344
Views
25
CrossRef citations to date
0
Altmetric
Original Article

Autoimmune Diabetes: The Role of T Cells, MHC Molecules and Autoantigens

Pages 159-177 | Received 17 Feb 1997, Accepted 30 Jun 1997, Published online: 07 Jul 2009

References

  • Liblau R. S., Singer S. M., McDevitt H. O. Thl and Th2 CD4+ T cells in the pathogenesis of organ-specific autoimmune diseases. Immunol. Today 1995; 16: 34–8
  • Scott P. Selective differentiation of CD4+ T-helper cell subsets. Curr Opin Immunol 1993; 5: 391–7
  • Zinkernagel R. M. Immunology taught by viruses. Science 1996; 271: 173–8
  • Mandrup-Poulsen T. The role of interleukin-1 in the pathogenesis of IDDM. Diabelologia 1996; 39: 1005–29
  • Naquet P., Ellis J., Tibensky D., Kenshole A., Singh B., Hodges R., et al. T cell autoreactivity to insulin in diabetic and related non-diabetic individuals. J. Immunol. 1988; 140: 2569–78
  • Harrison L. C, Chu S. X., DeAizpurua H. J., Graham M., Honeyman M. C., Colman P. G. Islet-reactive T cells are a marker of preclinical insulin-dependent diabetes. J. Clin. Invest. 1992; 89: 1161–5
  • Roep B. O. T-cell responses to autoantigens in IDDM. The search for the Holy Grail. Diabetes 1996; 45: 1147–56
  • Durinovic Bello I., Steinle A., Ziegler A. G., Schen-Del D. J. HLA-DQ-restricted, islet-specihc T-cell clones of a type I diabetic patient. T-cell receptor sequence similarities to insulitis-inducing T-cells of nonobese diabetic mice. Diabetes 1994; 43: 1318–25
  • Durinovic Bello I., Hummel M., Ziegler A. G. Cellular immune response to diverse islet cell antigens in IDDM. Diabetes 1996; 45: 795–800
  • Eisenbarth G. S., Ziegler A. G. Type 1 diabetes mellitus. Molecular Endocrinology: Basic Concepts and Clinical Correlations, B. D. Weintraub. Raven Press, New York 1995; 269–82
  • Itoh N., Hanafusa T., Miyazaki A., Miyagawa J., Yam-Agata K., Yamamoto K., et al. Mononuclear cell infiltration and its relation to the expression of major histocompatibility complex antigens and adhesion molecules in pancreas biopsy specimens from newly diagnosed insulin-dependent diabetes mellitus patients. J. Clin. Invest. 1993; 92: 2313–22
  • Sibley R. K., Sutherland D. E., Goetz F., Michael A. F. Recurrent diabetes mellitus in the pancreas iso-and allograft. A light and electron microscopic and immunohislochemical analysis of four cases. Lab. Invest. 1985; 53: 132–44
  • Like A. A., Biron C. A., Weringer E. J., Byman K., Sroczynski E., Guberski D. L. Prevention of diabetes in Bio-Breeding/Worcester rats with monoclonal antibodies that recognize T lymphocytes or natural killer cells. J. Exp. Med. 1986; 164: 1145–59
  • Kröncke K. D., Funda J., Berschick B., Kolb H., Kolb Bachofen V. Macrophage cytotoxicity towards isolated rat islet cells: neither lysis nor its protection by nicotinamide are beta-cell specific. Diabetologia 1991; 34: 232–8
  • Rabinovitch A., Suarez-Pinzon W. L., Sorensen O. Interleukin 12 mRNA expression in islets correlates with /S-cell destruction in NOD mice. J. Autoimmun 1996; 9: 645–51
  • Bendelac A., Carnaud C, Boitard C., Bach J. F. Syngeneic transfer of autoimmune diabetes from diabetic NOD mice to healthy neonates. Requirement for both L3T4+ and Lyt-2+ T cells. J. Exp. Med. 1987; 166: 823–32
  • Wang B., Gonzalez A., Benoist C., Mathis D. The role of CD8+ T cells in the initiation of insulin-dependent diabetes mellitus. Eur. J. Immunol. 1996; 26: 1762–9
  • Katz J., Benoist C., Mathis D. Major histocompatibility complex class I molecules are required for the development of insulitis in non-obese diabetic mice. Eur. J. Immunol. 1993; 23: 3358–60
