Abstract
Objective
The expression of the interleukin-1 receptor type I (IL-1R) is enriched in pancreatic islet β-cells, signifying that ligands activating this pathway are important for the health and function of the insulin-secreting cell. Using isolated mouse, rat, and human islets, we identified the cytokine IL-1α as a highly inducible gene in response to IL-1R activation. In addition, IL-1α is elevated in mouse and rat models of obesity and Type 2 diabetes. Since less is known about the biology of IL-1α relative to IL-1β in pancreatic tissue, our objective was to investigate the contribution of IL-1α to pancreatic β-cell function and overall glucose homeostasis in vivo.
Methods
We generated a novel mouse line with conditional IL-1α alleles and subsequently produced mice with either pancreatic- or myeloid lineage-specific deletion of IL-1α.
Results
Using this in vivo approach, we discovered that pancreatic (IL-1αPdx1−/−), but not myeloid-cell, expression of IL-1α (IL-1αLysM−/−) was required for the maintenance of whole body glucose homeostasis in both male and female mice. Moreover, pancreatic deletion of IL-1α led to impaired glucose tolerance with no change in insulin sensitivity. This observation was consistent with our finding that glucose-stimulated insulin secretion was reduced in islets isolated from IL-1αPdx1−/− mice. Alternatively, IL-1αLysM−/− mice (male and female) did not have any detectable changes in glucose tolerance, respiratory quotient, physical activity, or food intake when compared with littermate controls.
Conclusions
Taken together, we conclude that there is an important physiological role for pancreatic IL-1α to promote glucose homeostasis by supporting glucose-stimulated insulin secretion and islet β-cell mass in vivo.
Keywords: Cytokines, Cytokine receptors, Inflammation, Pancreatic islet, Rodent
Highlights
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Pancreatic IL-1α is required for normal glucose tolerance in male and female mice.
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Pancreatic IL-1α supports islet beta-cell growth and function.
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Myeloid lineage-derived IL-1α does not contribute to changes in glucose tolerance.
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Neither pancreatic nor myeloid lineage-derived IL-1α contributes to insulin sensitivity.
1. Introduction
The cytokines interleukin-1 alpha (IL-1α) and interleukin-1 beta (IL-1β) were first discovered as signals that produce fever [1]; they are now known to be distinct proteins involved in a variety of cellular processes, including inflammation [2,3]. IL-1α and IL-1β both bind to the Type I interleukin-1 receptor (IL-1R) to alter biological activity [4]. Ligand-bound IL-1R connects these extracellular cytokine signals with intracellular activation of nuclear factor kappa B (NF-κB) and other key signaling pathways [[5], [6], [7]]. IL-1α is often produced in many cell types as part of the healthy tissue milieu [8,9], while IL-1β expression is primarily inducible in cells of the myeloid and lymphoid lineages [10,11]. In addition to regulatory control at the transcriptional level, each cytokine is synthesized in a precursor form and subsequently processed by distinct enzymatic complexes to achieve the mature form. In the case of IL-1α, calpain cleavage converts pro-IL-1α into mature IL-1α [12], while IL-1β is processed by the NLRP3 inflammasome complex [13].
Pancreatic β-cells in culture respond to both IL-1α and IL-1β through the aforementioned IL-1R [[14], [15], [16], [17], [18], [19], [20], [21], [22]]. However, IL-1β has been studied in much greater detail in islet biology compared with IL-1α. The outcome of exposing β-cells in culture to either IL-1α or IL-1β appears similar but varies by duration of stimulus. The acute outcome is to promote insulin release [14,22], while prolonged exposure (e.g., >6 h) leads to reductions in insulin secretion [16,23]. In addition, macrophage-derived IL-1β is also important for insulin secretion in response to physiological signals in vivo [24]. Likewise, pancreatic IL-1R is a major sensor controlling islet β-cell adaptive responses to aging and obesity in vivo [25]. Thus, physiological and pathophysiologic responses are both possible depending on the period of exposure and context of the IL-1R activating stimulus. However, to our knowledge, the tissue-specific role of IL-1α to impact endocrine pancreas function in vivo has not been investigated.
Therefore, we pursued in depth analyses of the biology of IL-1α using targeted deletion of this cytokine in cells of the myeloid lineage and from pancreatic tissue. Several key observations emerged from this approach: 1) IL-1α gene expression is robustly induced by IL-1β in mouse, rat, and human islets as well as rat β-cell lines. 2) IL-1α expression is greater in Zucker Diabetic Fatty (ZDF) rats and db/db mice, commonly used rodent models of obesity and Type 2 diabetes, than in lean controls. 3) Tissue-specific loss of function approaches reveal that pancreatic IL-1α is required to maintain glucose homeostasis in vivo, while deletion of IL-1α from cells of the myeloid lineage does not contribute to glucose tolerance, energy expenditure, or physical activity. Taken together, our results reveal a physiological role for pancreatic IL-1α to support healthy islet function and whole body glucose homeostasis.
