The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Poulin, M.
Right arrow Articles by Haskins, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Poulin, M.
Right arrow Articles by Haskins, K.
The Journal of Immunology, 2000, 164: 3072-3078.
Copyright © 2000 by The American Association of Immunologists

Induction of Diabetes in Nonobese Diabetic Mice by Th2 T Cell Clones from a TCR Transgenic Mouse1

Michelle Poulin and Kathryn Haskins2

Department of Immunology and Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, Denver, CO 80262


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We have produced a panel of cloned T cell lines from the BDC-2.5 TCR transgenic (Tg) mouse that exhibit a Th2 cytokine phenotype in vitro but are highly diabetogenic in vivo. Unlike an earlier report in which T cells obtained from the Tg mouse were cultured for 1 wk under Th2-promoting conditions and were found to induce disease only in NOD.scid recipients, we found that long-term T cell clones with a fixed Th2 cytokine profile can transfer disease only to young nonobese diabetic (NOD) mice and never to NOD.scid recipients. Furthermore, the mechanism by which diabetes is transferred by a Tg Th2 T cell clone differs from that of the original CD4+ Th1 BDC-2.5 T cell clone made in this laboratory. Whereas the BDC-2.5 clone rapidly causes disease in NOD.scid recipients less than 2 wk old, the Tg Th2 T cell clones can do so only when cotransferred with other diabetogenic T cells, suggesting that the Th2 T cell requires the presence of host T cells for initiation of disease.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The nonobese diabetic (NOD)3 mouse has long been used as an animal model for insulin-dependent diabetes mellitus because of its many similarities to human disease (1, 2). As in human diabetes, the NOD mouse exhibits a T cell-mediated destruction of the islet ß cells of the pancreas (3, 4, 5, 6, 7, 8, 9, 10, 11). To understand the role of T cells in diabetes in the NOD mouse, islet-specific T cell clones have been produced by several groups (1, 12, 13, 14, 15, 16, 17, 18, 19). These cells have been primarily CD4+ and of the Th1 phenotype, and many have been shown to be diabetogenic in the young NOD mouse (18, 20, 21, 22, 23, 24, 25).

The BDC-2.5 TCR transgenic (Tg) mouse (26) was made with the TCR {alpha}-chain (V{alpha}1) and ß-chain (Vß4) of the diabetogenic T cell clone BDC-2.5, which was produced in our laboratory (12). This NOD-derived T cell clone proliferates and makes Th1 cytokines in vitro in response to whole islet cells or membrane fractions obtained from ß tumor cells (13, 27). In vivo, it rapidly and reproducibly transfers diabetes into young (<2-wk-old) NOD or NOD.scid recipients but not into adult mice. As previously described (28) and confirmed by studies in this lab (C. Dobbs and K. Haskins, manuscript in preparation), T cells from the BDC-2.5 TCR Tg mouse bred onto the NOD.scid background can rapidly transfer diabetes at very low cell numbers (<1 x 106) into adult NOD.scid mice.

Evidence from several labs has indicated that there is a protective, regulatory role in autoimmune diabetes for the IL-4/IL-10-secreting subset of CD4+ T cells, which are generally referred to as Th2 T cells. Treatment of NOD mice with IL-4 gave rise to IL-4-secreting spleen cells and delayed diabetes onset (29) and, in subsequent studies, protection by IL-4-secreting splenic T cells was shown to be transferable (30). Inserting the IL-4 gene under the rat insulin promoter on the NOD background was also found to be protective (31). Similar protective results were seen after systemic treatment of NOD mice with IL-10 (32). On the other hand, it has been reported that IL-4-secreting T cells obtained from a 4-day culture of spleen cells from the BDC-2.5 TCR Tg mouse could not protect against disease transfer (33) and, in a subsequent study, short-term (7-day) cultures of CD4+ T cells with IL-4 were found to induce diabetes in NOD.scid recipients (34).

In an attempt to resolve the discrepancies in the literature with respect to protective vs diabetogenic properties of IL-4-secreting T cells and to determine whether protective Th2 T cells could in fact be obtained from a mouse bearing the TCR of a diabetogenic Th1 T cell clone, we have investigated the in vivo properties of long-term T cell lines and clones with stable Th2 cytokine-secreting profiles from the BDC-2.5 TCR Tg mouse. Our results indicate that IL-4/IL-10-secreting CD4+ T cell lines bearing the transgenic TCR, like the original clone BDC-2.5, can rapidly cause diabetes in young NOD recipients but cannot induce disease in NOD.scid mice of any age.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

Breeding pairs of NOD and NOD.scid mice were obtained from either The Jackson Laboratory (Bar Harbor, ME) or the breeding colony at the Barbara Davis Center. BDC-2.5 TCR Tg breeding pairs were obtained from Dr. Jonathan Katz (Washington University, St. Louis, MO). Mice were bred and housed under specific pathogen-free conditions in the University of Colorado Health Sciences Center’s Center for Laboratory Animal Care. NOD and NOD.scid mice were used before they reached 15 days of age as recipients in transgenic T cell clone transfers. NOD mice (8–10 wk old) were used as a source of APC and fresh islet cells.

