Strategic Reduction of Hybrid Insulin Peptide Formation Significantly Delays Diabetes Onset in NOD Mice
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ABSTRACT: Hybrid insulin peptides (HIPs) form in pancreatic beta cells through the covalent cross-linking of proinsulin peptides with various beta cell peptides, creating unique amino acid sequences not encoded in the genome. HIPs have been confidently identified in both human and mouse islets by mass spectrometry and are targeted by autoreactive T cells in type 1 diabetes (T1D) patients and disease-triggering CD4 T cells in non-obese diabetic (NOD) mice. Previous work identified cathepsin D (CatD) as an enzyme involved in HIP formation through transpeptidation reactions targeting a conserved leucine residue (L26) in the C-peptide region of proinsulin. In this study, we generated NOD mice with a leucine-to-isoleucine substitution at this position in the insulin 2 gene (NOD INS2I/I) to prevent CatD-mediated HIP formation. Mass spectrometry analysis of islet peptidomes revealed that the L26I modification effectively blocked CatD-mediated cleavage at this site and significantly reduced the levels of disease-relevant HIPs, including HIP11 and 6.9HIP. These findings were validated through T cell assays showing reduced antigenicity of islets from modified mice when exposed to HIP-reactive T cell clones. The functional consequences of reduced HIP formation were demonstrated in a year-long monitoring study, where NOD INS2I/I mice exhibited significantly delayed disease onset compared to wild-type NOD mice, with 43% versus 10% remaining disease-free after one year. In vitro experiments with human C-peptide further confirmed that the L26I substitution prevents CatD-mediated HIP formation in human samples as well. Our results establish CatD as the primary enzymatic driver of disease-relevant HIP formation and demonstrate that preventing CatD-mediated processing of proinsulin 2 C-peptide in NOD mice significantly reduces HIP formation and delays autoimmune diabetes progression, identifying a potential therapeutic target for T1D prevention.
INSTRUMENT(S):
ORGANISM(S): Homo Sapiens (human) Mus Musculus (mouse)
TISSUE(S): Pancreatic Islet
DISEASE(S): Type 1 Diabetes Mellitus
SUBMITTER:
Jason Groegler
LAB HEAD: Thomas Delong
PROVIDER: PXD063329 | Pride | 2025-12-22
REPOSITORIES: Pride
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