2. Materials and methods
2.1. Cell culture, islet isolation, and reagents
IL-1β was purchased from Peprotech (Rocky Hill, NJ). Lipopolysaccharides (LPS) were from InvivoGen (San Diego, CA). Culture of the 832/13 and INS-1E rat insulinoma cell lines has been described previously [26]. Raw 264.7 cells were from ATCC (Manassas, VA). All cell lines were confirmed to be free of mycoplasma contamination. Seven-week-old male db/+ and db/db mice (B6.BKS(D)-Leprdb/J mice; Stock # 000697) were purchased from the Jackson Laboratory (Bar Harbor, ME). Mice with a targeted deletion of IL-1R in pancreatic tissue (IL-1RPdx1−/−) were described previously (25). Islets were isolated from female IL-1RPdx1−/− and littermate control mice (IL-1Rfl/fl) between 8 and 10 months of age. Our procedure for isolation of mouse islets was described in detail [27]. Human islets were obtained from Lonza (Clonetics™) on 3 separate occasions. Each shipment was from a separate donor and subsequently handpicked into duplicates for each biological replicate used for cytokine treatment. The known donor data are reported in Supplementary Table 1. Seven-week-old male Wistar (Strain #003), fa/+ and fa/fa rats (ZDF-Leprfa/Crl; Stock #370 and 380, respectively) were purchased from Charles River (Wilmington, MA). All animals were allowed to acclimate for a minimum of 1 week with ad libitum access to food and water prior to isolation of pancreatic islets. Our procedure for rat islet isolation is as follows: an enzyme collagenase solution (13 mL) was prepared per rat containing 1X HBSS, 4 mM of sodium bicarbonate (7.5% solution added at 4.7 mL/L), 250 μL of cold 1M HEPES buffer (Gibco, Grand Island, NY), 12 μL of DNase 1 (100 mg/mL) (Roche, Indianapolis, IN), and 1 mL Liberase TL (2.5 mg/mL) (Roche). The enzyme solution (4 mL) for each rat was drawn up into a 5-mL syringe and kept on ice. Rats were euthanized via CO2 asphyxiation followed by a cervical dislocation. The fur was wetted with 70% ethanol, and a V-shaped incision was made to expose the peritoneal cavity. The pancreas was perfused after cannulation of the common bile duct with a 27-g blunt needle held in place with a ligature and the ampulla of Vater clamped with hemostats, followed by slow infusion of the enzyme solution. After perfusion, the pancreas was excised and placed in a 50-mL Falcon tube containing roughly 9 mL of the enzyme solution. The pancreas was periodically shaken while incubating for 30 min in a 37 °C water bath. After 30 min, the pancreas was shaken vigorously for 10 s before digestion was stopped with 40 mL of quenching buffer (1X HBSS, 4 mM of sodium bicarbonate, 27.5 mL of fetal bovine serum (FBS), and 50 μL of DNase at 100 mg/mL). This mixture was plunged several times through a 14-g blunt-tipped needle to further homogenize the tissue. The homogenate was passed through a 400-μm screen (Bellco, Vineland, NJ) into a new Falcon tube to filter out large pieces of undigested exocrine tissue. The tube was centrifuged at 252 g at 4 °C for 3 min, after which the supernatant was discarded. The pellet was suspended in a separate Falcon tube with 7 mL of a Polysucrose 400 (MP Biomedical, Pittsburgh, PA) solution at 1.109 g/mL. A gradient was then produced by carefully layering 7 mL of 1.096 g/mL on top, followed by 1.070 g/mL and 0.570 g/mL. This solution was centrifuged at 920 g for 20 min at 4 °C. The islets were located at the interface between the 1.070 g/mL and 0.570 g/mL layers, and a bulb pipette was used to extract the islets from the layer and into a new tube containing 40 mL of quenching buffer. The islets were washed in quenching buffer by centrifuging at 250 g for 3 min. The supernatant was discarded, and the wash step was repeated. The resulting pellet was suspended in 10 mL of 1640 RPMI media supplemented with 10% fetal bovine serum (FBS), penicillin (10,000 units/mL), streptomycin (10,000 μg/mL), amphotericin B (250 mg/mL), and glucose (11 mM) and subsequently plated. Islets were imaged using an Olympus CK40 inverted microscope for hand-picking. Islets were incubated at 37 °C and 5% CO2 for 24 h and further handpicked into a clean plate after incubation for downstream applications.
2.1.1. Generation of mice with conditional interleukin 1-alpha alleles
The knock-out first (aka 'targeted trap'), reporter-tagged targeting vector was purchased from EUCOMM (ID# 371319), consisting of 4.5 kb of 5'arm and 3.6 kb of 3'arm for homologous recombination. For gene targeting, 50 μg of linearized targeting vector was electroporated into B6 ES cells. Correct homologous recombination in targeted clones was confirmed by Fidelity PCR (polymerase chain reaction) at the 5′-end and 3′-end. The fragments produced from Fidelity PCR with these primers were sequenced to further verify the correctness of recombination. Three different colonies of targeted ES cells were injected into Albino-B6 blastocysts, and germline transmitting chimeric mice were obtained and then mated with Albino-B6 mice to generate heterozygous offspring on a B6 background. The mice used in this study were all on a mixed B6J; B6N genetic background.