Isolation and maintenance of Tg T cell lines and clones

To produce Th2 T cell lines from the BDC-2.5 TCR Tg mouse, splenic T cells (1 x 107/ml) from an untreated, nondiabetic female donor were incubated with islet cells or ß cell membranes (prepared from islet cell tumors) in a primary culture for 5 days before being combined in a 20-ml secondary culture in high-glucose DMEM (Life Technologies, New Island, NY) (supplemented with 44 mM sodium bicarbonate, 0.55 mM L-arginine, 0.27 mM L-asparagine, 1.5 mM L-glutamine, 1 mM sodium pyruvate, 50 mg/L gentamicin sulfate, 50 µM 2-ME, 10 mM HEPES, and 10% FCS) with islet Ag, APC (2.5 x 107 irradiated NOD spleen cells), 3.5 U/ml IL-2 (IL-2-containing EL4 supernatant), 5 ng/ml IL-4 (X63-IL-4 supernatant) (35), and anti-IFN-{gamma} mAb (XMG1.2) at a concentration of 2.5% v/v. Islet Ag for these cultures was in the form of either fresh islet cells (5 x 103) or 12 µg of a membrane preparation made from ß tumor cells (27). Restimulation cultures were incubated upright in 25-cm2 flasks at 37°C and 10% CO2 for 2 wk. Tg T cell lines were maintained thereafter on 2-wk cycles with fresh Ag, syngeneic APC, IL-2, IL-4, and anti-IFN-{gamma} mAb. Although T cell cultures from the BDC-2.5 TCR Tg mouse were, as expected, heavily skewed toward T cells of the BDC-2.5 phenotype, if these lines were cloned early, distinct T cell clones with different properties could be isolated. Tg T cell lines were cloned by limiting dilution in 96-well round-bottom plates containing 5 x 105 APC, 5 x 103 islet cells or 1 µg of ß cell membranes as Ag, IL-2, IL-4, and anti-IFN-{gamma} mAb in each well. A summary of Th1 and Th2 T cell clones used in this study is shown in Table IGo. Expansion cultures for in vivo transfers were produced by culture of 3–6 x 106 T cells from 4-day restimulation cultures with 7 U/ml IL-2 and 5 ng/ml IL-4 in 60 ml of supplemented DMEM in 75-cm2 flasks for 4 days at 37°C and 10% CO2. T cells were harvested, washed three times, resuspended in HBSS, and injected into young recipients.


View this table:
[in this window]
[in a new window]
 
Table I. Summary of T cell clones

 
Proliferation and cytokine assays

At the end of each 2-wk growth cycle, Tg T cell lines and clones were assayed for Ag specificity and cytokine production. To assess Ag specificity, T cells were plated in 96-well flat-bottom plates at 2 x 104 cells/well alone, with 2.5 x 104 syngeneic peritoneal cells as APC to determine nonspecific proliferation, or with 2.5 x 104 syngeneic peritoneal cells as APC plus 5000 irradiated NOD islet cells, or with 10 µg of ß-membrane, to determine Ag-specific proliferation. Plates were incubated at 37°C and 10% CO2 for 3 days. Tritiated thymidine was added at a concentration of 0.5 µCi/well for the final 6 h of culture. Assays were harvested on a Packard (Meriden, CT) Filtermate 196 harvester and read on a Packard Topcounter.

Cytokine production was assessed by ELISA analysis of Con A-stimulated supernatants. Briefly, Tg T cells were plated at 4 x 104 cells/well in 96-well flat-bottom plates with 5 x 105 irradiated syngeneic spleen cells as APC and Con A (Sigma, St. Louis, MO) at a final concentration of 2.5 µg/ml. Plates were incubated at 37°C and 10% CO2, and supernatants were harvested at 48 h. Cytokine production by Tg T cell lines and clones was tested at the end of a 2-wk growth cycle and from expansion flasks on the day of injection for adoptive transfer experiments. Cytokine levels were determined by specific sandwich ELISAs for the following cytokines: IL-2, IL-4, IL-6, IL-10, and IFN-{gamma}. Cytokine ELISAs were performed using purified mAb (PharMingen, San Diego, CA) for capture and biotinylated mAb (PharMingen) for detection and then using streptavidin-HRP (Sigma) and 2,2'-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) (Sigma) as the substrate. Assays were read on a Titertek (Huntsville, AL) Multiskan Plus platereader at 405 nm.

Confirmation of Tg TCR phenoype or genotype

Tg T cell lines were assessed for the expression of the BDC-2.5 TCR chain Vß4 by flow cytometry using a Vß4-specific mAb, KT4-10. The presence of the V{alpha}1 and Vß4 transgenes was confirmed by PCR analysis using transgene-specific primers.

