KEGG   PATHWAY: setr04940
Entry
setr04940                   Pathway                                
Name
Type I diabetes mellitus - Suncus etruscus (white-toothed pygmy shrew)
Description
Type I diabetes mellitus is a disease that results from autoimmune destruction of the insulin-producing beta-cells. Certain beta-cell proteins act as autoantigens after being processed by antigen-presenting cell (APC), such as macrophages and dendritic cells, and presented in a complex with MHC-II molecules on the surface of the APC. Then immunogenic signals from APC activate CD4+ T cells, predominantly of the Th1 subset. Antigen-activated Th1 cells produce IL-2 and IFNgamma. They activate macrophages and cytotoxic CD8+ T cells, and these effector cells may kill islet beta-cells by one or both of two types of mechanisms: (1) direct interactions of antigen-specific cytotoxic T cells with a beta-cell autoantigen-MHC-I complex on the beta-cell, and (2) non-specific inflammatory mediators, such as free radicals/oxidants and cytokines (IL-1, TNFalpha, TNFbeta, IFNgamma).
Type I diabetes is a polygenic disease. One of the principle determining genetic factors in diabetes incidence is the inheritance of mutant MHC-II alleles. Another plausible candidate gene is the insulin gene.
Class
Human Diseases; Endocrine and metabolic disease
Pathway map
setr04940  Type I diabetes mellitus
setr04940

Organism
Suncus etruscus (white-toothed pygmy shrew) [GN:setr]
Gene
126019098  INS; insulin [KO:K04526]
126014468  GAD2; glutamate decarboxylase 2 [KO:K01580] [EC:4.1.1.15]
126009074  GAD1; glutamate decarboxylase 1 [KO:K01580] [EC:4.1.1.15]
126025471  PTPRN2; receptor-type tyrosine-protein phosphatase N2 [KO:K07817] [EC:3.1.3.48]
126001187  PTPRN; receptor-type tyrosine-protein phosphatase-like N isoform X1 [KO:K07817] [EC:3.1.3.48]
126006833  CPE; carboxypeptidase E [KO:K01294] [EC:3.4.17.10]
126008926  HSPD1; 60 kDa heat shock protein, mitochondrial [KO:K04077] [EC:5.6.1.7]
125999193  LOW QUALITY PROTEIN: 60 kDa heat shock protein, mitochondrial-like [KO:K04077] [EC:5.6.1.7]
126002046  ICA1; islet cell autoantigen 1 [KO:K19863]
125995697  DLA class II histocompatibility antigen, DR-1 beta chain-like isoform X1 [KO:K06752]
125995698  mamu class II histocompatibility antigen, DR alpha chain [KO:K06752]
125995700  DLA class II histocompatibility antigen, DR-1 beta chain-like [KO:K06752]
125995701  DLA class II histocompatibility antigen, DR-1 beta chain-like [KO:K06752]
125995706  HLA class II histocompatibility antigen, DR beta 3 chain-like [KO:K06752]
125995802  DLA class II histocompatibility antigen, DR-1 beta chain-like [KO:K06752]
125995804  DLA class II histocompatibility antigen, DR-1 beta chain-like [KO:K06752]
125995805  LOW QUALITY PROTEIN: H-2 class II histocompatibility antigen, E-S beta chain-like [KO:K06752]
125995808  LOW QUALITY PROTEIN: boLa class II histocompatibility antigen, DQB*0101 beta chain-like [KO:K06752]
125995810  HLA class II histocompatibility antigen, DM beta chain [KO:K06752]
125995811  HLA class II histocompatibility antigen, DM alpha chain [KO:K06752]
125995812  HLA class II histocompatibility antigen, DP alpha 1 chain-like [KO:K06752]
125995813  HLA class II histocompatibility antigen, DP beta 1 chain-like [KO:K06752]
126025777  CD80; T-lymphocyte activation antigen CD80 [KO:K05412]
126025761  CD86; T-lymphocyte activation antigen CD86 [KO:K05413]
126008669  CD28; T-cell-specific surface glycoprotein CD28 [KO:K06470]
126026256  IL12A; interleukin-12 subunit alpha [KO:K05406]
126011600  IL12B; interleukin-12 subunit beta [KO:K05425]
126004457  IL2; interleukin-2 [KO:K05429]
126022183  IFNG; interferon gamma [KO:K04687]
125995773  H-2 class I histocompatibility antigen, Q10 alpha chain-like [KO:K06751]