  • Todd J. A., Bell J. I., McDevitt H. O. HLA-DQ beta gene contributes to susceptibility and resistance to insulin-dependent diabetes mellitus. Nature 1987; 329: 599–604
  • Chicz R. M., Urban R. G., Gorga J. C, Vignali D. A., Lane W. S., Strominger J. L. Specificity and promiscuity among naturally processed peptides bound to HLA-DR alleles. J Exp. Med. 1993; 178: 27–47
  • Baum H., Davies H., Peakman M. Molecular mimicry in the MHC: hidden clues to autoimmunity?. Immunol. Today 1996; 17: 68–70
  • Tisch R., McDevitt H. Insulin-dependent diabetes mellitus. Cell 1996; 85: 291–7
  • Cudworth A. G. Type I diabetes mellitus. Dia-betologiu 1978; 14: 281–91
  • Durinovic-Bello I., Kadrnka-Lovrencic M., Frleta M., Balog V., Dumic M., Kalaftic Z., et al. HLA antigens in families of patients with insulin-dependent diabetes mellitus. Period. Biol 1979; 81: 205
  • Todd J. A., Bell J. I., McDevitt H. O. HLA antigens and insulin-dependent diabetes. Nature 1988; 333: 710
  • TuomilehtoWolf E., Tuomilehto J., Cepaitis Z., Lounamaa R. New susceptibility haplotype for type 1 diabetes. DIME Study Group. Lancet 1989; 2: 299–302
  • Kelly H., McCann V. J., Kay P. H., Dawkins R. L. Susceptibility to IDDM is marked by MHC supratypes rather than individual alleles. Immunogenetics 1985; 22: 643–51
  • Durinovic Bello I., Schendel D. J., Kastelan A., Segurado O. G. A novel diabetes-susceptibility HLA haplotype is present in the Croatian population. Tissue Antigens 1993; 41: 107–9
  • Brown J. H., Jardetzky T. S., Gorga J. C, Stern L. J., Urban R. G., Strominger J. L., et al. Three-dimensional structure of the human class II histocompatibility antigen HLA-DRI [see comments]. Nature 1993; 364: 33–9
  • Stern L. J., Brown J. H., Jardetzky T. S., Gorga J. C, Urban R. G., Strominger J. L., et al. Crystal structure of the human class II MHC protein HLA-DRI complexed with an influenza virus peptide. Nature 1994; 368: 215–21
  • Jardetzky T. S., Gorga J. C, Busch R., Rothbard J., Strominger J. L., Wiley D. C. Peptide binding to HLA-DRI: a peptide with most residues substituted to alanine retains MHC binding. EMBO J 1990; 9: 1797–803
  • Rammensee H. G., Friede T., Stevanovic S. MHC ligands and peptide motifs: first listing. Immunogenetics 1995; 41: 178–228
  • Ronningen K. S., . HLA class II associations in insulin-dependent diabetes mellitus among Blacks, Cau-casoids and Japanese. HLA 1991, K. Tsuji, M. Aitawa, T. Sasazuki, et al. Oxford Science Publications, OxfordUK 1993; Vol. 1: 713–22
  • Khalil I., . A restricted number of HLA-DQα/β heterodimers confer varying degrees of susceptibility to insulin-dependent diabetes mellitus. HLA 1991, K. Tsuji, M. Aitawa, T. Sasazuki, et al. Oxford Science Publications, OxfordUK 1993; Vol. 1: 483–492
  • Hammer J., Gallazzi F., Bono E., Karr R. W., Guenot J., Valsasnini P., et al. Peptide binding specificity of HLA-DR4 molecules: correlation with rheumatoid arthritis association. J. Exp. Med. 1995; 181: 1847–55
  • Wucherpfennig K. W., Yu B., Bhol K., Monos D. S., Argyris E., Karr R. W., et al. Structural basis for major histocompatibility complex (MHC)-linked susceptibility to autoimmunity: charged residues of a single MHC binding pocket confer selective presentation of self-peptides in pemphigus vulgaris. Proc. Natl. Acad. Sci. U.S.A. 1995; 92: 11935–9
  • Reich E. P., von Grafenstein H., Barlow A., Swen-Son K. E., Williams K., Janeway C. A. J. Self peptides isolated from MHC glycoproteins of nonobese diabetic mice. J. Immunol 1994; 152: 2279–88
  • Bohme J., Schuhbaur B., Kanagawa O., Benoist C., Mathis D. MHC-linked protection from diabetes dissociated from clonal deletion of T cells. Science 1990; 249: 293–5