In vivo transfer of Tg T cell lines and clones

Recipients of Tg T cell lines were young NOD or NOD.scid mice 3–14 days of age. Recipients were given two i.p. injections of 1 x 107 cells 1 wk apart. Recipients were monitored for diabetes by daily urine (Diastix, Bayer, Elkhart, IN) or blood glucose (Glucotrend, Boehringer Mannheim, Indianapolis, IN) tests starting at 6 days postinjection until they became diabetic or the experiment was terminated. Overt diabetes was defined as a positive urine glucose (>1%) and then a positive blood glucose test of >250 mg/dl (14 mM). Recipients were sacrificed when blood glucose readings were 320 mg/dl (18 mM) or higher. At sacrifice, the pancreata were removed for histological analysis.

Histology

At sacrifice, pancreata were removed and placed in formalin for at least 24 h. Pancreata were subsequently embedded in paraffin, sectioned, and stained with aldehyde fuchsin (A/F). Histological sections were read visually by two independent scorers to determine the extent of islet infiltration and granulation of the islets. Infiltration was scored as follows: 0, no infiltrate; 1, mild peri-islet or polar infiltrate; 2, moderate peri-islet or mild intraislet infiltrate; and 3, severe intraislet infiltrate. Granulation was also scored from 0 to 3 by the following criteria: 3, 75–100% granulated islets; 2, 50–75% granulated islets; 1, 20–50% granulated islets; and 0, complete degranulation.

Cotransfer of Tg Th2 (Tg/T2) line with diabetogenic Th1 clones or diabetic spleen cells

For cotransfer experiments using diabetic spleen cells, recipient NOD.scid mice (9–14 days of age) were injected i.p. on day 0 with 2 x 107 diabetic spleen cells, 1 x 107 of the transgenic T cell line 2.5 Tg/T2-X, or spleen cells and 2.5 Tg/T2-X together. To obtain spleen cells, diabetic NOD female donors were sacrificed and their spleens were removed under sterile conditions. Spleens were ground into a single-cell suspension using a tissue homogenizer; the cells were washed twice with HBSS and counted using a hemacytometer. Splenocytes were resuspended in HBSS at a concentration of 4 x 108 cells/ml, and 2 x 107 cells were injected into mice in a volume of 50 µl. For cotransfers involving a CD4+ T cell clone, we used the T cell clone BDC-6.3, another Th1 diabetogenic T cell clone from our original panel (13). This T cell clone is Vß4 V{alpha}3 in its TCR and proliferates to the same islet Ag preparations as BDC-2.5 but, unlike BDC-2.5, cannot transfer disease to NOD.scid mice of any age. Cotransfer experiments were performed by injecting NOD.scid recipients (7–14 days of age) i.p. on days 0 and 7 with 1 x 107 of BDC-6.3, 1 x 107 2.5 Tg/T2-X, or BDC-6.3 and 2.5 Tg/T2-X together. All T cell clones were prepared in expansion cultures as described previously. Recipients were monitored as described above. After diabetic animals were sacrificed, their pancreata were placed in formalin and histologically examined as described previously.

Statistical analysis

Statistical significance within experiments was determined using JMP analysis software (SAS Institute, Cary, NC). Survival analysis was done using the product-limit (Kaplan-Meier) method. The endpoint of the experiment was defined as diabetes. Data on animals that did not become diabetic by the end of the experiment were censored. The p values shown were determined by Log-Rank test.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In vitro characterization of TCR Tg T cell lines and clones

T cell lines were generated from spleen cells obtained from nondiabetic female BDC-2.5 TCR transgenic mice and cultured in the presence of NOD islet Ag and IL-2. Lines were pushed toward a Th2 phenotype by the addition of IL-4 and anti-IFN-{gamma} mAb. Tg/T2 lines were selected on the basis of specificity for islet cells and production of IL-4, and the absence of production of IFN-{gamma}. Subsequently, the Tg/T2 lines were extensively analyzed for cytokine production, with testing for IL-2, IL-4, IL-6, IL-10, and IFN-{gamma}. As these lines, coming from TCR transgenic animals, were comprised primarily of BDC-2.5 Tg-positive T cells, uncloned lines tended to become clonal with continued culture. However, some lines were cloned by limiting dilution shortly after being established. Each line or clone selected showed a reproducible response to islet cell Ag above background in routine T cell proliferation assays, although the magnitude of the proliferative response was somewhat less than that of the parent Th1 clone, BDC-2.5 (data not shown). All of the Tg/T2 lines and clones were shown to bear the BDC-2.5 TCR by flow cytometry or PCR analysis (data not shown).

