MacKay P
Diabetes Immunology Department, Novo Nordisk, Bagsvaerd, Denmark.
Diabetologia. 1995 Feb;38(2):145-52. doi: 10.1007/BF00400088.
Approximately 4% of diabetes-prone BB/Mol rats escape overt diabetes which occurs in other rats between 56 and 130 days of age. The ability of preactivated spleen cells from older non-diabetic and from acutely diabetic rats to adoptively transfer diabetes into young diabetes-prone rats was compared, and it was found that they transferred disease with similar incidence and with overlapping onset times in the recipients. Old non-diabetic rats were themselves susceptible to diabetes adoptively transferred from acutely diabetic or from old nondiabetic donors. Lymphocytic insulitis and pancreatic insulin content in unmanipulated old non-diabetic rats were both intermediate between those seen in acutely diabetic and in diabetes-resistant rats. In vivo treatment with polyinosinic-polycytidylic acid induced diabetes with faster onset in old non-diabetic rats than in young diabetes-prone rats. Adoptive transfer of fresh, whole spleen cells from old nondiabetic rats did not protect young BB rats against spontaneous diabetes, while cells from diabetes-resistant rats did. Spleens from old non-diabetic rats contained significantly lower percentages of T cells than spleens from acutely diabetic rats but not lower than spleens from age-matched diabetic rats, suggesting that this reduction was age-related. Finally, spleens from both old non-diabetic and from acutely diabetic rats were negative for the regulatory RT6+ T-cell subset. It is concluded that quiescent beta-cell autoimmunity seen in a fraction of BB/Mol rats can be reactivated upon non-antigen-specific immune stimulation.
约4%的糖尿病易感BB/Mol大鼠不会出现显性糖尿病,而其他大鼠在56至130日龄之间会出现显性糖尿病。比较了来自老年非糖尿病大鼠和急性糖尿病大鼠的预激活脾细胞将糖尿病过继转移到年轻糖尿病易感大鼠体内的能力,发现它们转移疾病的发生率相似,且受体发病时间有重叠。老年非糖尿病大鼠自身易受急性糖尿病或老年非糖尿病供体过继转移的糖尿病影响。未处理的老年非糖尿病大鼠的淋巴细胞性胰岛炎和胰腺胰岛素含量均介于急性糖尿病大鼠和抗糖尿病大鼠之间。用聚肌苷酸-聚胞苷酸进行体内治疗,老年非糖尿病大鼠比年轻糖尿病易感大鼠糖尿病发病更快。来自老年非糖尿病大鼠的新鲜全脾细胞过继转移并不能保护年轻BB大鼠免受自发性糖尿病影响,而来自抗糖尿病大鼠的细胞则可以。老年非糖尿病大鼠脾脏中T细胞的百分比显著低于急性糖尿病大鼠脾脏,但不低于年龄匹配的糖尿病大鼠脾脏,表明这种减少与年龄有关。最后,老年非糖尿病大鼠和急性糖尿病大鼠的脾脏中调节性RT6+ T细胞亚群均为阴性。结论是,在一部分BB/Mol大鼠中看到的静止β细胞自身免疫在非抗原特异性免疫刺激下可被重新激活。