  • Thorsby E., Ronningen K. S. Particular HLA-DQ molecules play a dominant role in determining susceptibility or resistance to type 1 (insulin-dependent) diabetes mellitus. Diabetologia 1993; 36: 371–7
  • Kwok W. W., Domeier M. E., Raymond F. C, Byers P., Nepom G. T. Allele-specific motifs characterize HLA-DQ interactions with a diabetes-associated peptide derived from glutamic acid decarboxylase. J. Immunol 1996; 156: 2171–7
  • Tienari P. J., Tuomilehto-Wolf E., Peltonen L. DIME Study Group. HLA haplotypes in type 1 (insulin-dependent) diabetes mellitus: molecular analysis of the HLA-DQ locus. Diabetologia 1992; 35: 254–60
  • Fennessy M., Metcalfe K., Hitman G. A., Niven M., Biro P. A., Tuomilehto J., et al. A gene in the HLA class I region contributes to susceptibility to IDDM in the Finnish population. Childhood Diabetes in Finland (DiMe) Study Group. Diabetologia 1994; 37: 937–44
  • Demaine A. G., Hibberd M. L., Mangles D., Mill-Ward B. A. A new marker in the HLA class I region is associated with the age at onset of IDDM. Diabetologia 1995; 38: 623–8
  • Ikegami H., Kawaguchi Y., Ueda H., Fukuda M., Taka-Kawa K., Fujioka Y., et al. MHC-linked diabetogenic gene of the NOD mouse: molecular mapping of the 3' boundary of the diabetogenic region. Biochem. Biophys. Res. Commun. 1993; 192: 677–82
  • Wicker L. S., Leiter E. H., Todd J. A., Renjilian R. J., Peterson E., Fischer P. A., et al. Beta 2-microglobulin-deficient NOD mice do not develop insulitis or diabetes. Diabetes 1994; 43: 500–4
  • Lehmann P. V., Forsthuber T., Miller A., Ser-Carz E. E. Spreading of T-cell autoimmunity to cryptic determinants of an autoantigen. Nature 1992; 358: 155–7
  • Böhmer K., Keilacker H., Kuglin B., Hubinger A., Bertrams J., Gries F. A., et al. Proinsulin autoantibodies are more closely associated with type 1 (insulin-dependent) diabetes mellitus than insulin autoantibodies. Diabetologia 1991; 34: 830–4
  • Drell D. W., Notkins A. L. Multiple immunological abnormalities in patients with type 1 (insulin-dependent) diabetes mellitus. Diabetologia 1987; 30: 132–43
  • Castano L., Russo E., Zhou L., Lipes M. A., Eisen-Barth G. S. Identification and cloning of a granule autoantigen (carboxypeptidase-H) associated with type 1 diabetes. J. Clin. Endocrinol. Metab. 1991; 73: 1197–201
  • Baekkeskov S., Aanstoot H. J., Christgau S., Reetz A., Solimena M., Cascalho M., et al. Identification of the 64K autoantigen in insulin-dependent diabetes as the GABA-synthesizing enzyme glutamic acid decarboxylase. Nature 1990; 347: 151–6
  • Pietropaolo M., Castano L., Babu S., Buelow R., Kuo Y. L., Martin S., et al. Islet cell autoantigen 69 kD (ICA69). Molecular cloning and characterization of a novel diabetes-associated autoantigen. J. Clin. Invest. 1993; 92: 359–71
  • Lan M. S., Lu J., Goto Y., Notkins A. L. Molecular cloning and identification of a receptor-type protein tyrosine phosphatase, IA-2, from human insulinoma. DNA Cell Biol 1994; 13: 505–14
  • Notkins A. L., Lu J., Qing L., Vander Vegt F. P., Wasser-Fall C, Maclaren N. K., Lan M. S. IA-2 and IA-2β are major autoantigens in IDDM and the precursors of the 40 kDa and 37 kDa tryptic fragments. J. Autoimm. 1996; 9: 677–82
  • Hawkes C. J., Wasmeier C., Christie M. R., Hut-Ton J. C. Identification of the 37-kDa antigen in IDDM as a tyrosine phosphatase-like protein (phogrin) related to IA-2. Diabetes 1996; 45: 1187–92
  • Aanstoot H. J., Kang S. M., Kim J., Lindsay L. A., Roll U., Knip M., et al. Identification and characterization of glima 38, a glycosylated islet cell membrane antigen, which together with GAD65 and IA2 marks the early phases of autoimmune response in type 1 diabetes. J. Clin. Invest. 1996; 97: 2772–83