As shown in Table IIGo, two TCR Tg lines and one clone appeared to have a Th2 phenotype. Every Tg/T2 line or clone showed a distinct but consistent cytokine profile, producing different levels of the Th2 cytokines IL-4, IL-6, and IL-10. The T cell clone 2.5 Tg/T2-1.D6 made no IL-10 detectable by ELISA and, like BDC-2.5, produced small but variable amounts of IL-2 (data not shown), but as described below, the in vivo activity of this clone was the same as the lines 2.5 Tg/T2-2 and 2.5 Tg/T2-X.


View this table:
[in this window]
[in a new window]
 
Table II. Cytokine production by the Th1 T cell clone BDC-2.5 and by 2.5 TCR Tg/T2 line/clone1

 
Transfer of TCR Tg/T2 lines and clones into young NOD recipients

To characterize the in vivo properties of the Tg/T2 lines and clones, clone transfer experiments were conducted in young NOD recipients. Recipient mice less than 14 days old were injected i.p. with Tg T cell lines or clones (1 x 107 cells/injection). The diabetogenic Th1 T cell clone BDC-2.5 was used as a positive control. With the two lines and the clone 2.5 Tg/T2-1.D6, these transfers resulted in a rapid onset of diabetes in recipient mice, with hyperglycemia developing by 14 days posttransfer (Table IIIGo). Numbers of animals in each experiment were small because transfers in each case were with two or three test clones (plus controls) into unweaned litters of mice. The kinetics of disease onset were not significantly different from those caused by the parent clone BDC-2.5.


View this table:
[in this window]
[in a new window]
 
Table III. Diabetogenicity of the Th1 clone BDC-2.5 and of 2.5 TCR Tg/T2 lines and clones in young NOD recipients1

 
Histological analysis was done to determine whether the type or pattern of damage would differ between the Tg/T2 cells and BDC-2.5. With every diabetogenic Tg/T2 line or clone transferred, pancreatic histology showed complete islet degranulation and an overwhelming mononuclear intraislet infiltrate. A representative pancreatic section from a mouse treated with 2.5 Tg/T2-X is shown in Fig. 1GoB. In some cases, the damage was so extensive that a loss of pancreatic structure resulted. This pattern of destruction was very similar to the damage caused by the parent clone BDC-2.5 (Fig. 1GoA). In addition, pancreatitis, or swelling of the exocrine tissue, was often observed in mice receiving diabetogenic Tg/T2 cells, a result not usually seen with BDC-2.5.



View larger version (85K):
[in this window]
[in a new window]
 
FIGURE 1. Representative histology of pancreatic sections stained with A/F from young NOD recipients transferred with one of the following T cell lines or clones: BDC-2.5 (A) or 2.5 Tg/T2-X (B). Arrows indicate islet tissue. Magnification for all photos is x100.

 
Transfer of TCR Tg/T2 lines and clones into young NOD.scid recipients

Next, we determined the ability of the Tg/T2 lines and clones to transfer disease to the young NOD.scid mice. As indicated in Table IVGo, young NOD.scid recipients rapidly become diabetic upon transfer of our islet-specific Th1 clone BDC-2.5 but developed no disease with the Tg/T2 lines or clones with either one or two injections of 1 x 107 cells. Again, numbers of animals in individual experiments were small due to transfers having to be performed in unweaned litters of mice. Histological analysis revealed little or no mononuclear infiltration of the islets and no degranulation or other destruction of the islet tissue when Tg/T2 lines and clones were transferred (Fig. 2GoC). This result is in marked contrast to transfers using either the BDC-2.5 clone (Fig. 2GoB) or diabetic spleen cells from the BDC-2.5 TCR Tg/NOD mouse or BDC-2.5 TCR Tg/NOD.scid mouse, both of which lead to rapid and extensive islet damage and hyperglycemia in NOD.scid recipients.


View this table:
[in this window]
[in a new window]
 
Table IV. Diabetogenicity of the Th1 clone BDC-2.5 and 2.5 TCR Tg/T2 lines and clones in young NOD.scid recipients1

 


View larger version (129K):
[in this window]
[in a new window]
 
FIGURE 2. Representative histology of pancreatic sections stained with A/F from young NOD.scid recipients transferred with one of the following T cell lines or clones: BDC-2.5 (B) or 2.5 Tg/T2-X (C). A representative pancreatic section from an age-matched uninjected NOD.scid mouse is shown in A. Arrows indicate islet tissue. B lacks arrows because all islet tissue has been disrupted or destroyed. Magnification for all photos is x100.