2.1.2. Generation and use of mice with pancreas and myeloid-targeted deletion of IL-1α
Mice with pancreas- and myeloid-specific deletions of IL-1α were generated by crossing IL-1α floxed mice with Pdx1-cre (Stock # 014647; The Jackson Laboratory, Bar Harbor, Maine) or LysM-cre mice (Stock #004781), respectively. Mice were group-housed with a 12-hour light/12-hour dark cycle in a temperature- (22 ± 2 °C) controlled room with ad libitum access to Rodent Diet 5015 (LabDiet, St. Louis, MO) and water. At least four separate cohorts of mice were bred to complete this study (both Pdx1-cre and LysM-cre), and both male and female mice were used. In addition, only one copy of the cre allele (hemizygous) was used to generate mice with gene deletions. The number of animals for each individual experiment is stated in the relevant figure legend. Measurements of body composition were assessed by NMR using a Bruker Minispec LF110 Time-Domain NMR system. For measurements of energy expenditure, respiratory quotient, activity, sleep, and caloric intake, a separate cohort of 3-month-old mice were monitored using metabolic cages (TSE Systems or Sable Systems Promethion). Briefly, these animals were single-housed and allowed to acclimate to training cages for 1 week before the start of metabolic measurements [28]. Upon completion of each study group, animals were fasted for 4 h, followed by CO2 asphyxiation, and euthanization by decapitation. Trunk blood was collected for serum fraction extraction. Liver and fat depots were snap frozen in liquid nitrogen, and pancreata were fixed in 10% neutral-buffered formalin. All animal procedures described herein were approved by the respective Pennington Biomedical Research Center, Duke University, or University of Tennessee Medical Center Institutional Care and Use Committees.
2.1.3. Glucose and insulin tolerance tests (GTT and ITT), ex vivo GSIS, indirect calorimetry, and serum insulin measurements
ITT and GTTs were performed in male and female IL-1αPdx1−/− and IL-1αLysM−/− mice following a 2- and 4-h fast, respectively. Procedures were performed as described previously [28,29]. Briefly, Humulin R insulin (Lilly, Indianapolis, IN) was administered at 0.75 U/kg body weight via intraperitoneal (i.p.) injection following a 2-h fast. Blood samples were taken from the tail vein immediately before the injection, as well as at the times indicated after injection. Blood glucose was measured with an ACCU-CHEK Aviva PLUS Glucometer (Roche Diagnostics, Indianapolis, IN). Blood glucose levels were plotted against time, and the area under the curve was calculated. GTTs were conducted after a 4-h fast by i.p. injection of 2.5 g of glucose/kg body weight. Perifusion analyses of insulin secretion using isolated islets of similar size from 4-month-old male IL-1αfl/fl and IL-1αPdx1−/− mice were performed by the Islet Procurement and Analysis Core at Vanderbilt University as previously described [25,30]. For measurements of energy expenditure (EE), activity, and sleep time, mice were acclimated to the training cages for 1 week. In the metabolic cage, corn cob bedding was included, and there was an intake manifold (a small metal tube that runs along the perimeter of the cage to pull air). The training cage was exactly the same (bedding, dimensions, etc.) as the testing cage, minus the manifold on the perimeter of the cage. Mice were single-housed in the training cages and also in the metabolic cages during measurements. All animals were allowed free access to water and food during metabolic cage measurements. Serum insulin was measured using the Mouse Insulin ELISA kit from Mercodia (Uppsala, Sweden) according to the manufacturer's instruction.
2.1.4. RNA extraction, cDNA synthesis, real-time reverse transcription PCR (RT-PCR), and immunoblotting
832/13, INS-1E, and Raw 264.7 cells were cultured and treated in 12-well plates. Total RNA was extracted from cell lines using TRI Reagent (Sigma, St Louis, MO). Total RNA was extracted from isolated islets and eWAT tissue using the RNeasy Mini RNA kit (Qiagen) and from liver tissue using the Quick-RNA Miniprep kit (Zymo Research, Irvine, CA). Our methods and reagents for cDNA synthesis, primer design, and transcript analysis have been described in detail previously [31]. Transcript levels were normalized to the housekeeping gene Rs9. For detection of proteins by immunochemical analyses, islets isolated from IL-1αfl/fl and IL-1αPdx1−/− mice (300 islets per genotype were pooled from 3 mice). The islets were treated with 10 ng/mL of IL-1β for 4 h and then lysed in 300 μL M-PER lysis reagent (Thermo Fisher Scientific) supplemented with Halt Protease and Phosphatase Inhibitor Cocktail (Thermo Fisher Scientific). Protein was quantified using a BCA assay. Denaturation of samples and immunoblotting conditions have been described [29]. Densitometry was performed using Image Lab software (Bio-Rad) to calculate the % change between genotypes. Antibodies were from Abcam (IL-1α Cat # ab7632) and Cell Signaling technology (β-Actin Cat # 8457).
