Transcriptomics

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Immune Context Governs Stage-Specific Responses to Depleting Anti-PD-1 Antibody in Type 1 Diabetes


ABSTRACT: A depleting anti-PD-1 antibody (D-aPD-1) exhibits striking stage-dependent effects in a mouse model of T1D: delaying hyperglycemia onset in early insulitis (E-insulitis) but paradoxically accelerating disease in late insulitis (L-insulitis). Compared with E-insulitis, L-insulitis pancreatic islets show elevated immune cell infiltration, a pronounced Teff/Treg imbalance, and enrichment of proinflammatory macrophages—features that partially mirror human T1D pathology. Comprehensive analyses of the islet immune microenvironment identified macrophages as the primary mediators underlying these divergent therapeutic outcomes. Specifically, D-aPD-1 markedly enhances macrophage accumulation, FcgR expression, and the activation of IFN-a/g and TNF-a response pathways. The antibody further amplifies macrophage production of proinflammatory cytokines and chemokines. Among macrophage subsets, Mac-3 predominantly mediates these responses to D-aPD-1. Collectively, proinflammatory macrophages and their interactions with D-aPD-1 are critically determinants of therapeutic outcome.

ORGANISM(S): Mus musculus

PROVIDER: GSE328069 | GEO | 2026/09/23

REPOSITORIES: GEO

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