  • Christie M. R., Hollands J. A., Brown T. J., Michelsen B. K., Delovitch T. L. Detection of pancreatic islet64,000 M(r) autoantigens in insulin-dependent diabetes distinct from glutamate decarboxylase. J. Clin. Invest 1993; 92: 240–8
  • Boitard C., Villa M. C, Becourt C., Gia H. P., Hue C., Sempe P., et al. Peripherin: an islet antigen that is cross-reactive with nonobese diabetic mouse class II gene products. Proc. Natl. Acad. Sci. U.S.A. 1992; 89: 172–6
  • Arden S. D., Roep B. O., Neophytou P. I., Usac E. F., Duinkerken G., de Vries R. R., et al. Imogen 38: a novel 38-kD islet mitochondrial autoantigen recognized by T cells from a newly diagnosed type 1 diabetic patient. J. Clin. Invest. 1996; 97: 551–61
  • Honeyman M. C., Cram D. S., Harrison L. C. Transcription factor jun-B is target of autoreactive T-cells in IDDM. Diabetes 1993; 42: 626–30
  • Endl J., Otto H., Jung G., Dreisbusch B., Donie F., Stahl P., Elbracht R., Schmitz G., Meinl E., Zieglar A.-G., Wank R., Schendel D. J. Identification of T cell epitopes of glutamic acid decarboxylase presented in the context of HLA-DR alleles by T lymphocytes of recent onset IDDM patients. J Exp Med 1997; 99: 2405–15
  • Lohmann T., Leslie R. D., Londei M. T cell clones to epitopes of glutamic acid decarboxylase 65 raised from normal subjects and patients with insulin-dependent diabetes. J. Autoimmun. 1996; 9: 385–9
  • Genovese S., Bonfanti R., Bazzigaluppi E., Lampa-Sona V., Benazzi E., Bosi E., Chiumello G., Bonifacio E. Association of IA-2 autoantibodies with HLA DR4 phenotypes in IDDM. Diabetologia 1996; 39: 1223–6
  • Roep B. O., Duinkerken G., Schreuder G. M., Kolb H., de Vries R. R., Martin S. HLA-associated inverse correlation between T cell and antibody responsiveness to islet autoantigen in recent-onset insulin-dependent diabetes mellitus. Eur. J. Immunol. 1996; 26: 1285–9
  • Griffing W. L., Moore S. B., Luthra H. S., McKenna C. H., Fathman C. G. Associations of antibodies to native DNA with HLA-DRw3. A possible major histocompatibility complex-linked human immune response gene. J. Exp. Med. 1980; 152: 319–25
  • Steiner D. F., Clark J. L., Nolan C., Rubenstein A. H., Margoliash E., Aten B., et al. Proinsulin and the biosynthesis of insulin. Recent. Prog. Norm. Res. 1969; 25: 207–82
  • Larger E., Becourt C., Bach J. F., Boitard C. Pancreatic islet beta cells drive T cell-immune responses in the nonobese diabetic mouse model. J. Exp. Med. 1995; 181: 1635–42
  • Keller R. J. Cellular immunity to human insulin in individuals at high risk for the development of type I diabetes mellitus. J. Autoimmun. 1990; 3: 321–7
  • Schloot N. C., Roep B. O., Wegmann D., Yu L., Chase H. P., Wang T., Eisenbarth G. S. Altered immune response to insulin in newly diagnosed compared to insulin-treated diabetic patients and healthy control subjects. Diabetologia 1997; 40: 564–672
  • Rudy G., Brusic V., Harrison L. C., Lew A. M. Sequence similarity between beta-cell autoantigens. Immunol. Today 1995; 16: 406–7
  • Rudy G., Stone N., Harrison L. C, Colman P. G., McNair P., Brusic V., et al. Similar peptides from two beta cell autoantigens, proinsulin and glutamic acid decarboxylase, stimulate T cells of individuals at risk for insulin-dependent diabetes. Mol. Med. 1995; 1: 625–33
  • Roll U., Christie M. R., Fuchtenbusch M., Payton M. A., Hawkes C. J., Ziegler A. G. Perinatal autoimmunity in offspring of diabetic parents. The German Mul-ticenter BABY-DIAB study: detection of humoral immune responses to islet antigens in early childhood. Diabetes 1996; 45: 967–73
