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      Endangered Lymphocytes: The Effects of Alloxan and Streptozotocin on Immune Cells in Type 1 Induced Diabetes

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          Abstract

          Alloxan (ALX) and streptozotocin (STZ) are extensively used to induce type 1 diabetes (T1D) in animal models. This study is aimed at evaluating the differences in immune parameters caused by ALX and STZ. T1D was induced either with ALX or with STZ, and the animals were followed for up to 180 days. Both ALX and STZ induced a decrease in the total number of circulating leukocytes and lymphocytes, with an increase in granulocytes when compared to control mice (CT). STZ-treated mice also exhibited an increase in neutrophils and a reduction in the lymphocyte percentage in the bone marrow. In addition, while the STZ-treated group showed a decrease in total CD3 +, CD4 CD8 +, and CD4 +CD8 + T lymphocytes in the thymus and CD19 + B lymphocytes in the pancreas and spleen, the ALX group showed an increase in CD4 CD8 + and CD19 + only in the thymus. Basal levels of splenic interleukin- (IL-) 1 β and pancreatic IL-6 in the STZ group were decreased. Both diabetic groups showed atrophy of the thymic medulla and degeneration of pancreatic islets of Langerhans composed of inflammatory infiltration and hyperemia with vasodilation. ALX-treated mice showed a decrease in reticuloendothelial cells, enhanced lymphocyte/thymocyte cell death, and increased number of Hassall's corpuscles. Reduced in vitro activation of splenic lymphocytes was found in the STZ-treated group. Furthermore, mice immunized with ovalbumin (OVA) showed a more intense antigen-specific paw edema response in the STZ-treated group, while production of anti-OVA IgG1 antibodies was similar in both groups. Thereby, important changes in immune cell parameters in vivo and in vitro were found at an early stage of T1D in the STZ-treated group, whereas alterations in the ALX-treated group were mostly found in the chronic phase of T1D, including increased mortality rates. These findings suggest that the effects of ALX and STZ influenced, at different times, lymphoid organs and their cell populations.

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          IL-6 as a keystone cytokine in health and disease.

          Interleukin 6 (IL-6) has a broad effect on cells of the immune system and those not of the immune system and often displays hormone-like characteristics that affect homeostatic processes. IL-6 has context-dependent pro- and anti-inflammatory properties and is now regarded as a prominent target for clinical intervention. However, the signaling cassette that controls the activity of IL-6 is complicated, and distinct intervention strategies can inhibit this pathway. Clinical experience with antagonists of IL-6 has raised new questions about how and when to block this cytokine to improve disease outcome and patient wellbeing. Here we discuss the effect of IL-6 on innate and adaptive immunity and the possible advantages of various antagonists of IL-6 and consider how the immunobiology of IL-6 may inform clinical decisions.
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            COVID-19 and Diabetes: Knowledge in Progress

            Highlights • Diabetes mellitus has been associated with severity and death in patients with COVID-19. • Chronic inflammation, increased coagulation activity, immune response impairment, and potential direct pancreatic damage by SARS-CoV-2 might be among the underlying pathophysiological mechanisms contributing to the increased morbidity and mortality of COVID-19 in people with diabetes. • Clinical evidence does not support the discontinuation of angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers in people with diabetes and COVID-19. • Caution should be taken to avoid potential hypoglycemic events related to the use of chloroquine in people with diabetes and COVID-19. • Glucose levels should be monitored rigorously, and dose adjustments of anti-diabetic drugs may be necessary. • Patient tailored therapeutic strategies, multidisciplinary team approaches and lower thresholds for hospitalization of patients with diabetes and COVID-19 may impact positively on their outcomes.
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              A new rapid and simple non-radioactive assay to monitor and determine the proliferation of lymphocytes: an alternative to [3H]thymidine incorporation assay.