 
Cotransfer of a TCR Tg/T2 line with diabetic spleen cells

The results of experiments with the Tg/T2 lines in young NOD.scid mice clearly indicated that these cells, although diabetogenic, were working by a mechanism very different from that of the Th1 T cell clones or diabetic T cells from the BDC-2.5 TCR Tg mouse. The very efficient transfer of disease by the Tg/T2 line into young NOD mice suggested that they might be working through recruitment of host T cells. To test whether our transgenic Th2 lines and clones could transfer diabetes to NOD.scid recipients in the presence of "host cells," we performed cotransfers of the Tg/T2 line 2.5 Tg/T2-X with diabetic spleen cells. Our rationale for performing this experiment was to determine whether the 2.5 Tg/T2-X line, which is diabetogenic in the young NOD, would have an accelerating effect on the diabetic spleen cells. As shown in Fig. 3Goa, cotransfer of the Tg/T2 line Tg/T2-X with diabetic spleen cells did indeed lead to an acceleration of disease onset. After cotransfer, 50% of recipients were diabetic by day 13, whereas when diabetic spleen cells were transferred alone, only by day 18 were 50% of recipients diabetic. This is a statistically significant acceleration with a p value of 0.0005 by Log-Rank analysis. Cotransfers were also performed using reduced numbers of diabetic spleen cells. As shown in Fig. 3Go, b and c, disease was accelerated to a greater extent with transfer of two to four times fewer spleen cells. Fig. 4GoA shows islet infiltrate after transfer of diabetic spleen cells plus 2.5 Tg/T2-X. Although cotransferred mice became diabetic significantly earlier than mice that received diabetic spleen cells alone, histological analysis did not demonstrate any apparent difference between the two groups.



View larger version (15K):
[in this window]
[in a new window]
 
FIGURE 3. Diabetes in young NOD.scid recipients transferred with diabetic spleen cells alone or diabetic spleen cells with the 2.5 TCR Tg/T2 line, 2.5 Tg/T2-X. a, NOD.scid mice 9–14 days of age were injected i.p. on day 0 with 2 x 107 diabetic spleen cells ({circ}; n = 7) or with 2 x 107 diabetic spleen cells plus 1 x 107 2.5 Tg/T2-X cells (•; n = 7). b, NOD.scid mice received 1 x 107 diabetic spleen cells alone ({circ}) or cotransferred with 1 x 107 2.5 Tg/T2-X cells (•). c, NOD.scid mice received 5 x 106 diabetic spleen cells alone ({circ}) or cotransferred with 1 x 107 2.5 Tg/T2-X cells (•). Each group in b and c contained three recipients. a represents data combined from two separate experiments.

 


View larger version (132K):
[in this window]
[in a new window]
 
FIGURE 4. Representative histology of pancreatic sections stained with A/F from young NOD.scid recipients transferred with one of the following: diabetic spleen cells and 2.5 Tg/T2-X (A), BDC-6.3 (B), or BDC-6.3 and 2.5 Tg/T2-X (C). Arrows indicate islet tissue. C lacks arrows because all islet tissue has been disrupted or destroyed. Magnification for all photos is x100. If histology was scored as in Tables IIIGo and IVGo, lesion severity in A and C would have been scored as a 3 for infiltration and a 0 for granulation.

 
Cotransfer of a TCR Tg/T2 line with a CD4+ Th1 diabetogenic T cell clone

The T cell clone BDC-6.3 is from our original panel of islet-specific Th1 diabetogenic T cell clones (13), and although it can cause diabetes in young NOD mice, it cannot induce diabetes in the NOD.scid, even when the recipients are very young. To determine whether a CD4+ T cell clone alone could reconstitute an environment leading to disease induction by a diabetogenic Tg/T2 line, we conducted cotransfer experiments with the Tg/T2 line, 2.5 Tg/T2-X, and the BDC-6.3 clone in young NOD.scid mice. As shown in Fig. 5Go, 7- to 12-day-old NOD.scid mice transferred with either BDC-6.3 or 2.5 Tg/T2-X alone did not become diabetic by day 28 postinjection. In contrast, seven of nine mice that received both 2.5 Tg/T2-X and BDC-6.3 became diabetic by day 19. To demonstrate that this induction of disease was not merely a result of greater cell numbers (2 x 107 cells in a cotransfer vs 1 x 107 cells when clones were administered separately), we performed the cotransfer with 5 x 106 cells each of BDC-6.3 and 2.5 Tg/T2-X, and recipients (two of five) became diabetic by day 12 (data not shown). It should be noted that the recipients in this group became diabetic with the same kinetics as mice transferred with 2 x 107 total cells. We also found that transfer of 1 x 107 BDC-6.3 on day 0 and then injection of 1 x 107 2.5 Tg/T2-X on day 7 led to rapid diabetes onset in three of three recipients (data not shown). Furthermore, we determined that animals receiving 1 x 107 cells of either BDC-6.3 or 2.5 Tg/T2-X alone remained normoglycemic for greater than 60 days posttransfer (data not shown). Histological analysis showed no significant infiltrate or degranulation of islets in mice that received 2.5 Tg/T2-X alone (see Fig. 2GoC), although it is apparent that this clone gets into the pancreas upon administration i.p. In some cases, incomplete granulation was seen, as illustrated in Fig. 2GoA, but this is typical in 3- to 6-wk-old NOD.scid mice in which some islets are not completely granulated. Pancreatic sections from mice transferred with BDC-6.3 alone indicated that this clone could also migrate to the pancreas in that some islets showed mild to moderate infiltrate and degranulation, although most were free of infiltrate and completely granulated (Fig. 4GoB). In contrast, in the cotransferred animals, there was complete degranulation of islets (Fig. 4GoC) accompanied by an extensive mononuclear infiltrate. These data show that the Tg/T2 line 2.5 Tg/T2-X is not inert in the NOD.scid and is in fact able to induce disease in the presence of other effector T cells, even though it does not have the ability to cause diabetes on its own.



