Combined treatment with lisofylline and exendin-4 reverses autoimmune diabetes

Z Yang, M Chen, JD Carter, CS Nunemaker… - Biochemical and …, 2006 - Elsevier
Z Yang, M Chen, JD Carter, CS Nunemaker, JC Garmey, SD Kimble, JL Nadler
Biochemical and Biophysical Research Communications, 2006Elsevier
Type 1 diabetes mellitus (T1DM) is an autoimmune disease leading to near complete
pancreatic β-cell destruction. New evidence suggests that β-cell regeneration is possible,
but ongoing autoimmune damage prevents restoration of β-cell mass. We tested the
hypothesis that simultaneously blocking autoimmune cytokine damage and supplying a
growth-promoting stimulus for β-cells would provide a novel approach to reverse T1DM.
Therefore, in this study we combined lisofylline to suppress autoimmunity and exendin-4 to …
Type 1 diabetes mellitus (T1DM) is an autoimmune disease leading to near complete pancreatic β-cell destruction. New evidence suggests that β-cell regeneration is possible, but ongoing autoimmune damage prevents restoration of β-cell mass. We tested the hypothesis that simultaneously blocking autoimmune cytokine damage and supplying a growth-promoting stimulus for β-cells would provide a novel approach to reverse T1DM. Therefore, in this study we combined lisofylline to suppress autoimmunity and exendin-4 to enhance β-cell proliferation for treating autoimmune-mediated diabetes in the non-obese diabetic (NOD) mouse model. We found that this combined therapy effectively reversed new-onset diabetes within a week of therapy, and even maintained euglycemia up to 145 days after treatment withdrawal. The therapeutic effect of this regimen was associated with improved β-cell metabolism and insulin secretion, while reducing β-cell apoptosis. It is possible that such combined therapy could become a new strategy to defeat T1DM in humans.
Elsevier