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Publication : Antigen presenting cell-targeted proinsulin expression converts insulin-specific CD8<sup>+</sup> T-cell priming to tolerance in autoimmune-prone NOD mice.

First Author  Reeves PLS Year  2017
Journal  Eur J Immunol Volume  47
Issue  9 Pages  1550-1561
PubMed ID  28665492 Mgi Jnum  J:249667
Mgi Id  MGI:5924075 Doi  10.1002/eji.201747089
Citation  Reeves PLS, et al. (2017) Antigen presenting cell-targeted proinsulin expression converts insulin-specific CD8+ T-cell priming to tolerance in autoimmune-prone NOD mice. Eur J Immunol 47(9):1550-1561
abstractText  Type 1 diabetes (T1D) results from autoimmune destruction of insulin-producing pancreatic beta cells. Therapies need to incorporate strategies to overcome the genetic defects that impair induction or maintenance of peripheral T-cell tolerance and contribute to disease development. We tested whether the enforced expression of an islet autoantigen in antigen-presenting cells (APC) counteracted peripheral T-cell tolerance defects in autoimmune-prone NOD mice. We observed that insulin-specific CD8+ T cells transferred to mice in which proinsulin was transgenically expressed in APCs underwent several rounds of division and the majority were deleted. Residual insulin-specific CD8+ T cells were rendered unresponsive and this was associated with TCR downregulation, loss of tetramer binding and expression of a range of co-inhibitory molecules. Notably, accumulation and effector differentiation of insulin-specific CD8+ T cells in pancreatic lymph nodes was prominent in non-transgenic recipients but blocked by transgenic proinsulin expression. This shift from T-cell priming to T-cell tolerance exemplifies the tolerogenic capacity of autoantigen expression by APC and the capacity to overcome genetic tolerance defects.
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