Go to The Journal of Clinical Investigation
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Transfers
  • Advertising
  • Job board
  • Contact
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Immunology
    • Metabolism
    • Nephrology
    • Oncology
    • Pulmonology
    • All ...
  • Videos
  • Collections
    • Resource and Technical Advances
    • Clinical Medicine
    • Reviews
    • Editorials
    • Perspectives
    • Top read articles
  • JCI This Month
    • Current issue
    • Past issues

  • Current issue
  • Past issues
  • Specialties
  • In-Press Preview
  • Editorials
  • Viewpoint
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Transfers
  • Advertising
  • Job board
  • Contact
Perinatal tolerance to proinsulin is sufficient to prevent autoimmune diabetes
Gaurang Jhala, … , Thomas W.H. Kay, Balasubramanian Krishnamurthy
Gaurang Jhala, … , Thomas W.H. Kay, Balasubramanian Krishnamurthy
Published July 7, 2016
Citation Information: JCI Insight. 2016;1(10):e86065. https://doi.org/10.1172/jci.insight.86065.
View: Text | PDF
Research Article

Perinatal tolerance to proinsulin is sufficient to prevent autoimmune diabetes

  • Text
  • PDF
Abstract

High-affinity self-reactive thymocytes are purged in the thymus, and residual self-reactive T cells, which are detectable in healthy subjects, are controlled by peripheral tolerance mechanisms. Breakdown in these mechanisms results in autoimmune disease, but antigen-specific therapy to augment natural mechanisms can prevent this. We aimed to determine when antigen-specific therapy is most effective. Islet autoantigens, proinsulin (PI), and islet-specific glucose-6-phosphatase catalytic subunit-related protein (IGRP) were expressed in the antigen-presenting cells (APCs) of autoimmune diabetes-prone nonobese diabetic (NOD) mice in a temporally controlled manner. PI expression from gestation until weaning was sufficient to completely protect NOD mice from diabetes, insulitis, and development of insulin autoantibodies. Insulin-specific T cells were significantly diminished, were naive, and did not express IFN-γ when challenged. This long-lasting effect from a brief period of treatment suggests that autoreactive T cells are not produced subsequently. We tracked IGRP206–214-specific CD8+ T cells in NOD mice expressing IGRP in APCs. When IGRP was expressed only until weaning, IGRP206–214-specific CD8+ T cells were not detected later in life. Thus, anti-islet autoimmunity is determined during early life, and autoreactive T cells are not generated in later life. Bolstering tolerance to islet antigens in the perinatal period is sufficient to impart lasting protection from diabetes.

Authors

Gaurang Jhala, Jonathan Chee, Prerak M. Trivedi, Claudia Selck, Esteban N. Gurzov, Kate L. Graham, Helen E. Thomas, Thomas W.H. Kay, Balasubramanian Krishnamurthy

×

Figure 4

Protection from diabetes in TIP mice is not due to dominant tolerance.

Options: View larger image (or click on image) Download as PowerPoint
Protection from diabetes in TIP mice is not due to dominant tolerance.
T...
TIP mice were bred with NOD.FoxP3.GFP reporter mice. Frequency of Foxp3-expressing insulin-specific CD4+ T cells was determined by enumerating GFP+ insulin tetramer+ CD4+ T cells. (A) Representative FACS plots showing GFP reporter expression on insulin tetramer+ CD4+ T cells and (B) frequency of GFP+ insulin tetramer+ CD4+ T cells enriched from peripheral lymphoid organs of indicated mice. Each symbol in the scatter plot (mean ± SEM) represents data from an individual mouse. (C) Incidence of diabetes in 8- to 9-week-old NOD.Rag–/– recipient mice after coinjection of splenocytes from diabetic NOD mice along with splenocytes from either nontransgenic NOD mice (n = 3 recipients) or TIP mice (n = 5 recipients) at an equal ratio (2 × 107 cells of each per recipient) (P = values were not significant). Insulin10–23 tetramer+ CD4+ T cells were enriched from PLNs of TIP mice, and intracellular FoxP3 expression was analyzed by flow cytometry. Representative FACS plots (D) showing FoxP3 expression on insulin tetramer+ cells in cohort 1–3 of TIP mice. Cumulative data from 3–4 independent experiments (E) showing number and proportion of CD4+ tetramer+ Foxp3+ Treg subset (top) and CD4+ tetramer+ Foxp3- T effector subset (bottom). Each symbol in the scatter plots (E) represents data from pancreatic lymph nodes (PLNs) pooled from 3 mice (Mean±SEM). Values in FACS plots (A and D) shown in italics indicate percentage and values in parentheses indicate absolute numbers. Incidence of diabetes (F) in 8- to 9-week-old NOD.Rag–/– recipient mice after coinjection of splenocytes from diabetic NOD mice alone or along with cells from PLN of 12- to 14-week-old nontransgenic NOD mice or TIP mice (cohort 3) at an equal ratio (2 × 107 cells of each per recipient, n = 4 recipients per group, P = values were not significant). *P < 0.05. Data analysed using 2-tailed unpaired t test (B) or One-way ANOVA with Tukey’s multiple comparisons test (E). Survival curves (C and F) compared using log-rank test.

Copyright © 2023 American Society for Clinical Investigation
ISSN 2379-3708

Sign up for email alerts