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(The FASEB Journal. 2006;20:1793-1801.)
© 2006 FASEB

Mechanistic insights into targeting T cell membrane proteinase to promote islet ß-cell rejuvenation in type 1 diabetes

Alexei Y. Savinov, Dmitri V. Rozanov and Alex Y. Strongin1

Burnham Institute for Medical Research, La Jolla, California, USA

1Correspondence: Burnham Institute for Medical Research, 10901 North Torrey Pines Rd., La Jolla, CA 92037, USA. E-mail: strongin{at}burnham.org

It has been well established that invasion-promoting membrane type-1 matrix metalloproteinase (MT1-MMP), a multifunctional membrane-tethered enzyme, functions in cancer cells as a mediator of pericellular proteolysis and directly cleaves several cell surface receptors, including CD44. In this report, we confirm that adhesion of diabetogenic T cells promotes the activation of endogenous MT1-MMP. Activated protease then cleaves CD44 in adherent T cells. We have validated that the T cell CD44 receptor is critical for the adhesion of diabetogenic insulin-specific, CD8-positive, Kd-restricted cells to the matrix as well as for the subsequent transmigration of the adherent T cells through the endothelium and homing of the transmigrated T cells into the pancreatic islets. We have determined that the inhibition of MT1-MMP by low dosages of AG3340 (a subnanomolar range hydroxamate inhibitor of MMPs that has been widely tested in cancer patients) inhibited both T cell MT1-MMP activity and MT1-MMP-dependent shedding of CD44, immobilized T cells on the endothelium, repressed the homing of diabetogenic T cells into the pancreatic islets, reduced insulitis and mononuclear cell infiltration, and promoted either the recovery or the rejuvenation of the functional insulin-producing ß cells in diabetic NOD mice with freshly developed type I diabetes (IDDM). We believe our data constitute a mechanistic and substantive rationale for clinical trials of selected MT1-MMP inhibitors in the therapy of IDDM in humans.—Savinov, A. Y., Rozanov, D. V., Strongin, A. Y. Mechanistic insights into targeting T cell membrane proteinase to promote islet ß-cell rejuvenation in type 1 diabetes.


Key Words: IDDM • monoclonal antibody • CD44 • MT1-MMP




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