Physiological beta cell death triggers priming of self-reactive T cells by dendritic cells in a type-1 diabetes model

J Exp Med. 2003 Nov 17;198(10):1527-37. doi: 10.1084/jem.20030966.

Abstract

The prelude to type-1 diabetes is leukocyte infiltration into the pancreatic islets, or insulitis. This process begins in pancreatic lymph nodes when T lymphocytes reactive to islet beta cells encounter antigen-presenting cells (APCs) displaying peptides derived from beta cell proteins. We show here that a ripple of physiological beta cell death, which occurs at 2 wk of age in all mouse strains, precipitates the arrival of such APCs, and that the relevant APC is a dendritic cell of CD11c+CD11b+CD8alpha- phenotype. These findings have significant implications concerning the nature of the diabetes-provoking deficits in NOD mice, the identity of the primordial diabetogenic antigens, and our understanding of the balance between immunity and tolerance in a pathological context.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • B-Lymphocytes
  • Cell Death / physiology
  • Dendritic Cells / metabolism*
  • Diabetes Mellitus, Type 1 / metabolism*
  • Disease Models, Animal
  • Islets of Langerhans / metabolism*
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism*