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Publication : Class-switched anti-insulin antibodies originate from unconventional antigen presentation in multiple lymphoid sites.

First Author  Wan X Year  2016
Journal  J Exp Med Volume  213
Issue  6 Pages  967-78
PubMed ID  27139492 Mgi Jnum  J:232772
Mgi Id  MGI:5780148 Doi  10.1084/jem.20151869
Citation  Wan X, et al. (2016) Class-switched anti-insulin antibodies originate from unconventional antigen presentation in multiple lymphoid sites. J Exp Med 213(6):967-78
abstractText  Autoantibodies to insulin are a harbinger of autoimmunity in type 1 diabetes in humans and in non-obese diabetic mice. To understand the genesis of these autoantibodies, we investigated the interactions of insulin-specific T and B lymphocytes using T cell and B cell receptor transgenic mice. We found spontaneous anti-insulin germinal center (GC) formation throughout lymphoid tissues with GC B cells binding insulin. Moreover, because of the nature of the insulin epitope recognized by the T cells, it was evident that GC B cells presented a broader repertoire of insulin epitopes. Such broader recognition was reproduced by activating naive B cells ex vivo with a combination of CD40 ligand and interleukin 4. Thus, insulin immunoreactivity extends beyond the pancreatic lymph node-islets of Langerhans axis and indicates that circulating insulin, despite its very low levels, can have an influence on diabetogenesis.
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