View larger version (26K):
[in this window]
[in a new window]
 
FIGURE 5. Cotransfer of the 2.5 TCR Tg/T2 line 2.5 Tg/T2-X with a CD4+ Th1 diabetogenic T cell clone BDC-6.3. Young NOD.scid recipients 7–14 days of age were injected with 1 x 107 of BDC-6.3 ({square}; n = 6), with 1 x 107 of 2.5 Tg/T2-X ({triangleup}; n = 17), or with 1 x 107 of each ({circ}; n = 9) on days 0 and 7 of the experiment. By day 19, seven of nine cotransferred recipients were diabetic. Recipients of 2.5 Tg/T2-X or BDC-6.3 alone did not become diabetic by the time the experiment was terminated at 28 days. The figureGo represents data combined from two separate experiments, except for the 2.5 Tg/T2-X-only group, which represents animals combined from six experiments done identically.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this study, our goal was to isolate and establish long-term, cloned Th2 T cell lines from the BDC-2.5 TCR Tg mouse and to characterize their in vitro and in vivo properties. This is the first report of Th2 T cell clones (or of any T cell clones) isolated from the 2.5 TCR Tg mouse. The significance of this achievement may not be readily obvious because the T cell repertoire of the Tg mouse is highly skewed toward T cells with the BDC-2.5 receptor; however, Tg T cells in culture generally do not survive past a week or two, probably due to their already high state of activation out of the animal. We have produced a panel of islet-specific T cell lines and clones from the 2.5 TCR Tg mouse that, upon in vitro stimulation, were found to produce several Th2 cytokines including IL-4, IL-6, and IL-10 but not IFN-{gamma}. Despite their apparent Th2 phenotype, these T cell lines caused rapid diabetes onset in young NOD recipients. Surprisingly, however, transfer of these cells did not lead to diabetes in young NOD.scid mice, and theoretically NOD.scid mice less than 2 wk of age should be the most susceptible recipients.

This study is not the first attempt to obtain T cells with a Th2 phenotype from the 2.5 TCR Tg mouse. Katz et al. (33) previously reported success in producing IL-4-secreting T cells after culture of Tg T cells for 4 days under Th2-promoting conditions. These cultures were not diabetogenic in young NOD mice but also were not protective. A later publication by Pakala et al. (34) reported that TCR Tg T cells cultured under similar short-term conditions caused diabetes in adult NOD.scid mice but not in young NOD recipients. It is hard to evaluate the significance of this latter observation because diabetes is readily induced in young NOD.scid mice using Tg T cells subjected to no treatment whatsoever (our unpublished data). Furthermore, because a recent report by other investigators indicated that short-term Th2 cultures could not transfer diabetes to adult NOD.scid mice (36), the result of Pakala et al. may not be a consistent finding. Our original goal was to determine whether long-term Tg T cell lines with consistent cytokine production patterns would in fact prove to have protective properties. The establishment of long-term, stable Th2 T cell lines (especially from a TCR Tg mouse with a TCR from a Th1 T cell clone) is an important point because it is well documented in the literature that T cell cultures of less than 3 wk do not have a fixed cytokine production profile (37, 38, 39). As demonstrated previously by Murphy et al. (38), repeated restimulation of T cell cultures with specific Ag and Th1 and Th2 growth conditions can yield lines and clones with a "locked-in" phenotype, a feature we deemed critical to carrying out these studies. Furthermore, in the same report, it was found that low-level production of Th1 cytokines by short-term "Th2" lines was not detectable by ELISA and could only be detected by intracellular staining. Disease can be induced in NOD.scid recipients with as few as 1 x 105 spleen cells from a TCR Tg donor, so even a very small, undetectable population of Th1-like cells could account for the in vivo action of short-term Th2 cultures.

