Insulin in oral immune “tolerance”: a one-amino acid change in the B chain makes the difference

D Homann, T Dyrberg, J Petersen… - The Journal of …, 1999 - journals.aai.org
D Homann, T Dyrberg, J Petersen, M Oldstone, MG von Herrath
The Journal of Immunology, 1999journals.aai.org
Oral administration of self-Ags can dampen or prevent autoimmune processes by induction
of bystander suppression. Based on encouraging results from experiments in nonobese
diabetic (NOD) mice, clinical trials have been initiated in type 1 diabetes using human
insulin as an oral Ag. However, neither the precise antigenic requirements nor the
mechanism of bystander suppression are currently understood in detail. Here we report that
1) a 1-aa difference in position 30 of the insulin B chain abrogated the ability of insulin to …
Abstract
Oral administration of self-Ags can dampen or prevent autoimmune processes by induction of bystander suppression. Based on encouraging results from experiments in nonobese diabetic (NOD) mice, clinical trials have been initiated in type 1 diabetes using human insulin as an oral Ag. However, neither the precise antigenic requirements nor the mechanism of bystander suppression are currently understood in detail. Here we report that 1) a 1-aa difference in position 30 of the insulin B chain abrogated the ability of insulin to confer protection in both NOD as well as a virus-induced transgenic mouse model for type 1 diabetes. In the latter model transgenic mice express the nucleoprotein (NP) of lymphocytic choriomeningitis virus (LCMV) under the control of the rat insulin promotor (RIP) in the pancreatic β cells and develop diabetes only following LCMV infection; and 2) protection could be transferred with insulin B chain-restimulated but not LCMV-restimulated splenocytes from RIP-NP transgenic mice, demonstrating that the mechanism of diabetes prevention in the RIP-NP model is mediated by insulin B chain-specific, IL-4-producing regulatory cells acting as bystander suppressors.
journals.aai.org