Acute and resolving inflammation differentially regulates beta cell function in mice via interactions between peritoneal and islet-associated macrophages.

aims/hypothesisIslet-associated macrophages regulate beta cell function during inflammation and tissue repair, but evidence for their role during metabolic adaptation and its failure is more limited. Our aim was to determine their influence on insulin secretion in models of caloric overload and type 2 diabetes, and to assess how they coordinate with extra-pancreatic macrophages.

methodsWe conditionally depleted resident macrophages in vivo using CD11b-DTR transgenic mice, which ectopically express the diphtheria toxin receptor under the control of the CD11b myeloid promotor. Conversely, we expanded resident macrophages in wild-type C57Bl6/J mice by chronic exposure to IL-4. Assays included GTTs and ITTs, and ex vivo measurements of insulin secretion and gene expression. Flow cytometry was performed on immune populations in islets and peritoneal exudates. Relevance to type 2 diabetes was assessed using db/db mice.

resultsIn CD11b-DTR mice on a high-fat diet (but not chow diet), a single i.p. injection of diphtheria toxin impacted biphasically on beta cell function (improved at 1 day, impaired after 7 days). Surprisingly, islet-associated macrophages were not ablated at either time point. Peritoneal myeloid populations were, however, remodelled in a manner consistent with an inflammatory response and its abnormal resolution: complete loss of large peritoneal macrophages at 1 day post toxin, and a supra-physiological rebound at 7 days. The augmented insulin secretion was predominately mediated by extra-pancreatic IL-6 and involved glucagon-like peptide-1 (GLP-1) or glucagon generated locally within the islet. Conversely, expansion of large peritoneal macrophages in response to IL-4 complex was sufficient to impair insulin secretion. The beta cell defect in 7 day CD11b-DTR islets required both islet-associated macrophages and localised cylco-oxygenase-1 (COX1)-mediated generation of prostaglandin E2. Large peritoneal macrophages were also augmented in diabetic db/db mice, and defective insulin secretion was reverted ex vivo by inhibiting the function of COX1/prostaglandin E2 in islets. CONCLUSIONS/

interpretationIslet-associated macrophages coordinate with extra-pancreatic macrophages to regulate glucose homeostasis and insulin secretion. In particular, the remodelling of peritoneal macrophage populations is sufficient to promote the benefits of acute inflammation, and conversely a maladapted inflammatory resolution potentially contributes to the beta cell failure of type 2 diabetes.