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Vol. 300, Issue 3, 876-881, March 2002
Inotek Corporation, Beverly, Massachusetts
Nicotine has been previously shown to have immunosuppressive
actions. Type I diabetes is an autoimmune disease resulting from the
specific destruction of the insulin-producing pancreatic
-cells. Thus, we hypothesized that nicotine may exert protective effects against type I diabetes. The multiple low-dose streptozotocin (MLDS)-induced model and spontaneous nonobese diabetic (NOD)
mouse model of type I diabetes were used to assess whether nicotine could prevent this autoimmune disease. Blood glucose levels, diabetes incidence, pancreas insulin content, and cytokine levels were measured
in both models of diabetes, both to asses the level of protection
exerted by nicotine and to further investigate its mechanism of action.
Nicotine treatment reduced the hyperglycemia and incidence of disease
in both the MLDS and NOD mouse models of diabetes. Nicotine also
protected against the diabetes-induced decrease in pancreatic insulin
content observed in both animal models. The pancreatic levels of the
Th1 cytokines interleukin (IL)-12, IL-1, tumor necrosis factor
(TNF)-
, and interferon (IFN)-
were increased in both MLDS-induced
and spontaneous NOD diabetes, an effect prevented by nicotine
treatment. Nicotine treatment increased the pancreatic levels of the
Th2 cytokines IL-4 and IL-10. Nicotine treatment reduces the incidence
of type I diabetes in two animal models by changing the profile of
pancreatic cytokine expression from Th1 to Th2.
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