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Department of Immunology, Alliance Pharmaceutical, San Diego, CA 92121; and
Departments of Immunology and Neuropharmacology, Division of Virology, The Scripps Research Institute, La Jolla, CA 92037
The insulin B (InsB) chain bears major type 1 diabetes-associated
epitopes of significance for disease in humans and nonobese diabetic
(NOD) mice. Somatic expression of InsB chain initiated early in life by
plasmid inoculation resulted in substantial protection of female NOD
mice against disease. This was associated with a T2 shift in spleen,
expansion of IL-4-producing and, to a lesser extent, of
IFN-
-secreting T cells in pancreatic lymph nodes, as well as
intermolecular Th2 epitope spreading to glutamic acid
decarboxylase determinants. A critical role of IL-4 for the
Ag-specific protective effect triggered by plasmid administration was
revealed in female IL-4-/- NOD mice that developed
diabetes and higher Th1 responses. Coadministration of IL-4-expressing
plasmid or extension of the vaccination schedule corrected the
unfavorable response of male NOD mice to DNA vaccination with InsB
chain. Thus, plasmid-mediated expression of the InsB chain early in
diabetes-prone mice has the potential to prevent transition to
full-blown disease depending on the presence of
IL-4.
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