[HTML][HTML] Toll-like receptor engagement converts T-cell autoreactivity into overt autoimmune disease

KS Lang, M Recher, T Junt, AA Navarini, NL Harris… - Nature medicine, 2005 - nature.com
KS Lang, M Recher, T Junt, AA Navarini, NL Harris, S Freigang, B Odermatt, C Conrad…
Nature medicine, 2005nature.com
Autoimmune diabetes mellitus in humans is characterized by immunological destruction of
pancreatic beta islet cells. We investigated the circumstances under which CD8+ T cells
specific for pancreatic beta-islet antigens induce disease in mice expressing lymphocytic
choriomeningitis virus (LCMV) glycoprotein (GP) as a transgene under the control of the rat
insulin promoter. In contrast to infection with LCMV, immunization with LCMV-GP derived
peptide did not induce autoimmune diabetes despite large numbers of autoreactive cytotoxic …
Abstract
Autoimmune diabetes mellitus in humans is characterized by immunological destruction of pancreatic beta islet cells. We investigated the circumstances under which CD8+ T cells specific for pancreatic beta-islet antigens induce disease in mice expressing lymphocytic choriomeningitis virus (LCMV) glycoprotein (GP) as a transgene under the control of the rat insulin promoter. In contrast to infection with LCMV, immunization with LCMV-GP derived peptide did not induce autoimmune diabetes despite large numbers of autoreactive cytotoxic T cells. Only subsequent treatment with Toll-like receptor ligands elicited overt autoimmune disease. This difference was critically regulated by the peripheral target organ itself, which upregulated class I major histocompatibility complex (MHC) in response to systemic Toll-like receptor–triggered interferon-α production. These data identify the 'inflammatory status' of the target organ as a separate and limiting factor determining the development of autoimmune disease.
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