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Departments of
*
Immunology and
Neuropharmacology, The Scripps Research Institute, La Jolla, CA 92037; and
Department of Surgery, University of California at San Diego, La Jolla, CA 92037
Migration of CD4 cells into the pancreas represents a
hallmark event in the development of insulin-dependent diabetes
mellitus. Th1, but not Th2, cells are associated with pathogenesis
leading to destruction of islet ß-cells and disease onset. Lymphocyte
extravasation from blood into tissue is regulated by multiple adhesion
receptor/counter-receptor pairs and chemokines. To identify events that
regulate entry of CD4 cells into the pancreas, we transferred Th1 or
Th2 cells induced in vitro from islet-specific TCR transgenic CD4 cells
into immunodeficient (NOD.scid)
recipients. Although both subsets infiltrated the pancreas and elicited
multiple adhesion receptors (peripheral lymph node addressin, mucosal
addressin cell adhesion molecule-1, LFA-1, ICAM-1, and VCAM-1) on
vascular endothelium, entry/accumulation of Th1 cells was more rapid
than that of Th2 cells, and only Th1 cells induced diabetes. In vitro,
Th1 cells were also distinguished from Th2 cells by the capacity to
synthesize several chemokines that included lymphotactin, monocyte
chemoattractant protein-1 (MCP-1), and macrophage inflammatory
protein-1
, whereas both subsets produced macrophage inflammatory
protein-1ß. Some of these chemokines as well as RANTES, MCP-3, MCP-5,
and cytokine-response gene-2 (CRG-2)/IFN-inducible protein-10
(IP-10) were associated with Th1, but not Th2, pancreatic
infiltrates. The data demonstrate polarization of chemokine expression
by Th1 vs Th2 cells, which, within the microenvironment of the
pancreas, accounts for distinctive inflammatory infiltrates that
determine whether insulin-producing ß-cells are protected or
destroyed.
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