Memory-like CD8+ and CD4+ T cells cooperate to break peripheral tolerance under lymphopenic conditions

C Le Saout, S Mennechet, N Taylor… - Proceedings of the …, 2008 - National Acad Sciences
C Le Saout, S Mennechet, N Taylor, J Hernandez
Proceedings of the National Academy of Sciences, 2008National Acad Sciences
The onset of autoimmunity in experimental rodent models and patients frequently correlates
with a lymphopenic state. In this condition, the immune system has evolved compensatory
homeostatic mechanisms that induce quiescent naive T cells to proliferate and differentiate
into memory-like lymphocytes even in the apparent absence of antigenic stimulation.
Because memory T cells have less stringent requirements for activation than naive cells, we
hypothesized that autoreactive T cells that arrive to secondary lymphoid organs in a …
The onset of autoimmunity in experimental rodent models and patients frequently correlates with a lymphopenic state. In this condition, the immune system has evolved compensatory homeostatic mechanisms that induce quiescent naive T cells to proliferate and differentiate into memory-like lymphocytes even in the apparent absence of antigenic stimulation. Because memory T cells have less stringent requirements for activation than naive cells, we hypothesized that autoreactive T cells that arrive to secondary lymphoid organs in a lymphopenic environment could differentiate and bypass the mechanisms of peripheral tolerance such as those mediated by self-antigen cross-presentation. Here, we show that lymphopenia-driven proliferation and differentiation of potentially autoreactive CD8+ T cells into memory-like cells is not sufficient to induce self-reactivity against a pancreatic antigen. Induction of an organ-specific autoimmunity required antigen-specific CD4+ T cell help. Notably, we found that this function could be accomplished by memory-like CD4+ T cells generated in vivo through lymphopenia-induced proliferation. These helper cells promoted the further differentiation of memory-like CD8+ T cells into effectors in response to antigen cross-presentation, resulting in their migration to the tissue of antigen expression where autoimmunity ensued. Thus, the cooperation of self-reactive memory-like CD4+ and CD8+ T cells under lymphopenic conditions overcomes cross-tolerance resulting in autoimmunity.
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