2.1.5. Bone marrow-derived macrophages, peritoneal exudate cell (PECs) isolation, flow cytometry, and IL-1α enzyme-linked immunosorbent assay (ELISA)
Mice were intraperitoneally injected with 3% Brewer's thioglycollate. Four days after injection, all mice were euthanized, and peritoneal exudate was harvested. Ammonium-chloride-potassium (ACK) lysis buffer was used to remove erythrocytes from extracted peritoneal exudate. Live cells were identified using the ThermoFisher Near IR LIVE/DEAD stain. We used this live single-cell population in subsequent analyses. For flow cytometry, single-cell suspensions of PECs were stained with fluorochrome-conjugated antibodies against CD11b (M1/70), F4/80 (BM8), or Ly6G (1A8), CD3 (17A2), B220 (RA3-6b2) (Biolegend). Single cells were gated based on SSC-W/SSC-A and FSC-W/FSC-A and used for subsequent analysis. Data were acquired on a BD LSR II flow cytometer (BD Biosciences) and analyzed using FlowJo Software, version 10.1. Peritoneal exudate cells (PECs) were plated onto non-tissue culture-treated plates for 3 h to allow the adherence of macrophages. After washing off non-adherent cells, PEC macrophages were exposed to LPS at a concentration of 10 μg/mL for 3 h. The culture medium was removed and cells resuspended in RLT (Qiagen) for downstream RNA extraction and analysis, combining 3 wells for approximately 3 × 106 macrophages per replicate. Additionally, bone marrow was harvested from the femurs of 3 mice per strain. Bone marrow-derived macrophages (BMDMs) were differentiated in 10 ng/mL of M-CSF (Peprotech) with media replaced every 3 days. At day 9, macrophages were stimulated with LPS from E. coli O111:B4 (LPS-EB; Invivogen) at 10 μg/mL for 3 h and resuspended in either RLT for downstream RNA extraction and analysis, or radioimmunoprecipitation assay (RIPA) buffer with protease inhibitors for protein analysis, i.e., ELISA confirmation of genetic reduction using a mouse IL-1α Quantikine ELISA kit from R&D Systems, Inc. (Cat # MLA00).
2.1.6. Pancreas histology and immunohistochemistry
After fixation in 10% neutral buffered formalin (NBF) for 24–48 h, the pancreatic tissue was embedded in paraffin. Five-microgram sections were cut onto positively charged slides for immunohistochemical (IHC) analyses. Detection of insulin was performed on a Leica Bond-Max (Leica Biosystems, Melbourne, Australia) using the Bond Polymer Refine detection kit. Primary antibodies used were guinea pig anti-insulin (1:800, #18–0067, Invitrogen, Grand Island, NY) and cre recombinanse (CST# 15036) followed by 30 min with horseradish peroxidase (HRP)-conjugated rabbit anti-guinea pig (1:800, A5545, Sigma, Saint Louis, MO). Stained sections were imaged using a Hamamatsu NanoZoomer digital slide scanner at 20x resolution. For determination of insulin-positive area, insulin-positive islets were detected using insulin staining from FFPE pancreatic tissue. Multiple sections were typically cut from each mouse for downstream IHC applications. These sections were analyzed and quantified using a custom application that detects insulin positive area for each islet present within a section using the Visiopharm VIS software version 5.0.5. The total number of islets counted was 1,600–2,000 across knockouts and littermate controls. For measurements of beta-cell mass, the ratio of insulin positive area to pancreatic area was multiplied by the pancreas wet weight. Measurements of the major and minor axis were conducted using a custom Visiopharm application that was developed to fit an ellipse to each identified islet and report the measured axis lengths.
2.1.7. Statistical analysis
Statistical analysis was performed using GraphPad Prism 6.07 (GraphPad Software, La Jolla, CA). Data were analyzed by two-tailed Student's t-test, one-way analysis of variance (ANOVA) using a Tukey's post hoc, or repeated-measures ANOVA (for longitudinal measures of body weight and body composition). Data are represented as means ± SEM.
3. Results
3.1. Il1a gene expression is increased in pancreatic islets from obese rodents and in response to pro-inflammatory signals
The presence of IL-1β within islets of obese rats and mice has been established [16,25,32]. In addition, the requirement for IL-1R to support insulin secretion and islet β-cell mass expansion in vivo highlighted the importance of this pathway during obesity and aging [25]. Thus, we screened islets isolated from well-established rat and mouse models of obesity for the expression of IL-1α, the other ligand responsible for activating IL-1R. Using islets isolated from 8-week-old male ZDF rats (fa/fa) and male db/db mice, we determined that expression of the Il1a gene is elevated 7.3, and 2.6-fold, respectively, when compared to age-matched heterozygous lean controls (fa/+; Figure 1A and db/+; Figure 1B). Next, we established that expression of the Il1a gene is induced 3.8-fold upon exposure of islets from female IL-1Rfl/fl mice to the pro-inflammatory cytokine IL-1β. Τhis response is completely abrogated in mice with a pancreas-specific deletion of the IL-1R (Figure 1C). Because of the ability of IL-1β to enhance the expression of IL-1α, we conducted a time course analysis using rat insulinoma cells, which revealed that the Il1a gene was induced within one hour after exposure to IL-1β, reaching maximal expression levels between 2 and 4 h, and gradually diminishing back to baseline by 12 h post-treatment (832/13 cells; Figure 1D). Similar results were obtained using the rat INS-1E β-cell line (Figure 1E). Furthermore, expression of the Il1a gene was induced 42.9- and 234.7-fold in response to IL-1β in islets isolated from rats (Figure 1F) and humans (Figure 1G), respectively. Taken together, Il1a expression was enriched in islets from obese mice and rats as well as inducible in culture models in response to IL-1β.
