Amrani A, Verdaguer J, Anderson B, Utsugi T, Bou S, Santamaria P
Department of Microbiology and Infectious Diseases, Faculty of Medicine, The University of Calgary, Calgary, Alberta, Canada T2N 4N1.
J Clin Invest. 1999 Apr;103(8):1201-9. doi: 10.1172/JCI6266.
Autoimmune diabetes in nonobese diabetic (NOD) mice results from destruction of pancreatic beta cells by T lymphocytes. It is believed that CD8(+) cytotoxic T lymphocytes (CTLs) effect the initial beta-cell insult in diabetes, but the mechanisms remain unclear. Studies of NOD.lpr mice have suggested that disease initiation is a Fas-dependent process, yet perforin-deficient NOD mice rarely develop diabetes despite expressing Fas. Here, we have investigated the role of perforin and Fas in the ability of beta cell-reactive CD8(+) T cells bearing a T-cell receptor (8.3-TCR) that is representative of TCRs used by CD8(+) CTLs propagated from the earliest insulitic lesions of NOD mice, and that targets an immunodominant peptide/H-2Kd complex on beta cells, to effect beta-cell damage in vitro and in vivo. In vitro, 8.3-CTLs killed antigenic peptide-pulsed non-beta-cell targets via both perforin and Fas, but they killed NOD beta cells via Fas exclusively. Perforin-deficient 8.3-TCR-transgenic NOD mice expressing an oligoclonal or monoclonal T-cell repertoire developed diabetes even more frequently than their perforin-competent littermates. These results demonstrate that diabetogenic CD8(+) CTLs representative of CTLs putatively involved in the initiation of autoimmune diabetes kill beta cells in a Fas-dependent and perforin-independent manner.
非肥胖型糖尿病(NOD)小鼠的自身免疫性糖尿病是由T淋巴细胞破坏胰腺β细胞所致。据信,CD8(+) 细胞毒性T淋巴细胞(CTLs)在糖尿病中对β细胞造成初始损伤,但其机制仍不清楚。对NOD.lpr小鼠的研究表明,疾病的起始是一个Fas依赖的过程,然而,尽管表达Fas,但穿孔素缺陷的NOD小鼠很少发生糖尿病。在此,我们研究了穿孔素和Fas在携带T细胞受体(8.3 - TCR)的β细胞反应性CD8(+) T细胞能力中的作用,该受体代表从NOD小鼠最早的胰岛炎病变中增殖的CD8(+) CTLs所使用的TCR,并靶向β细胞上的免疫显性肽/H - 2Kd复合物,以在体外和体内对β细胞造成损伤。在体外,8.3 - CTLs通过穿孔素和Fas杀死抗原肽脉冲处理的非β细胞靶标,但它们仅通过Fas杀死NODβ细胞。表达寡克隆或单克隆T细胞库的穿孔素缺陷型8.3 - TCR转基因NOD小鼠比具有穿孔素活性的同窝小鼠更频繁地发生糖尿病。这些结果表明,代表可能参与自身免疫性糖尿病起始的CTLs的致糖尿病性CD8(+) CTLs以Fas依赖和穿孔素非依赖的方式杀死β细胞。