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Department of Molecular and Medical Pharmacology, University of California, Los Angeles, CA 90095; and
Roche Milano Ricerche, Milano, Italy
Autoimmunity often spreads in a predefined pattern during the
progression of T cell-mediated autoimmune diseases. This progression
has been well described in animal models and in man, but the basis for
this phenomenon is little understood. To gain insight into the factors
that determine this spreading hierarchy, we characterized the binding
affinity of a panel of
cell-autoantigenic peptides to I-Ag7, as
well as the precursor frequency, functional avidity, and phenotype of
the T cells that recognize these peptides in type 1 diabetes-prone
nonobese diabetic mice. We observed that autoimmunity gradually spreads
from a
cell determinant, which had the largest precursor pool of
high avidity T cells, to
cell determinants with progressively
smaller and lower avidity T cell precursor pools. This correlation
between the sequential development of spontaneous T cell autoimmunity
and the frequency and avidity of autoantigen-reactive T cells suggests
that the extent to which T cells were negatively selected by the
self-determinants is the key factor determining the spreading
hierarchy.
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