3.2. Deletion of IL-1α in pancreatic tissue impaired whole body glucose tolerance in male mice
Given the striking increase in Il1a gene expression in isolated islets of obese animals (Figure 1A,B), as well as in response to pro-inflammatory stimuli (Figure 1C–G), we tested the hypothesis that IL-1α within pancreatic tissue regulates islet β-cell function and mass. This required the generation of a mouse with conditional alleles (IL-1αfl/fl), which we then crossed with mice expressing cre recombinase under the control of the Pdx1 promoter to generate a pancreas targeted deletion (IL-1αPdx1−/−). Expression of the Il1a gene is consequently decreased by 79.5% in islets isolated from IL-1αPdx1−/− mice relative to controls (Figure 2A); the cycle threshold values for cre expression averaged 39.7 in mice that genotyped homozygous floxed and cre-negative versus a value of 26.6 in mice homozygous for the floxed allele and hemizygous for cre (Figure 2B). This is consistent with staining for cre protein in the nucleus of pancreatic islet cells (Supplementary Fig. 1A). Reduced expression of the Il1a gene in IL-1αPdx1−/− mice was effectively targeted to islets and no significant decrease in gene expression was observed in either liver or the epididymal white adipose tissue (eWAT; data not shown). Basal levels of IL-1α protein were barely detectable in islets isolated from IL-1αfl/fl and IL-1αPdx1−/− mice (not shown). However, upon treatment with the pro-inflammatory cytokine IL-1β, abundance of the IL-1α protein was readily detectable in control mice and decreased by 51% in islets isolated from IL-1αPdx1−/− mice relative to control mice (Figure 2C). Residual IL-1α protein detected in IL-1αPdx1−/− mice via immunoblot is likely due to the presence of cells that do not express Pdx-1 (e.g., macrophages, fibroblasts, etc.).
Total body mass was not different between groups as male mice aged (Figure 2D). In addition, body mass and blood glucose levels were similar between non-floxed cre-negative and non-floxed cre-positive mice (Supplementary Figs. 1B and 1C). Furthermore, no observable differences were present in whole-body fat (Figure 2E) or fluid (Figure 2G) mass in IL-1αPdx1−/− animals relative to control mice; however, a decrease in lean mass was observed in older IL-1αPdx1−/− mice beginning at 8 months of age (Figure 2F). There was no significant change in insulin sensitivity in 2-month-old male mice (Figure 2J) between IL-1αPdx1−/− mice and littermate controls. In addition, glucose tolerance (Supplementary Figs. 1D and 1E), serum insulin (Supplementary Fig. 1F), and insulin positive area (Supplementary Fig. 1G) are similar between non-floxed cre-negative and non-floxed cre-positive mice. Deletion of IL-1α in pancreatic tissue does not impact whole body glucose homeostasis in 4-month-old male mice (Figure 2H,I); however, by 8 months of age, fasting glucose levels are significantly elevated in IL-1αPdx1−/− mice compared to controls, and glucose intolerance is evident in the older cohort (Figure 2K,L).
3.3. Deletion of IL-1α in pancreatic tissue reduced whole body glucose tolerance in female mice
In female mice, body composition changes occur between groups in an age-related manner with significant elevations in body mass (Figure 3A), fat mass (Figure 3B), lean mass (Figure 3C), and fluid mass (Figure 3D) occurring in IL-1αPdx1−/− mice compared to control mice between 5 and 8 months of age. Although insulin sensitivity is unchanged between groups (Figure 3E), there is a modest glucose intolerance in IL-1αPdx1−/− mice by 4 months of age (Figure 3F,G) that is exacerbated at 8 months of age (Figure 3H,I). Although no insulin resistance is detected using an ITT, serum insulin concentrations are significantly higher in 9 month old IL-1αPdx1−/− female mice (Figure 3J). Insulin positive area is reduced compared to controls (Figure 3K), although there is no significant difference in islet fraction between the genotypes (Figure 3L). Furthermore, no difference was seen in the major or minor axis length of islets between genotypes in female mice (data not shown).
