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Publication : Controlling autoimmune diabetes onset by targeting Protease-Activated Receptor 2.

First Author  Reches G Year  2024
Journal  Biomed Pharmacother Volume  175
Pages  116622 PubMed ID  38653114
Mgi Jnum  J:349800 Mgi Id  MGI:7658584
Doi  10.1016/j.biopha.2024.116622 Citation  Reches G, et al. (2024) Controlling autoimmune diabetes onset by targeting Protease-Activated Receptor 2. Biomed Pharmacother 175:116622
abstractText  BACKGROUND: Type 1 diabetes (T1D) is a challenging autoimmune disease, characterized by an immune system assault on insulin-producing beta-cells. As insulin facilitates glucose absorption into cells and tissues, beta-cell deficiency leads to elevated blood glucose levels on one hand and target-tissues starvation on the other. Despite efforts to halt beta-cell destruction and stimulate recovery, success has been limited. Our recent investigations identified Protease-Activated Receptor 2 (Par2) as a promising target in the battle against autoimmunity. We discovered that Par2 activation's effects depend on its initial activation site: exacerbating the disease within the immune system but fostering regeneration in affected tissue. METHODS: We utilized tissue-specific Par2 knockout mice strains with targeted Par2 mutations in beta-cells, lymphocytes, and the eye retina (as a control) in the NOD autoimmune diabetes model, examining T1D onset and beta-cell survival. RESULTS: We discovered that Par2 expression within the immune system accelerates autoimmune processes, while its presence in beta-cells offers protection against beta-cell destruction and T1D onset. This suggests a dual-strategy treatment for T1D: inhibiting Par2 in the immune system while activating it in beta-cells, offering a promising strategy for T1D. CONCLUSIONS: This study highlights Par2's potential as a drug target for autoimmune diseases, particularly T1D. Our results pave the way for precision medicine approaches in treating autoimmune conditions through targeted Par2 modulation.
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