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Increase of Neutrophil Extracellular Traps, Mitochondrial DNA and Nuclear DNA in Newly Diagnosed Type 1 Diabetes Children but Not in High-Risk Children
Linköping University, Department of Biomedical and Clinical Sciences, Division of Clinical Chemistry and Pharmacology. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-4770-8594
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-3328-5060
Linköping University, Department of Biomedical and Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart Center, Department of Cardiology in Linköping.ORCID iD: 0000-0002-7097-392X
Linköping University, Department of Biomedical and Clinical Sciences, Division of Children's and Women's Health. Linköping University, Faculty of Medicine and Health Sciences.
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2021 (English)In: Frontiers in Immunology, E-ISSN 1664-3224, Vol. 12, article id 628564Article in journal (Refereed) Published
Abstract [en]

Neutrophil extracellular traps (NETs) and mitochondrial DNA (mtDNA) are inflammatory mediators involved in the development of type 1 diabetes (T1D). Pancreas-infiltrating neutrophils can release NETs, contributing to the inflammatory process. Levels of NETs are increased in serum from patients with T1D and mtDNA is increased in adult T1D patients. Our aim was to investigate extracellular DNA (NETs, mtDNA and nuclear DNA) in children with newly diagnosed T1D and in children at high risk of the disease. We also elucidated if extracellular DNA short after diagnosis could predict loss of endogenous insulin production. Samples were analysed for mtDNA and nuclear DNA using droplet digital PCR and NETs were assessed by a NET-remnants ELISA. In addition, in vitro assays for induction and degradation of NETs, as well as analyses of neutrophil elastase, HLA genotypes, levels of c-peptide, IL-1beta, IFN and autoantibodies (GADA, IA-2A, IAA and ZnT8A) were performed. In serum from children 10 days after T1D onset there was an increase in NETs (p=0.007), mtDNA (p<0.001) and nuclear DNA (p<0.001) compared to healthy children. The elevated levels were found only in younger children. In addition, mtDNA increased in consecutive samples short after onset (p=0.017). However, levels of extracellular DNA short after onset did not reflect future loss of endogenous insulin production. T1D serum induced NETs in vitro and did not deviate in the ability to degrade NETs. HLA genotypes and autoantibodies, except for ZnT8A, were not associated with extracellular DNA in T1D children. Serum from children with high risk of T1D showed fluctuating levels of extracellular DNA, sometimes increased compared to healthy children. Therefore, extracellular DNA in serum from autoantibody positive high-risk children does not seem to be a suitable biomarker candidate for prediction of T1D. In conclusion, we found increased levels of extracellular DNA in children with newly diagnosed T1D, which might be explained by an ongoing systemic inflammation.

Place, publisher, year, edition, pages
Lausanne, Switzerland: Frontiers Media S.A., 2021. Vol. 12, article id 628564
Keywords [en]
Immunology, type 1 diabetes, neutrophil extracellular traps, extracellular DNA, high-risk children
National Category
Immunology
Identifiers
URN: urn:nbn:se:liu:diva-179938DOI: 10.3389/fimmu.2021.628564ISI: 000667657800001PubMedID: 34211456Scopus ID: 2-s2.0-8511029677OAI: oai:DiVA.org:liu-179938DiVA, id: diva2:1601211
Note

Funded by: Swedish Child Diabetes Foundation (Barndiabetesfonden), Ingrid Asps Foundation; Swedish Research Council, European Commission (K2005-72X-1124211A, K2008-69X-20826-01-4), JDRF Wallenberg Foundation (K 98-99D-12813-01A), Medical Research Council of Southeast Sweden (FORSS); Östgöta Brandstodsbolag

Available from: 2021-10-07 Created: 2021-10-07 Last updated: 2024-01-17

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Skoglund, CamillaAppelgren, DanielJohansson, IngelaCasas, RosauraLudvigsson, Johnny

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Skoglund, CamillaAppelgren, DanielJohansson, IngelaCasas, RosauraLudvigsson, Johnny
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Division of Clinical Chemistry and PharmacologyFaculty of Medicine and Health SciencesDivision of Diagnostics and Specialist MedicineDepartment of Biomedical and Clinical SciencesDepartment of Cardiology in LinköpingDivision of Children's and Women's HealthH.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus
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