3.4. Pancreatic deletion of IL-1α does not modify EE, RER, activity, or caloric intake
Using a separate cohort of male mice, we assessed whether the glucose intolerance evident in IL-1αPdx1−/− mice compared to littermate controls could explain differences in energy expenditure (EE), food intake, or other metabolic parameters. We found that neither daily nor mean EE assessed over a 6-d period was different between groups (Figure 4A,B). Similarly, there were no discernible changes in respiratory exchange quotient (Figure 4C,D) or activity levels cumulatively or when broken down by light and dark intervals (Figure 4E,F). Furthermore, both IL-1αfl/fl and IL-1αPdx1−/− mice consumed similar amounts of solid food (Figure 4G) and drank water in near identical quantities (Figure 4H).
3.5. IL-1αPdx1−/− mice have a reduction in both glucose-stimulated insulin secretion and β-cell mass
Because insulin tolerance was similar between IL-1αfl/fl and IL-1αPdx1−/− mice (Figure 2J), but glucose tolerance was impaired (Figure 2K,L), we next investigated insulin secretion in response to glucose or KCl. Perifusion analyses using islets isolated from male mice revealed a decrease in glucose-stimulated, but not KCl-induced, insulin release in islets isolated from IL-1αPdx1−/− mice (Figure 5A). Quantification of maximal glucose-stimulated insulin secretion revealed 25.8% less output in IL-1αPdx1−/− mice compared to littermate controls (Figure 5B). These findings were not explained by a loss in islet insulin content in IL-1αPdx1−/− mice (Figure 5C). In a separate cohort of mice, static incubation assays also confirm that insulin content is similar between genotypes (Supplementary Fig. 2A), while there is a clear reduction in glucose-stimulated insulin secretion ex vivo (Supplementary Fig. 2B). The expression of the Ins1 and Ins2 genes were not different between genotypes (Supplementary Figs. 2C and 2D). Although insulin secretion in response to glucose was decreased, circulating concentrations of insulin in the basal (unchallenged) condition were unchanged between groups (Figure 5D). However, we observed an overall reduction in pancreatic mass (data not shown), insulin-positive area (Figure 5E), and β-cell mass (Figure 5F) in male IL-1αPdx1 −/− mice relative to controls. Measurements of the major and minor axis (conceptually depicted in Figure 5G) reveal reductions in both these parameters in IL-1αPdx1−/− mice compared to littermate controls (Figure 5H,I). Despite these changes, we found that the expression levels of Aldh1a3 (de-differentiation) and Sgk1 (growth) were unchanged (Supplementary Figs. 2E and 2F).
3.6. Generation of mice with a myeloid cell-specific deletion of IL-1α
Il1a expression is induced 5,702-fold in Raw 264.7 macrophages exposed to the pro-inflammatory stimulus LPS (Figure 6A), indicating robust production of this cytokine in response to a classic activation signal. As islet resident macrophages constantly display markers of the activated state [33], we next generated a myeloid-specific deletion, which includes macrophages, by breeding the IL-1αfl/fl mice with mice expressing cre recombinase driven by the LysM promoter (IL-1αLysM−/−). In this novel cohort of mice, we examined IL-1α content in bone-marrow-derived macrophages stimulated with LPS. We found that IL-1α protein levels decreased by 62% in IL-1αLysM−/− mice relative to littermate control mice (Figure 6B). Additionally, expression of the Il1a mRNA was reduced by 64% and 65%, respectively, in bone marrow-derived macrophages and peritoneal exudate cells of IL-1αLysM−/− mice compared to control animals (Figure 6C). This reduction in expression of the Il1a gene is consistent with strong expression of the cre transgene in each of these leukocyte populations (Figure 6D). Of note, the expression of the Il1b gene is unchanged in IL-1αLysM−/− mice compared to IL-1αfl/fl controls in both bone marrow-derived macrophages (Figure 6C) and peritoneal exudate cells (Figure 6C).
We also evaluated how IL-1α-deficient myeloid cells respond to an inflammatory stimulus using intraperitoneal injection of thioglycollate. Four days following exposure, peritoneal exudate was collected, and immune cell infiltrates were analyzed via flow cytometry. This experiment demonstrates that myeloid cell-specific deletion of IL-1α did not impair thioglycollate-induced macrophage recruitment (Figure 6E).
3.7. Myeloid cell-specific deletion of IL-1α does not alter body composition, glucose tolerance, or pancreatic β-cell mass in male or female mice
Both male and female IL-1αLysM−/− and littermate control mice were fed a 25% fat (kcal) diet for 9 months. Over the course of time, both control and IL-1αLysM−/− male mice showed similar age-related increases in body mass (Figure 7A), fat mass (Figure 7B), lean mass (Figure 7C), and fluid mass (Figure 7D). Similarly, no significant difference in total body mass or body composition was detected in female IL-1αLysM−/− mice compared to IL-1αfl/fl controls between 2 and 8 months of age (Suppl. Figs. 3A-C). Both young (12 weeks of age; Figure 7E) and older (7 months of age; Figure 7F) male mice exhibited similar responses to an insulin tolerance test. Furthermore, glucose tolerance remained similar between male IL-1αfl/fl and IL-1αLysM−/− mice at 4 months (Figures 7G and 8 months of age (Fig. 7H). Moreover, neither insulin sensitivity (Suppl. Figs. 3D-F) nor glucose tolerance (Suppl. Figs. 3G-I) are altered in young (16 weeks) or old (8 months) female IL-1αLysM−/− mice compared to littermate controls. Serum insulin (Figure 7I), insulin positive area (Figure 7J), islet fraction (Figure 7K), and pancreas mass (Figure 7L) were similar between groups of male mice. In female mice, serum insulin concentrations are comparable between IL-1αfl/fl and IL-1αLysM−/− mice (Suppl. Fig. 3J). We note a significant decrease in insulin positive area in IL-1αLysM−/− female mice compared to controls (Suppl. Fig. 3K), although islet fraction is unchanged between groups (Suppl. Fig. 3L).
