"http:\/\/www.hhmi.org\/\" target=\"_blank\" rel=\"noopener\">Howard Hughes Medical Institute<\/a>, <a href=\"https:\/\/www.nhmrc.gov.au\/\" target=\"_blank\" rel=\"noopener\">National Health and Medical Research Council of Australia<\/a>, the <a href=\"http:\/\/glennfoundation.org\/\" target=\"_blank\" rel=\"noopener\">Glenn Foundation for Medical Research<\/a>, the <a href=\"http:\/\/Leona M. and Harry B. Helmsley Charitable Trust\" target=\"_blank\" rel=\"noopener\">Leona M. and Harry B. Helmsley Charitable Trust<\/a>, <a href=\"http:\/\/www.ipsen.com\/en\/\" target=\"_blank\" rel=\"noopener\">Ipsen\/Biomeasure<\/a>, <a href=\"https:\/\/www.cirm.ca.gov\/\" target=\"_blank\" rel=\"noopener\">California Institute for Regenerative Medicine<\/a>, <a href=\"http:\/\/www.ellisonfoundation.org\/\" target=\"_blank\" rel=\"noopener\">The Ellison Medical Foundation<\/a>, the Nomis Foundation, the <a href=\"http:\/\/www.ritaallenfoundation.org\/\" target=\"_blank\" rel=\"noopener\">Rita Allen Foundation<\/a>, the Emerald Foundation, the <a href=\"http:\/\/www.hearstfdn.org\/\" target=\"_blank\" rel=\"noopener\">Hearst Foundation<\/a>, the <a href=\"http:\/\/www.nationalmssociety.org\/\" target=\"_blank\" rel=\"noopener\">National Multiple Sclerosis Society<\/a>, and the James B. Pendleton Charitable Trust.<\/p>","protected":false},"featured_media":7918,"template":"","faculty":[91,56],"disease-research":[123],"class_list":["post-7924","disclosure","type-disclosure","status-publish","has-post-thumbnail","hentry","faculty-ronald-evans","faculty-ye-zheng","disease-research-metabolism-and-diabetes"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Blocking immune cell treats new type of age-related diabetes - Salk Institute for Biological Studies<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.salk.edu\/zh\/news-release\/blocking-immune-cell-treats-new-type-age-related-diabetes\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Blocking immune cell treats new type of age-related diabetes - Salk Institute for Biological Studies\" \/>\n<meta property=\"og:description\" content=\"LA JOLLA\u2014Diabetes\u00a0is often the result of obesity and poor diet choices, but for some older adults the disease might simply be a consequence of aging. 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