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* Sunnybrook and Womens College Health Sciences Centre, and Departments of
Immunology and
Medicine, University of Toronto, Toronto, Ontario, Canada
One of the BB rat diabetes (diabetes mellitus (DM)) susceptibility genes is an Ian5 mutation resulting in premature apoptosis of naive T cells. Impaired differentiation of regulatory T cells has been suggested as one possible mechanism through which this mutation contributes to antipancreatic autoimmunity. Using Ian5 congenic inbred rats (wild-type (non-lyp BB) and mutated (BB)), we assessed the development of BB regulatory CD84+25+T cells and their role in the pathogenesis of DM. BB rats have normal numbers of functional CD84+25+Foxp3+ thymocytes. The proportion of CD25+ cells among CD84+ recent thymic emigrants is also normal while it is increased among more mature CD84+ T cells. However, BB CD84+25+Foxp3+ thymocytes fail to undergo homeostatic expansion and survive upon transfer to nude BB rats while Foxp3 expression is reduced in mature CD84+25+ T cells suggesting that these cells are mostly activated cells. Consistent with this interpretation, peripheral BB CD84+25+ T cells do not suppress anti-TCR-mediated activation of non-lyp BB CD84+25 T cells but rather stimulate it. Furthermore, adoptive transfer of unfractionated T cells from diabetic BB donors induces DM in 71% of the recipients while no DM occurred when donor T cells are depleted of CD84+25+ cells. Adoptive transfer of 106 regulatory non-lyp BB CD84+25+ T cells to young BB rats protects the recipients from DM. Taken together, these results demonstrate that the BB rat Ian5 mutation alters the survival and function of regulatory CD84+25+ T cells at the post-thymic level, resulting in clonal expansion of diabetogenic T cells among peripheral CD84+25+ cells.
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