  • Kaufman D. L., ClareSalzler M., Tian J., Forsthuber T., Ting G. S., Robinson P., et al. Spontaneous loss of T-cell tolerance to glutamic acid decarboxylase in murine insulin-dependent diabetes. Nature 1993; 366: 69–72
  • Wegman D. R., Norbury-Glaser M., Daniel D. Insulin-Specific T cells are a predominant component of islet infiltrates in pre-diabetic NOD mice. Eur. J. Immunol. 1994; 24: 1853–57
  • Daniel D., Wegman D. R. Protection of nonobese diabetic mice from diabetes by intranasal or subcutaneous administration of insulin peptide B-(9-23). Proc. Natl. Acad. Sci. 1996; 93: 956–69
  • Tompkins S. M., Moore J. C., Jensen P. E. An insulin peptide that binds an alternative site in class II major histocompatibility complex. J. Exp. Med. 1996; 183: 857–66
  • Jensen P. E., Kraft A. O. T cells from nonre-sponder mice. MHC restricted and unrestricted recognition of insulin. J. Immunol. 1990; 145: 3985–91
  • Krug U., Krug F., Cuatrecasas P. Emergence of insulin receptors on human lymphocytes during in vitro transformation et at. Proc. Natl. Acad. Sci. U.S.A. 1972; 69: 2604–8
  • DiazEspada F., LopezAlarcon L. Mitogen-induced changes in glycolytic enzymes of mouse lymphocytes: influence of insulin on cell activation in vitro. Immunology 1982; 46: 705–12
  • Heldermanl J. H., Strom T. B. Role of protein and RNA synthesis in the development of insulin binding sites on activated thymus-derived lymphocytes. J. Biol. Chem. 1979; 254: 7203–7
  • Strom T. B., Bear R. A., Carpenter C. B. Insulin-induced augmentation of lymphocyte-mediated cytotoxicity. Science 1975; 187: 1206–8
  • Bhakri H. L., Jones H., Jones D. A., Pettingale K. W., Tee D. E. H. T cell subpopulation dynamics following insulin-induced hypoglycemia in normal subjects. Clin. Exp. Immunol. 1983; 53: 83–7
  • Pugliese A., Bugawan T., Moromisato R., Awdeh Z. L., Alper C. A., Jackson R. A., et al. Two subsets of HLA-DQA1 alleles mark phenotypic variation in levels of insulin autoantibodies in first degree relatives at risk for insulin-dependent diabetes. J. Clin. Invest. 1994; 93: 2447–52
  • Ziegler R., Alper C. A., Awdeh Z. L., Castano L., Brink S. J., Soeldner J. S., et al. Specific association of HLA-DR4 with increased prevalence and level of insulin autoantibodies in first-degree relatives of patients with type 1 diabetes. Diabetes 1991; 40: 709–14
  • Ziegler A. G., Standi E., Albert E., Mehnert H. HLA-associated insulin autoantibody formation in newly diagnosed type I diabetic patients. Diabetes 1991; 40: 1146–9
  • Tisch R., Yang X. D., Singer S. M., Liblau R. S., Fug-Ger L., McDevitt H. O. Immune response to glutamic acid decarboxylase correlates with insulitis in non-obese diabetic mice. Nature 1993; 366: 72–5
  • Dylan D., Wegmann D. R. Protection of nonobese diabetic mice from diabetes by intranasal or subcutaneous administration of insulin peptide B-(9-23). Proc. Natl. Acad. Sci. U.S.A. 1996; 93: 956–60
  • Zhang Z. J., Davidson L., Eisenbarth G., Weiner H. L. Suppression of diabetes in nonobese diabetic mice by oral administration of porcine insulin. Proc. Natl. Acad. Sci. U.S.A. 1991; 88: 10252–6
  • Tian J., Lehmann P. V., Kaufman D. L. T cell cross-reactivity between coxsackievirus and glutamate decarboxylase is associated with a murine diabetes susceptibility allele. J Exp. Med. 1994; 180: 1979–84
  • Elliott J. F., Qin H.-Y., Bhatti S., Smith D. K., Singh R. K., Dillon T., et al. Immunization with the larger isoform of mouse glutamic acid decarboxylase (GAD67) prevents autoimmune diabetes in NOD mice. Diabetes 1994; 43: 1494–9
