Lymphopenia-induced spontaneous T-cell proliferation as a cofactor for autoimmune disease development

A Le Campion, MC Gagnerault… - Blood, The Journal …, 2009 - ashpublications.org
A Le Campion, MC Gagnerault, C Auffray, C Bécourt, M Poitrasson-Rivière, E Lallemand…
Blood, The Journal of the American Society of Hematology, 2009ashpublications.org
Lymphopenia is thought to be a major cause of tolerance breakdown. In a lymphopenic
environment, self-recognition events induce some T cells to expand strongly (a mechanism
known as spontaneous proliferation). In this study, we show that in C57BL/6 mice, the
repertoire resulting from lymphopenia-induced spontaneous CD4+ T-cell proliferation
included a proportion of regulatory T cells as large as that observed in a normal mouse, and
no autoimmune disorder was observed. By contrast, in nonobese diabetic mice, differences …
Lymphopenia is thought to be a major cause of tolerance breakdown. In a lymphopenic environment, self-recognition events induce some T cells to expand strongly (a mechanism known as spontaneous proliferation). In this study, we show that in C57BL/6 mice, the repertoire resulting from lymphopenia-induced spontaneous CD4+ T-cell proliferation included a proportion of regulatory T cells as large as that observed in a normal mouse, and no autoimmune disorder was observed. By contrast, in nonobese diabetic mice, differences in the ability of conventional and regulatory T cells to expand in response to lymphopenia led to an unbalance between these 2 T-cell compartments at the expense of regulatory T cells, resulting in the onset of autoimmune diseases. Notably, this accounted for the rapid transfer of diabetes with small numbers of BDC2.5 CD4+ T cells. Thus, lymphopenia does not itself induce autoimmunity, but it should be considered as a cofactor for the development of autoimmune disorders.
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