125995779  patr class I histocompatibility antigen, B-2 alpha chain-like [KO:K06751]
125995781  class I histocompatibility antigen, Gogo-C*0203 alpha chain-like [KO:K06751]
125995790  HLA class I histocompatibility antigen, alpha chain G-like [KO:K06751]
125995959  H-2 class I histocompatibility antigen, Q10 alpha chain-like [KO:K06751]
125996242  class I histocompatibility antigen, Gogo-B*0103 alpha chain-like [KO:K06751]
125996451  patr class I histocompatibility antigen, A-2 alpha chain-like isoform X1 [KO:K06751]
125996455  class I histocompatibility antigen, Gogo-B*0103 alpha chain-like [KO:K06751]
126016397  popy Class I histocompatibility antigen, A-1 alpha chain-like [KO:K06751]
126030878  PRF1; perforin-1 [KO:K07818]
126001704  mast cell protease 1A-like [KO:K01353] [EC:3.4.21.79]
126001706  LOW QUALITY PROTEIN: cathepsin G-like [KO:K01353] [EC:3.4.21.79]
126001707  granzyme B-like [KO:K01353] [EC:3.4.21.79]
125996224  LTA; lymphotoxin-alpha [KO:K05468]
125996221  TNF; tumor necrosis factor [KO:K03156]
126023995  IL1A; interleukin-1 alpha [KO:K04383]
126024019  IL1B; interleukin-1 beta [KO:K04519]
Compound
C00027  Hydrogen peroxide
C00533  Nitric oxide
C00704  Superoxide
Reference
PMID:9719467
  Authors
Rabinovitch A, Suarez-Pinzon WL.
  Title
Cytokines and their roles in pancreatic islet beta-cell destruction and insulin-dependent diabetes mellitus.
  Journal
Biochem Pharmacol 55:1139-49 (1998)
DOI:10.1016/S0006-2952(97)00492-9
Reference
  Authors
Cox NJ, Wapelhorst B, Morrison VA, Johnson L, Pinchuk L, Spielman RS, Todd JA, Concannon P
  Title
Seven regions of the genome show evidence of linkage to type 1 diabetes in a consensus analysis of 767 multiplex families.
  Journal
Am J Hum Genet 69:820-30 (2001)
DOI:10.1086/323501
Reference
PMID:8072542
  Authors
Davies JL, Kawaguchi Y, Bennett ST, Copeman JB, Cordell HJ, Pritchard LE, Reed PW, Gough SC, Jenkins SC, Palmer SM, et al.
  Title
A genome-wide search for human type 1 diabetes susceptibility genes.
  Journal
Nature 371:130-6 (1994)
DOI:10.1038/371130a0
Reference
PMID:8786033
  Authors
Fujisawa T, Ikegami H, Kawaguchi Y, Yamato E, Takekawa K, Nakagawa Y, Hamada Y, Ueda H, Shima K, Ogihara T.
  Title
Class I HLA is associated with age-at-onset of IDDM, while class II HLA confers susceptibility to IDDM.
  Journal
Diabetologia 38:1493-5 (1995)
DOI:10.1007/BF00400620
Reference
  Authors
Jaeckel E, Klein L, Martin-Orozco N, von Boehmer H.
  Title
Normal incidence of diabetes in NOD mice tolerant to glutamic acid decarboxylase.
  Journal
J Exp Med 197:1635-44 (2003)
DOI:10.1084/jem.20030215
Reference
  Authors
Nakayama M, Abiru N, Moriyama H, Babaya N, Liu E, Miao D, Yu L, Wegmann DR, Hutton JC, Elliott JF, Eisenbarth GS.
  Title
Prime role for an insulin epitope in the development of type 1 diabetes in NOD mice.
  Journal
Nature 435:220-3 (2005)
DOI:10.1038/nature03523
Reference
  Authors
Kent SC, Chen Y, Bregoli L, Clemmings SM, Kenyon NS, Ricordi C, Hering BJ, Hafler DA.
  Title
Expanded T cells from pancreatic lymph nodes of type 1 diabetic subjects recognize an insulin epitope.
  Journal
Nature 435:224-8 (2005)
DOI:10.1038/nature03625
Reference
  Authors
Lieberman SM, DiLorenzo TP.
  Title
A comprehensive guide to antibody and T-cell responses in type 1 diabetes.
  Journal
Tissue Antigens 62:359-77 (2003)
DOI:10.1034/j.1399-0039.2003.00152.x
Reference
  Authors
Lord SJ, Rajotte RV, Korbutt GS, Bleackley RC.
  Title
Granzyme B: a natural born killer.
  Journal
Immunol Rev 193:31-8 (2003)
DOI:10.1034/j.1600-065X.2003.00044.x
Related
pathway
setr04210  Apoptosis
setr04660  T cell receptor signaling pathway
KO pathway
ko04940   
LinkDB

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