More stringent conditions of plasmid DNA vaccination are required to protect grafted versus endogenous islets in nonobese diabetic mice

C Seifarth, S Pop, B Liu, CP Wong… - The Journal of …, 2003 - journals.aai.org
C Seifarth, S Pop, B Liu, CP Wong, R Tisch
The Journal of Immunology, 2003journals.aai.org
Recurrent autoimmune destruction of the insulin-producing β cells is a key factor limiting
successful islet graft transplantation in type I diabetic patients. In this study, we investigated
the feasibility of using an Ag-specific plasmid DNA (pDNA)-based strategy to protect pro-
islets that had developed from a neonatal pancreas implanted under the kidney capsule of
nonobese diabetic (NOD) mice. NOD recipient mice immunized with pDNA encoding a
glutamic acid decarboxylase 65 (GAD65)-IgFc fusion protein (JwGAD65), IL-4 (JwIL4), and …
Abstract
Recurrent autoimmune destruction of the insulin-producing β cells is a key factor limiting successful islet graft transplantation in type I diabetic patients. In this study, we investigated the feasibility of using an Ag-specific plasmid DNA (pDNA)-based strategy to protect pro-islets that had developed from a neonatal pancreas implanted under the kidney capsule of nonobese diabetic (NOD) mice. NOD recipient mice immunized with pDNA encoding a glutamic acid decarboxylase 65 (GAD65)-IgFc fusion protein (JwGAD65), IL-4 (JwIL4), and IL-10 (pIL10) exhibited an increased number of intact pro-islets expressing high levels of insulin 15 wk posttransplant, relative to NOD recipient mice immunized with pDNA encoding a hen egg lysozyme (HEL)-IgFc fusion protein (JwHEL)+ JwIL4 and pIL10 or left untreated. Notably, the majority of grafted pro-islets detected in JwGAD65+ JwIL4-plus pIL10-treated recipients was free of insulitis. In addition, administration of JwGAD65+ JwIL4+ pIL10 provided optimal protection for engrafted islets compared with recipient NOD mice treated with JwGAD65+ JwIL4 or JwGAD65+ pIL10, despite effective protection of endogenous islets mediated by the respective pDNA treatments. Efficient protection of pro-islet grafts correlated with a marked reduction in GAD65-specific IFN-γ reactivity and an increase in IL-10-secreting T cells. These results demonstrate that pDNA vaccination can be an effective strategy to mediate long-term protection of pro-islet grafts in an Ag-specific manner and that conditions are more stringent to suppress autoimmune destruction of grafted vs endogenous islets.
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