Figure 1
Signals that activate NF-κB and STAT1 enhance chemokine production within pancreatic islets that contribute to the inflammatory
response influencing both insulin secretion and total β-cell mass. Many signals converge on the NF-κB and STAT1 pathways to
coordinately reprogram beta cells at a transcriptional level, leading to inflammation-based changes in insulin secretion,
β-cell mass or both. PRRs can be either cell surface based, such as Toll-like receptor-2 and -4 or positioned intracellularly
(e.g., Toll-like receptor-3, NOD1, NOD2, etc.). TNF-α and IL-1 signal through specific cell surface receptors (receptor not
shown) and converge on the NF-κB pathway. The interferon family of cytokines signals through cell surface receptors that activate
JAK-STAT pathways. Activation of COX2 produces prostaglandins, which may influence leukocyte activity. Cytokine-mediated increases
in iNOS elevate intracellular production of nitric oxide, which acts as a rheostat for insulin secretion. COX2, cyclooxygenase-2;
IFNs, interferons alpha, beta and gamma; iNOS, inducible nitric oxide synthase; PRR, pattern recognition receptors.