  • Atkinson M. A., Bowman M. A., Campbell L., Dar-Row B. L., Kaufman D. L., Maclaren N. K. Cellular immunity to a determinant common to glutamate decarboxylase and coxsackie virus in insulin-dependent diabetes. J. Clin. Invest. 1994; 94: 2125–9
  • Lohmann T., Leslie R. D., Hawa M., Geysen M., Rod-Da S., Londei M. Immunodominant epitopes of glutamic acid decarboxylase 65 and 67 in insulin-dependent diabetes mellitus [see comments]. Lancet 1994; 343: 1607–8
  • Jones D. B., Crosby I. Proliferative lymphocyte responses to virus antigens homologous to GAD65 in IDDM. Diabetologia 1996; 39: 1318–24
  • Bruserud O., Jervell J., Thorsby E. HLA-DR3 and-DR4 control T-lymphocyte responses to mumps and Coxsackie B4 virus: studies on patients with type 1 (insulin-dependent) diabetes and healthy subjects. Diabetohgia 1985; 28: 420–6
  • Delamaire M., Timsit J., Caillat Zucman S., Maugen-Dre D., Roussely H., Semana G., et al. HLA-associated heterogeneity of the humoral response to islet antigens in insulin-dependent diabetes. J. Autoimmun. 1995; 8: 645–57
  • Passini N., Larigan J. D., Genovese S., Appella E., Sinigaglia F., Rogge L. The 37/40-kilodalton autoantigen in insulin-dependent diabetes mellitus is the putative tyrosine phosphatase IA-2. Proc. Natl. Acad. Sci. U.S.A. 1995; 92: 9412–6
  • Payton M. A., Hawkes C. J., Christie M. R. Relationship of the37,000-and40,000-M(r) tryptic fragments of islet antigens in insulin-dependent diabetes to the protein tyrosine phosphatase-like molecule IA-2 (ICA512). J. Clin. Invest. 1995; 96: 1506–11
  • Morrison D. C., Ryan Y. L. Endotoxins and disease mechanisms. Ann Rev Med 1987; 38: 417–32
  • Gegner J. A., et al. Lipopolysaccharide (LPS) signal transduction and clearance. Dual roles for LPS binding protein and membrane CD 14. J Biol Chem 1995; 270: 5320–25
  • Christie M. R., Genovese S., Cassidy D., Bosi E., Brown T. J., Lai M., et al. Antibodies to islet 37 k antigen, but not to glutamate decarboxylase, discriminate rapid progression to IDDM in endocrine autoimmunity. Diabetes 1994; 43: 1254–9
  • Leslie R. D. G., Elliott R. B. Perspectives in diabetes: Early environmental events as a cause of IDDM. Evidence and implications. Diabetes 1994; 43: 843–50
  • Fujita T., Yui R., Kusumoto J., Serizawa J., Makino S., Tochino Y. Lymphocyte insulitis in NOD (non-obese diabetic) mice: an immunohistochemical and electron microscope investigation. Biochem Res 1982; 3: 429–30
  • Castano L., Eisenbarth G. S. Type-I diabetes: a chronic autoimmune disease of human, mouse, and rat. Annu. Rev. Immunol. 1990; 8: 647–79
  • Scherbaum W. A., Seissler J. Cellular and humoral autoimmunity in insulin-dependent diabetes mellitus. Exp. Clin. Endocrinol. 1995; 103: 88–94
  • Hummel M., Durinovic Bello I., Ziegler A. G. Relation between cellular and humoral immunity to islet cell antigens in type I diabetes. J. Autoimmun. 1996; 9: 427–30
  • Harrison L. C, Honeyman M. C, De Aizpurua H. J., et al. Inverse relation between humoral and cellular immunity to glutamic acid decarboxylase in subjects at risk of insulin-dependent diabetes. Lancet 1993; 341: 1365–1369
  • Watts C., Lanzavecchia A. Suppressive effect of antibody on processing of T cell epitopes. J Exp Med 1993; 178: 1459–1463
  • Simitsek P. D., Campbell D. G., Lanzavecchia A., Fair-Weather N., Watts C. Modulation of antigen processing by bound antibodies can boost or suppress class II major histocompatibility complex presentation of different T cell determinants. J Exp Med 1995; 181: 1957–1963
  • Lanzavecchia A. How can cryptic epitope.s trigger autoimmunity?. J Exp Med 1995; 181: 1945–1948
