McDuffie M
Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, Denver.
Diabetes. 1991 Nov;40(11):1555-9. doi: 10.2337/diab.40.11.1555.
The incidence of destructive pancreatic infiltrates and overt diabetes in animal models of insulin-dependent (type I) diabetes mellitus can be greatly reduced by inactivating or eliminating most T lymphocytes early in life. Because of theoretical and practical concerns about inducing long-term pan-T-lymphocyte inactivation for prevention or treatment of type I diabetes in humans, we hoped that more selective suppression of only the diabetogenic T lymphocyte population might be possible. To this end, two groups suggested that diabetogenic subpopulations of T lymphocytes in NOD mice could be identified by the protein sequence of their T-lymphocyte receptors. This assertion was based on experimental elimination of candidate T-lymphocyte subpopulations in two different short-term models of diabetes induction in NOD mice. For these experiments, identification and elimination of T-lymphocyte subsets were accomplished with monoclonal antibodies that bind specifically to the variable region of the beta-chain (V beta) of the T-lymphocyte antigen receptor and divide the T-lymphocyte pool of the NOD mouse into approximately 20 V beta subsets. To test the relationship between the two T-lymphocyte V beta subsets implicated in these studies and pancreatic beta-cell destruction in unmanipulated animals, both T-lymphocyte subpopulations identified were genetically eliminated from NOD-derived mice by introduction of a mutant T-lymphocyte receptor V beta gene, from which these sequences are genomically deleted. Histological evidence of severe beta-cell destruction and overt diabetes was found in mice homozygous for the deleted V beta gene, indicating that neither V beta gene segment identified in previous studies is required for diabetogenesis in unmanipulated diabetes-prone mice.
在胰岛素依赖型(I型)糖尿病的动物模型中,通过在生命早期使大多数T淋巴细胞失活或清除,可显著降低胰腺破坏性浸润和显性糖尿病的发生率。由于在人类中诱导长期全T淋巴细胞失活以预防或治疗I型糖尿病存在理论和实际问题,我们希望有可能更有选择性地仅抑制致糖尿病的T淋巴细胞群体。为此,两组研究人员提出,非肥胖糖尿病(NOD)小鼠中致糖尿病的T淋巴细胞亚群可通过其T淋巴细胞受体的蛋白质序列来识别。这一论断基于在NOD小鼠两种不同的短期糖尿病诱导模型中对候选T淋巴细胞亚群的实验性清除。对于这些实验,T淋巴细胞亚群的识别和清除是通过单克隆抗体完成的,这些抗体特异性结合T淋巴细胞抗原受体β链(Vβ)的可变区,并将NOD小鼠的T淋巴细胞库分为约20个Vβ亚群。为了测试这些研究中涉及的两个T淋巴细胞Vβ亚群与未处理动物胰腺β细胞破坏之间的关系,通过引入一个突变的T淋巴细胞受体Vβ基因,从NOD衍生的小鼠中基因剔除了所识别的两个T淋巴细胞亚群,该基因的这些序列在基因组中被删除。在缺失Vβ基因的纯合小鼠中发现了严重β细胞破坏和显性糖尿病的组织学证据,这表明在未处理的易患糖尿病小鼠中,先前研究中识别的两个Vβ基因片段都不是糖尿病发生所必需的。