@article{oai:kanazawa-u.repo.nii.ac.jp:00013511,
 author = {Matsuoka, Nobuhide and Itoh, Takeshi and Watarai, Hiroshi and Sekine-Kondo, Etsuko and Nagata, Naoki and Okamoto, Kohji and Mera, Toshiyuki and Yamamoto, Hiroshi and Yamada, Shingo and Maruyama, Ikuro and Taniguchi, Masaru and Yasunami, Yohichi},
 issue = {3},
 journal = {Journal of Clinical Investigation},
 month = {Mar},
 note = {Islet transplantation for the treatment of type 1 diabetes mellitus is limited in its clinical application mainly due to early loss of the transplanted islets, resulting in low transplantation efficiency. NKT cell-dependent IFN-γ production by Gr-1+CD11b+ cells is essential for this loss, but the upstream events in the process remain undetermined. Here, we have demonstrated that high-mobility group box 1 (HMGB1) plays a crucial role in the initial events of early loss of transplanted islets in a mouse model of diabetes. Pancreatic islets contained abundant HMGB1, which was released into the circulation soon after islet transplantation into the liver. Treatment with an HMGB1-specific antibody prevented the early islet graft loss and inhibited IFN-γ production by NKT cells and Gr-1+CD11b + cells. Moreover, mice lacking either of the known HMGB1 receptors TLR2 or receptor for advanced glycation end products (RAGE), but not the known HMGB1 receptor TLR4, failed to exhibit early islet graft loss. Mechanistically, HMGB1 stimulated hepatic mononuclear cells (MNCs) in vivo and in vitro; in particular, it upregulated CD40 expression and enhanced IL-12 production by DCs, leading to NKT cell activation and subsequent NKT cell-dependent augmented IFN-γ production by Gr-1+CD11b+ cells. Thus, treatment with either IL-12- or CD40L-specific antibody prevented the early islet graft loss. These findings indicate that the HMGB1-mediated pathway eliciting early islet loss is a potential target for intervention to improve the efficiency of islet transplantation., 金沢大学医薬保健研究域医学系},
 pages = {735--743},
 title = {High-mobility group box 1 is involved in the initial events of early loss of transplanted islets in mice},
 volume = {120},
 year = {2010}
}