In contrast to the report of Pakala et al. (34) with short-term cultures, the work we have presented here has clearly demonstrated that cloned T cell lines with a Th2 phenotype can be diabetogenic in young NOD but not NOD.scid recipients. Furthermore, we have established that transfer effected by the Tg/T2 T cell lines takes place by a different mechanism than that of disease induced by Th1 T cell clones. Because the Tg/T2 lines readily cause diabetes in young NOD recipients but not in the lymphocyte-deficient NOD.scid, it was logical to speculate that they do so by recruiting host effector cells. This theory was supported by the experiment in which the Tg/T2 T cell line 2.5 Tg/T2-X was shown to accelerate disease transfer by diabetic spleen cells into young NOD.scid recipients. We felt that a more stringent test would be achieved if we could cotransfer the Tg/T2 cell line with a defined T cell clone incapable of causing disease in a NOD.scid recipient. The Th1 T cell clone BDC-6.3 is another CD4+ islet-specific clone from our original panel (13). This clone is very diabetogenic in young NOD mice but cannot by itself cause disease in the NOD.scid. Therefore, it was an excellent candidate for examining whether the Tg/T2 clone worked by "recruiting" other effector cells, and indeed, we found that cotransfer with BDC-6.3 led to rapid onset of diabetes in young NOD.scid recipients. The host cells in the NOD recipient might well include CD8 T cell effectors, but as in other work we have published (20), it is clear that a CD4 Th1 T cell clone is all that is needed for disease induction to take place.

One interpretation of our results with the Th2 T cell clones from the TCR Tg mouse is that these clones become "Th1-like" in vivo. We think this is unlikely. The parent BDC-2.5 clone causes disease in both young NOD and NOD.scid recipients, and at least in our hands, spleen cells from the 2.5 TCR Tg/NOD mouse transfer diabetes to young (and in some cases adult) NOD.scid mice. On the other hand, the Th2 T cell clones from the 2.5 TCR Tg mouse can induce disease only in young NOD mice (unless other cell populations are provided).

It is tempting to speculate that because the Th2 T cell clones from the Tg mouse bear the receptor of what is obviously a very autoaggressive T cell, they are diabetogenic because of their Ag specificity. Regardless of the fact that they secrete Th2 cytokines, by virtue of their islet reactivity they can initiate an inflammatory reaction in the pancreas that attracts other Th1 effector T cells to the site. Because most of the Tg/T2 T cell clones we have isolated fall into this category of being diabetogenic in the young NOD, this is an attractive hypothesis. However, we have isolated one Tg/T2 T cell clone that is not diabetogenic in any circumstance we have tested, and this would suggest that the Ag specificity may not be the only explanation. This clone, like the others in the Tg/T2 panel, bears both the Vß4 and the V{alpha}1 transgene from BDC-2.5. However, it is possible that it also bears some endogenous TCR V{alpha} that alters its functional reactivity.

There have been a variety of reports in the literature describing T cell lines and clones with protective properties (reviewed in Ref. 25). There has also been much indirect evidence for a protective role for T cells with the Th2 cytokine phenotype (i.e., IL-4/IL-10-secreting), including prevention of disease with recombinant IL-4 and IL-10 therapy (29, 32) and transfer of protection with spleen cells from NOD mice treated with IL-4 (30) or, as demonstrated more recently, with T cells from mice immunized with GAD-65 (40). Gallichan et al. (41) have also recently shown that islet-reactive Th2 cells are responsible for the protection from diabetes observed in transgenic NOD mice that bear the IL-4 gene under the rat insulin promoter. The fact remains, underscoring the importance of the work reported here, that there has been no clear demonstration with defined, islet-reactive Th2 T cell clones (i.e., IL-4+, IL-10+, and IFN-{gamma}-) that this type of T cell can delay, arrest, or prevent disease in the NOD mouse. We were surprised to find that cloned T cell lines with a reproducible pattern of Th2 cytokine production were not only not protective but were in fact diabetogenic. Two major questions that arise from our work are how a Th2 T cell clone can be diabetogenic and what the requirements are for a Th2 T cell clone to be protective. Whether the diabetogenic properties of our Tg/T2 T cells are due to the specificity for Ag dictated by the BDC-2.5 TCR or to a lack of a necessary factor (e.g., TGF-ß) is being addressed in studies underway. Work in progress with another panel of Th2 T cell clones derived from nontransgenic NOD mice and not yet demonstrated to be diabetogenic may help to answer these questions.


    Acknowledgments
 
We thank T. Martin and M. Portas for excellent technical assistance in culturing and assay of T cell clones. Thanks as well to C. Dobbs and B. Bradley for assistance with islet histology.