  • Honeyman M C, Harrison L. C, Drummond B., Col-Man P. G., Tait B. Analysis of families at risk for insulin-dependent diabetes mellitus reveals that HLA antigens influence progression to clinical disease. Molecular Medicine 1995; 5: 576–582
  • Pfeffer C., Stein J., Southwood S., Ketelaar H., Sette A., Boltomly K. Altered peptide ligands can control CD4 T lymphocyte differentiation in vivo. J. Exp Med 1995; 181: 1569–1574
  • Pfeffer C., Murray J., Bottomly K. Selective activation of Thl and Th2 like cells in vivo. Response to human collagen IV. Immunol Rev 1991; 123: 65–84
  • Dong X., Hamilton K. J., Satoh M., Wang J., Reeves W. H. Initiation of autoimmunity to the p53 tumor suppressor protein by complexes of p53 and SV40 large T antigen. J Exp Med 1994; 179: 1243–1252
  • Davies J. L., Kawaguchi Y., Bennett S. T., Copeman J. B., Cordell H. J., Pritchard L. E., et al. A genome-wide search for human type I diabetes susceptibility genes. Nature 1994; 371: 130–6
  • Bennett S. T., Lucassen A. M., Gough S. C. L., Powell E. E., Undlien D. E., Pritchard L. E., et al. Susceptibility to human type I diabetes at IDDM2 is determined by tandem repeat variation at the insulin gene minisatellite locus. Nature Genetics 1995; 9: 284–292
  • Suzuki T., Yamada Y., Fujimura T., . Diabetogenic effects of lymphocyte transfusion on the NOD or NOD nude mouse. Immune-deficient animals in biomedical research, J. Rygaard, N. Brunner, N. Graem, N. Spang-Thomsen, et al. Karger, Basel 1987; 112–6
  • Oldstone M. B. Viruses as therapeutic agents. Treatment of nonobese insulin-dependent diabetes mice with virus prevents insulin-dependent diabetes mellitus while maintaining general immune competence. J. Exp. Med. 1990; 171: 2077–89
  • Qin H. Y., Sadelain M. W., Hitchon C., Lauzon J., Singh B. Complete Freunďs adjuvant-induced T cells prevent the development and adoptive transfer of diabetes in nonobese diabetic mice. J. Immunol. 1993; 150: 2072–80
  • Bach J. F. Predictive medicine in autoimmune diseases: from the identification of genetic predisposition and environmental influence to precocious immunothera-pie. Clin Immunol Immunopathol 1994; 72: 156–161
  • Szopa T. M., Titchener P. A., Portwood N. D., Taylor K. W. Diabetes mellitus due to viruses-some recent developments. Diabetologia 1993; 36: 687–695
  • Rabinowe S. L., George K. L., Laughlin R., Soeld-Ner J. S., Eisenbarth G. S. Congenital rubella: monoclonal antibody defined T-cell abnormalities in young children. Am J Med 1986; 81: 779–782
  • Menser M. A., Forrest J. M., Bransby R. D. Rubella infection and diabetes mellitus. Lancet 1978; 1: 57–60
  • Ward K. P., Galloway W. H., Aucherlonie I. A. Congenital cytomegalovirus and diabetes. Lancet 1979; I: 497–99
  • Park C.-Y., McArthur R. G., Eun H.-M., Yoon J.-W. Cytomegalovirus infection with autoimmune type I diabetes. Lancet 1979; I: 1–14
  • Wagenknecht L. E., Roseman J. M., Herman W. H. Oncreased incidence of insulin dependent diabetes mellitus following an epidemic of Coxsackie B5. Am J Epidemiol 1991; 133: 1024–1031
  • Petersen K. G., Heilmeyer P., Kerp L. Synthesis of proinsulin and large glucagon immunoreactivity in isolated islets of Largenhans from EMC virus infected mice. Diabetologia 1975; 11: 21–25
  • Portwood N. D., Taylor K. W. Coxsackie B4 virus-induced changes in mouse pancreatic /S-cell mRNAs. Biochem Soc Trans 1990; 18: 1264–67
  • Parkkonen P., Hyoty H., Koskinen L., Leinikki P. Mumps virus infects beta cells in human fetal islet cell cultures upregulating the expression of HLA class I molecules. Diabetologia 1992; 35: 63–69