3.8. Myeloid-specific deletion of IL-1α does not alter respiratory quotient (RQ), energy expenditure, activity, or caloric intake in male mice
With no changes in glucose tolerance or insulin sensitivity detected in IL-1αLysM−/− mice, we investigated whether myeloid-specific IL-1α might regulate respiratory quotient, energy expenditure, activity, or caloric intake. Over a 7-d period, no detectable change in RQ was seen between groups of mice either during the light or dark cycle (Figure 8A,B). Similarly, energy expenditure was equivalent between groups across a 7 d period (Figure 8C,D). Furthermore, deletion of IL-1α in myeloid cells did not impact food intake (Figure 8E), liquid consumption (Figure 8F), or total activity (not shown).
4. Discussion
Cytokines of the interleukin-1 family are largely known for their roles in inflammation and inflammation-related outcomes. Studies investigating IL-1R signaling in islet β-cells have largely been conducted using cell lines or islets exposed to cytokines in culture, offering interesting insights into signaling pathways and the deleterious consequences of prolonged IL-1R activation in vitro [[34], [35], [36]]. However, the tissue-specific contributions of IL-1R and its associated ligands to glucose homeostasis in vivo has only recently been addressed [25,37]. For elucidating these important in vivo biological responses, we generated mice with a conditional allele for Il1a. Using this novel tissue-targeted in vivo model, we investigated the contribution of IL-1α from cells of the myeloid lineage versus pancreatic tissue.
Our approach is significant because tissue resident macrophages produce a variety of cytokines required for islet development as well as influence islet function in adult mammalian species [[38], [39], [40]]. Along these lines, we found that the gene encoding IL-1α was highly inducible in mouse, rat, and human islets as well as in cultured rat-derived β-cell lines (Figure 1C–G). In addition, macrophages express IL-1α in the basal state as well as enhance its expression upon exposure to an inflammatory stimulus (Figure 6A and data not shown). However, IL-1α deletion from cells of the myeloid lineage, which includes macrophages and monocytes, had no effect on whole body glucose homeostasis (Figure 7G–H) or islet β-cell morphology (Figure 7J–L). This finding was interesting considering that recombinant IL-1α added to isolated cultured islets increases insulin output acutely [14]. We observed a modest but significant reduction in insulin-positive area in female IL-1αLysM−/− mice (Supp. Fig. 1K) that is not seen in male IL-1αLysM−/− mice (Figure 7J).
Coupled with our findings that IL-1α expression is markedly elevated in pancreatic islets isolated from rodent models of obesity and pure populations of cultured β-cell lines exposed to IL-1β, we also conducted studies using pancreatic-targeted deletion of IL-1α; this includes loss of IL-1α from pancreatic β-cells in vivo [41]. These experiments revealed that IL-1α within pancreatic tissue is critical for maintaining glucose homeostasis during the ageing process in both male and female mice (Figure 2, Figure 3). The observed phenotype was not due to changes in energy expenditure, respiratory quotient, physical activity, or caloric intake (Figure 4). Instead, we found that glucose-stimulated insulin secretion was reduced in IL-1αPdx1−/− mice compared to littermate controls (Figure 5A,B; Suppl. Fig. 2B) without significant changes in islet insulin content (Figure 5C; Suppl. Fig. 2A) or peripheral insulin sensitivity (Figure 2, Figure 3E). We found a significant difference at the 90-min time point of the insulin tolerance test in male mice, which may indicate a difference in counter-regulatory responses between genotypes, while insulin-mediated glucose disposal (15–60 min) was not different between the groups (Figure 2J). In addition, there was reduced total pancreatic mass (not shown), decreased insulin positive cell mass (Figure 5E), and less total islet β-cell mass in the IL-1αPdx1−/− mice (Figure 5F). In looking at the major and minor axis lengths of >1,500 islets per genotype, we found that both the major and minor axis was reduced in the IL-1αPdx1−/− mice (Figure 5G-I).
