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Departments of
* Internal Medicine and
Pediatrics, University of Cincinnati College of Medicine and Veterans Affairs Medical Center, Cincinnati, OH 45220;
Division of Rheumatology, University of California, Los Angeles, School of Medicine, Los Angeles, CA 90095;
La Jolla Institute of Allergy and Immunology, San Diego, CA 92121; and
¶ University of Tennessee, Memphis, TN 38163
Many individuals develop a single or a few brief episodes of
autoimmunity from which they recover. Mechanisms that quell pathologic
autoimmunity following such a breakdown of self-tolerance are not
clearly understood. In this study, we show that in nonautoimmune mice,
dsDNA-specific autoreactive B cells exist but remain inactive. This
state of inactivation in dsDNA-specific B cells could be disrupted by
autoreactive Th cells; in this case T cells that react with peptides
from the VH region of anti-DNA Abs (hereafter called
anti-VH T cells). Immunization with anti-DNA mAb,
its
-chain or peptides derived from its VH region
induced anti-VH Th cells, IgG anti-dsDNA Ab, and
proteinuria. The breakdown of B cell tolerance in nonautoimmune mice,
however, was short-lived: anti-DNA Ab and nephritis subsided
despite subsequent immunizations. The recovery from autoimmunity
temporally correlated with the appearance of T cells that inhibited
anti-DNA Ab production. Such inhibitory T cells secreted TGF
;
the inhibition of anti-DNA Ab production by these cells was partly
abolished by anti-TGF
Ab. Even without immunization,
nonautoimmune mice possess T cells that can inhibit autoantibody
production. Thus, inhibitory T cells in nonautoimmune mice may normally
inhibit T-dependent activation of autoreactive B cells and/or reverse
such activation following stimulation by Th cells. The induction of
such inhibitory T cells may play a role in protecting nonautoimmune
mice from developing chronic autoimmunity.
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