              A one-step non-radioactive assay to determine the proliferation of murine lymphocytes, lymphoid tumor cells and hybridoma cells is described. This assay requires the addition of Alamar Blue dye to cell cultures and the degree of change in its color, which is reflective of the extent of cellular proliferation, can be determined by an ELISA plate reader. Alamar Blue must be added during the initial phase of cell culture. The pattern of concanavalin A (ConA) or anti-CD3 antibody-induced proliferative response of murine lymphocytes as assessed by Alamar Blue was similar to that of a [3H]thymidine assay. Similarly, the spontaneous proliferation curve of anti-CD3 antibody secreting cell line (YCD3-1), monocytic macrophage cell lines (PU5-1.8, P388D1, J774.1) and myeloma cells (Sp2/0) as determined by Alamar Blue closely resembled that of the [3H]thymidine assay. The minimum detectable number of proliferating cells was comparable in Alamar Blue and [3H]thymidine assays. Since cell lysis/extraction and washing procedures are not involved in the Alamar Blue assay, this approach has several distinct advantages over currently available assays (eg. [3H]thymidine). First, it allows daily monitoring of proliferation without compromising the sterility of cultures. An indication of proliferation can be evaluated (spectrophotometrically or visually) as early as 24 h after ConA stimulation. Second, unlike previously reported assays, Alamar Blue permits further analysis of proliferating cells by other methods. Analysis of cells in culture with Alamar Blue for various surface antigens (CD44, CD45RB, CD4, heat stable antigen) by flow cytometry revealed that the fluorescent profile and relative percentage of cells in cultures with the Alamar Blue were comparable to those without this reagent. The salient advantages of Alamar Blue assay over the [3H]thymidine assay include: (i) non-radioactivity; (ii) simplicity; (iii) less costly; (iv) non-labor intensive; (v) rapidity of assessment of proliferation of large number of samples; (vi) non-toxicity; (vii) usefulness in determining the kinetics of cell growth of hybridomas; and (viii) non-interference of secretion of antibodies by a hybridoma cell line.
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                Author and article information

                Contributors
                Journal
                Mediators Inflamm
                Mediators Inflamm
                mi
                Mediators of Inflammation
                Hindawi
                0962-9351
                1466-1861
                2021
                19 October 2021
                : 2021
                : 9940009
                Affiliations
                1Laboratory of Immunoendocrinology, School of Pharmaceutical Sciences, Department of Clinical and Toxicological Analyses, University of São Paulo, São Paulo, SP, Brazil
                2Laboratory of Experimental Immunology, Institute of Biomedical Sciences, Department of Immunology, University of São Paulo, São Paulo, SP, Brazil
                3Institute of Tropical Pathology and Public Health, Department of Microbiology, Immunology, Parasitology and Pathology, Federal University of Goiás, Goiânia, GO, Brazil
                4Experimental Physiopathology, Department of Sciences/Experimental Physiopathology, Medical School, University of São Paulo, São Paulo, SP, Brazil
                Author notes

                Academic Editor: Shushan Yan

                Author information
                https://orcid.org/0000-0003-3560-3963
                https://orcid.org/0000-0001-6549-912X
                https://orcid.org/0000-0003-3818-6990
                https://orcid.org/0000-0001-8861-635X
                https://orcid.org/0000-0001-6264-8695
                https://orcid.org/0000-0003-2513-0840
                https://orcid.org/0000-0002-1859-4973
                https://orcid.org/0000-0003-2630-7038
                Article
                10.1155/2021/9940009
                8548114
                60f870fb-deb2-4e03-a8e4-3b3c813a79c1
                Copyright © 2021 Luiz A. D. Queiroz et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 3 June 2021
                : 6 September 2021
                : 16 September 2021
                Funding
                Funded by: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
                Award ID: 001
                Funded by: Universidade de São Paulo
                Award ID: 12.1.17661.1.7
                Funded by: Conselho Nacional de Desenvolvimento Científico e Tecnológico
                Award ID: 311204/2018-0
                Award ID: 465678/2014-9
                Award ID: 310993/2020-2
                Award ID: 163410/2018-6
                Award ID: 301617/2016-3
                Funded by: Fundação de Amparo à Pesquisa do Estado de São Paulo
                Award ID: 2020/03175-0
                Award ID: 2017/11540-7
                Categories
                Research Article

                Immunology
                Immunology

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