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National Institute of Diabetes and Digestive and Kidney Diseases-Navy Transplantation and Autoimmunity Branch, Bethesda, MD 20889; and
Department of Internal Medicine I, University of Ulm, Ulm, Germany
Although transgenic mice expressing murine B7-1 (mCD80) on their
pancreatic
cells under the rat insulin-1 promoter
(RIP-mCD80+ mice) rarely develop spontaneous
cell
destruction and diabetes, we have previously reported the
transgene-dependent induction of profound insulitis and lethal diabetes
following multiple low dose injections of the
cell toxin
streptozotocin (MLDS) in RIP-mCD80+ mice. Here, we have
further characterized this MLDS-induced diabetes model using the
RIP-mCD80+ mice and now demonstrate that disease is
critically dependent on T cell signaling via CD28. Thus, although naive
RIP-mCD80+ and nontransgenic littermates have comparable
gross
cell mass, and immediately following MLDS induction the mice
display similar degrees of insulitis and decrements in the
cell
mass, only transgenic mice continued to destroy their
cells and
develop insulin-dependent diabetes mellitus. Strikingly, MLDS-induced
diabetes was completely prevented in CD28-deficient mice
(RIP-mCD80+CD28-/-) due to abrogation of
leukocytes infiltrating their pancreatic islets. We further
characterized MLDS-induced diabetes in the RIP-mCD80+ mice
by demonstrating that the MLDS-induced lymphocytic islet infiltrate
contained a substantial frequency of autoantigen-specific,
IFN-
-secreting, CD8+ T cells. We conclude that
MLDS-induced
cell destruction and subsequent insulin-dependent
diabetes mellitus in RIP-mCD80+ mice is T cell-mediated as
it involves both Ag-specific recognition of self-target molecules in
the inflamed pancreatic islet (signal 1) and is CD28 costimulation
dependent (signal 2).
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