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*
The Jackson Laboratory, Bar Harbor, ME 04609; and
Department of Medicine, University of Alberta, Edmonton, Canada
Numerous immunostimulatory protocols inhibit the development of T
cell-mediated autoimmune insulin-dependent diabetes mellitus (IDDM) in
the nonobese diabetic (NOD) mouse model. Many of these protocols,
including treatment with the nonspecific immunostimulatory agents CFA
or bacillus Calmette-Guérin (BCG) vaccine, have been reported to
mediate protection by skewing the pattern of cytokines produced by
pancreatic
-cell autoreactive T cells from a Th1 (IFN-
) to a Th2
(IL-4 and IL-10) profile. However, most of these studies have
documented associations between such cytokine shifts and disease
protection rather than a cause/effect relationship. To partially
address this issue we produced NOD mice genetically deficient in
IFN-
, IL-4, or IL-10. Elimination of any of these cytokines did not
significantly alter the rate of spontaneous IDDM development.
Additional experiments using these mice confirmed that CFA- or
BCG-elicited diabetes protection is associated with a decreased IFN-
to IL-4 mRNA ratio within T cell-infiltrated pancreatic islets, but
this is a secondary consequence rather than the cause of disease
resistance. Unexpectedly, we also found that the ability of BCG and, to
a lesser extent, CFA to inhibit IDDM development in standard NOD mice
is actually dependent upon the presence of the Th1 cytokine, IFN-
.
Collectively, our studies demonstrate that while Th1 and Th2 cytokine
shifts may occur among
-cell autoreactive T cells of NOD mice
protected from overt IDDM by various immunomodulatory therapies, it
cannot automatically be assumed that this is the cause of their disease
resistance.
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