  • Cavallo M. G., Baroni M. G., Toto A., et al. Viral infection induces cytokine release by islet beta cells. Immunology 1992; 75: 664–668
  • Lefkovith J., Schreiner G., Cormier J., Handler E. S., Driscol H. F., Greiner D., et al. Prevention of diabetes in the BB rat by essential fatty acid deficiency: Relationship between physiological and biochemical changes. J Exp Med 1990; 171: 729–743
  • Elliot R. B., Reddy S. N., Bibby N. J., Kida K. Dietary prevention of diabetes in the non-obese diabetic mouse. Diabetologia 1988; 31: 62–64
  • Karges W., Hammond-McKibben D., Cheung R., Vis-Conti M., Shibuya N., Kemp D., et al. Immunological aspects of nutritional diabetes pretension in NOD mice. A pilot study for the cow's milk-based IDDM prevention trial. Diabetes 1997; 46: 557–564
  • Zauderer M., Campbell H., Johnson D. R., Seman M. Helper functions of antigen-induced specific and autoreactive T cell colonies. J. Mol. Cell Immunol. 1984; 1: 65–77
  • Tilkin A. F., Michon J., Juy D., Kayibanda M., Hen-In Y., Sterkers G., et al. Autoreactive T cell clones of MHC class II specificities are produced during responses against foreign antigens in man. J. Immunol. 1987; 138: 674–9
  • Strober W., James S. P. Imniunoregulatory function of human autoreactive T-cell lines and clones. Immunol. Rev. 1990; 116: 117–38
  • Kotani H., Mitsuya H., Jarrett R. F., Yenokida G. G., James S. P., Strober W. An autoreactive T cell clone that can be activated to provide both helper and suppressor function. J. Immunol. 1986; 136: 1951–9
  • Bensussan A., Metier S. C, Schlossman S. F., Reinherz E. L. Delineation of an imniunoregulatory amplifier population recognizing autologous la molecules. Analysis with human T cell clones. J. Exp. Med. 1984; 159: 559–76
  • Kakkanaiah V. H., Seth A., Nagarkatti M., Nagar-Katti P. S. Autoreactive T cell clones isolated from normal and autoimmune-susceptible mice exhibit lymphokine secrectory and functional properties of both Thl and Th2 cells. Clin. Immunol. Immunopathol. 1990; 57: 148
  • Miller G., Nepom G. T., Reich M. B., Thomas J. W. Autoreactive T cells from a type I diabetic recognize multiple class II products. Hum. Immunol 1993; 36: 219–26
  • Glimcher L., Shevach E. M. Production of autoreactive I region-restricted T cell hybridomas. J. Exp. Med. 1982; 156: 640
  • Glimcher L. H., Serog B., McKean D. J., Beck B. N. Evidence that autoreactive T hybridomas recognize multiple epitopes on the I-Ak molecule. J. Immunol 1985; 134: 1780
  • Imperiale M. J., Faherty D. A., Sproviero J. F., Zauderer M. Functionally distinct helper T cells enriched under different culture conditions cooperate with different B cells. J. Immunol. 1982; 129: 1843–8
  • Wang Y., Perkins D. L. Characterization of autoreactive T cells: relative importance of self-peptides versus MHC. J. Immunol 1991; 147: 804
  • French M. B., Allison J., Cram D. S., Thomas H. E., Dempsey-Collier M., Silva A., et al. Transgenic expression of mouse proinsulin II prevents diabetes in nonobese diabetic mice. Diabetes 1997; 46: 34–39
  • Kuglin B., Cries F. A., Kolb H. Evidence of IgG autoantibodies against human proinsulin in patients with IDDM before insulin treatment. Diabetes 1988; 37: 130–2
  • Kuglin B., Haider B., Bertrams J., Gruneklee D., Gries F. A., Kolb H. Proinsulin autoantibodies: association with type I diabetes but not with islet cell antibodies, insulin autoantibodies or HLA-DR type. J. Auloimmun. 1990; 3: 573–7
  • Kennedy G. C, German M. S., Rutter W. J. The minisatelite in the diabetes susceptibility locus IDDM2 regulates insulin transcription. Nature Genetics 1995; 9: 293–298

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.