We interpret these data to indicate that the IL-1α from pancreatic tissue has an important role to support glucose homeostasis and islet size by regulating glucose-stimulated insulin secretion, total pancreatic mass, and islet β-cell mass. In support of this idea, IL-1α gene expression is elevated in rat (Figure 1A) and mouse (Figure 1B) models of obesity, which we interpret as a compensatory autocrine/paracrine response to enhance β-cell growth and function during periods of increased workload. Additional support for this idea comes from pancreatic-targeted deletion of the IL-1R [25] and myeloid-specific deletion of IL-1β [24], which both show reductions in insulin secretion capabilities. Collectively, these studies expand our understanding of the important physiologic relationship that exists between islet resident macrophages (secreting IL-1β) and β-cells producing IL-1α as well as responding to both IL-1α and IL-1β via the IL-1R. There are several possible ways IL-1α could be supporting islet β-cell function or contributing to growth. The first is by fine tuning responses through the IL-1R in conjunction with IL-1β secreted by tissue resident macrophages. The second is through altering transcriptional patterns inside the cell (non-secreted function) [42]. The third is by having a separate effect from that of IL-1β when activating the IL-1R, a concept known as ‘selective bias’ or ‘biased agonism” for other cell-surface receptors [43]. A final important consideration is that the in vivo deletion used here was likely present throughout the life span; it is thus possible that an inducible deletion in the adult mouse will provide important complementary information.
Reductions in islet β-cell mass and/or inherited deficiencies in islet β−cell function compromise glucose tolerance and increase risk of diabetes [[44], [45], [46]]. Overall, this concept has been modeled experimentally by loss of function studies targeting a variety of key islet β-cell enriched transcription factors [[47], [48], [49], [50]]. Our novel data show for the first time that the cytokine IL-1α is a critical growth factor and possible potent autocrine/paracrine signaling contributor supporting islet β-cell insulin secretion as well as assisting with growth of pancreatic endocrine and exocrine tissue (Figure 8G). Whether IL-1α derived from pancreatic tissue also influences the tissue resident macrophage population (either as a chemoattractant, stimulation signal, or growth factor) is unclear at present, but warrants further consideration. Collectively, these findings have important translational implications considering the array of therapies designed to target the IL-1R pathway, including the individual cytokine ligands.
Indeed, several clinical approaches that either target the IL-1R directly, or alternatively, inhibit the activity of IL-1α or IL-1β have been developed. For example, anakinra is a recombinant version of the human IL-1R antagonist, which was established based on the biology of the endogenously produced protein [[51], [52], [53]]. Early uses of anakinra were for systemic inflammatory diseases, such as rheumatoid arthritis [54]. Later uses targeted patients with Type 2 diabetes, where lowering of glycated hemoglobin and C-reactive peptide (systemic inflammation marker) were observed [55]. However, the clinical use of anakinra was not effective in patients with Type 1 diabetes [56]. It is difficult to untangle the important physiological effects of IL-1R activation from the pathophysiological outcomes associated with overactive IL-1R signaling using the aforementioned systemic approaches. This view is supported by tissue-specific deletions of IL-1R [25] and interleukin-1β [24], where myeloid-derived IL-1β and pancreas IL-1R were critical for maintenance of insulin output and overall glucose homeostasis in vivo.
In addition, we now show that IL-1R activation by IL-1β induces the IL-1α gene in pancreatic β-cells (Figure 1C–G), suggesting a cytokine ‘circuit’ that promotes overall β-cell health (Figure 8G). Thus, studies identifying tissue-specific actions of signals traditionally associated with inflammation (such as cytokines) are critical to separate their physiological roles from their pathophysiological outcomes. We note that the detrimental outcomes associated with IL-1α or IL-1β are likely to be due to overstimulation of the IL-1R, producing non-resolving inflammation in response to these cytokines. This is in contrast to their regulated activity, which is clearly required for proper tissue health and function.
In summary, we describe a conditional deletion of IL-1α using myeloid- and pancreatic-specific approaches and document the important role of pancreatic-derived IL-1α to support insulin secretion, β-cell mass, and glucose homeostasis in vivo. Our results using these novel mouse lines reveal that the cytokine IL-1α is an important regulatory determinant for growth of pancreatic islet tissue as well as for supporting physiological glucose-stimulated insulin secretion.
Funding Sources
This study used PBRC core facilities (Genomics, Cell Biology and Bioimaging, and Transgenics) that are supported in part by COBRE (P20 RR021945 and P30 GM118430) and NORC (P30 DK072476) center grants from the National Institutes of Health, as well as equipment purchased with funds from a shared instrumentation grant (NIH S10 OD023703). These studies were also supported in part by National Institutes of Health grants R21 AI138136 (JJC), R01 DK123183 (JJC), U54 GM104940 (SJB), and P20 GM135002 (SJB). Finally, we acknowledge the use of the Islet Procurement and Analysis Core of the Vanderbilt Diabetes Research and Training Center supported by NIH grant P30 DK020593.
Acknowledgments
The authors thank colleagues at PBRC for their support and critical evaluation of this work.
Footnotes
Supplementary data to this article can be found online at https://doi.org/10.1016/j.molmet.2020.101140.
Conflict of interest
The authors declare that they have no conflicts of interest with the contents of this article.
Appendix ASupplementary data
The following are the Supplementary data to this article:
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