de Jersey James, Snelgrove Sarah L, Palmer Stephanie E, Teteris Simon A, Mullbacher Arno, Miller Jacques F A P, Slattery Robyn M
Department of Immunology, Faculty of Medicine, Nursing and Health Sciences, Monash University, The Alfred Hospital, Commercial Road, Melbourne, Victoria 3004, Australia.
Proc Natl Acad Sci U S A. 2007 Jan 23;104(4):1295-300. doi: 10.1073/pnas.0610057104. Epub 2007 Jan 17.
Type 1 diabetes (T1D) is caused by the destruction of insulin-producing islet beta cells. CD8 T cells are prevalent in the islets of T1D patients and are the major effectors of beta cell destruction in nonobese diabetic (NOD) mice. In addition to their critical involvement in the late stages of diabetes, CD8 T cells are implicated in the initiation of disease. NOD mice, in which the beta2-microglobulin gene has been inactivated by gene targeting (NOD.beta2M-/-), have a deficiency in CD8 T cells and do not develop insulitis, which suggests that CD8 T cells are required for the initiation of T1D. However, neither in humans nor in NOD mice have the immunological requirements for diabetogenic CD8 T cells been precisely defined. In particular, it is not known in which cell type MHC class I expression is required for recruitment and activation of CD8 T cells. Here we have generated transgenic NOD mice, which lack MHC class I on mature professional antigen-presenting cells (pAPCs). These "class I APC-bald" mice developed periislet insulitis but not invasive intraislet insulitis, and they never became diabetic. Recruitment to the islet milieu does not therefore require cognate interaction between CD8 T cells and MHC class I on mature pAPCs. Conversely, such an interaction is critically essential to allow the crucial shift from periislet insulitis to invasive insulitis. Importantly, our findings demonstrate unequivocally that CD8 T cells cannot be primed to become diabetogenic by islet beta cells alone.
1型糖尿病(T1D)是由产生胰岛素的胰岛β细胞被破坏所致。CD8 T细胞在T1D患者的胰岛中普遍存在,并且是肥胖糖尿病(NOD)小鼠中β细胞破坏的主要效应细胞。除了在糖尿病晚期的关键作用外,CD8 T细胞还与疾病的起始有关。通过基因靶向使β2-微球蛋白基因失活的NOD小鼠(NOD.beta2M-/-)缺乏CD8 T细胞,并且不会发生胰岛炎,这表明CD8 T细胞是T1D起始所必需的。然而,无论是在人类还是在NOD小鼠中,致糖尿病性CD8 T细胞的免疫需求都尚未得到精确界定。特别是,尚不清楚在何种细胞类型中,MHC I类分子的表达对于CD8 T细胞的募集和激活是必需的。在此,我们构建了在成熟的专职抗原呈递细胞(pAPC)上缺乏MHC I类分子的转基因NOD小鼠。这些“ I类APC秃”小鼠发生了胰岛周围胰岛炎,但未发生侵袭性胰岛内胰岛炎,并且它们从未患糖尿病。因此,向胰岛微环境的募集并不需要CD8 T细胞与成熟pAPC上的MHC I类分子之间的同源相互作用。相反,这种相互作用对于允许从胰岛周围胰岛炎向侵袭性胰岛炎的关键转变至关重要。重要的是,我们的发现明确表明,仅胰岛β细胞不能使CD8 T细胞被激活成为致糖尿病性细胞。