    Footnotes
 
1 This work was supported by research grants to K.H. from the Juvenile Diabetes Foundation (JDFI 195038) and the National Institutes of Health (RO1 DK50561). Back

2 Address correspondence and reprint requests to Dr. Kathryn Haskins, Department of Immunology, University of Colorado Health Sciences Center, 4200 East Ninth Avenue, Box B184, Denver, CO 80262. E-mail address: Back

3 Abbreviations used in this paper: NOD, nonobese diabetic; Tg, transgenic; A/F, aldehyde fuchsin; Tg/T2, Tg Th2. Back

Received for publication September 24, 1999. Accepted for publication January 5, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Kikutani, H., S. Makino. 1992. The murine autoimmune diabetes model: NOD and related strains. Adv. Immunol. 51:285.[Medline]
  2. Bach, J.-F.. 1994. Insulin-dependent diabetes mellitus as an autoimmune disease. Endocr. Rev. 15:516.[Abstract/Free Full Text]
  3. Like, A. A., E. J. Weringer, A. Holdash, P. McGill, D. Atkinson, A. A. Rossini. 1985. Adoptive transfer of autoimmune diabetes mellitus in Biobreeding/Worcester (BB/W) inbred and hybrid rats. J. Immunol. 134:1583.[Abstract]
  4. Harada, M., S. Makino. 1986. Suppression of overt diabetes in NOD mice by anti-thymocyte serum or anti-thy 1.2 antibody. Exp. Anim. 35:501.
  5. Wicker, L. S., B. J. Miller, Y. Mullen. 1986. Transfer of autoimmune diabetes mellitus with splenocytes from nonobese diabetic (NOD) mice. Diabetes 35:855.[Abstract]
  6. Wang, Y., L. Hao, R. G. Gill, K. J. Lafferty. 1987. Autoimmune diabetes in NOD mouse is L3T4 T-lymphocyte dependent. Diabetes 36:535.[Abstract]
  7. Koike, T., Y. Itoh, T. Ishii, I. Ito, K. Takabayashi, N. Maruyama, H. Tomioka, S. Yoshida. 1987. Preventive effect of monoclonal anti-L3T4 antibody on development of diabetes in NOD mice. Diabetes 36:539.[Abstract]
  8. Bendelac, A., C. Carnaud, C. Boitard, J. F. Bach. 1987. Syngeneic transfer of autoimmune diabetes from diabetic NOD mice to healthy neonates: requirement for both L3T4+ and Lyt-2+ T cells. J. Exp. Med. 166:823.[Abstract/Free Full Text]
  9. Shizuru, J. A., C. Taylor-Edwards, B. A. Banks, A. E. Gregory, C. G. Fathman. 1988. Immunotherapy of the nonobese diabetic mouse: treatment with an antibody to helper lymphocytes. Science 240:659.[Abstract/Free Full Text]
  10. Serreze, D. V., E. H. Leiter, S. M. Worthen, L. D. Shultz. 1988. NOD marrow stem cells adoptively transfer diabetes to resistant (NOD x NON)F1 mice. Diabetes 37:252.[Abstract]
  11. Miller, B. J., M. C. Appel, J. J. O’Neil, L. S. Wicker. 1988. Both the LYT-2+ and L3T4+ T cell subsets are required for the transfer of diabetes in nonobese diabetic mice. J. Immunol. 140:52.[Abstract]
  12. Haskins, K., M. Portas, B. Bradley, D. Wegmann, K. Lafferty. 1988. T-lymphocyte clone specific for pancreatic islet antigen. Diabetes 37:1444.[Abstract]
  13. Haskins, K., M. Portas, B. Bergman, K. Lafferty, B. Bradley. 1989. Pancreatic islet-specific T-cell clones from nonobese diabetic mice. Proc. Natl. Acad. Sci. USA 86:8000.[Abstract/Free Full Text]
  14. Nagata, M., J.-W. Yoon. 1992. Studies on autoimmunity for T-cell-mediated ß-cell destruction: distinct difference in ß cell destruction between CD4+ and CD8+ T-cell clones derived from lymphocytes infiltrating the islets of NOD mice. Diabetes 41:998.[Abstract]
  15. Wegmann, D. R., N. Shehadeh, K. J. Lafferty, M. Norbury-Glaser, R. G. Gill, D. Daniel. 1993. Establishment of islet-specific T-cell lines and clones from islet isografts placed in spontaneously diabetic NOD mice. J. Autoimmun. 6:517.[Medline]
  16. Wegmann, D. R., M. Norbury-Glaser, D. Daniel. 1994. Insulin-specific T cells are a predominant component of islet infiltrates in pre-diabetic NOD mice. Eur. J. Immunol. 24:1853.[Medline]
  17. Gelber, C., L. Paborsky, S. Singer, D. McAteer, R. Tisch, C. Jolicoeur, R. Buelow, H. McDevitt, C. G. Fathman. 1994. Isolation of nonobese diabetic mouse T-cells that recognize novel autoantigens involved in the early events of diabetes. Diabetes 43:33.[Abstract]
  18. Healey, D., P. Ozegbe, S. Arden, P. Chandler, J. Hutton, A. Cooke. 1994. In vivo activity and in vitro specificity of CD4+ Th1 and Th2 T cells derived from the spleens of diabetic NOD mice. J. Clin. Invest. 95:2979.
  19. Wong, F. S., I. Visintin, L. Wen, R. A. Flavell, C. A. Janeway. 1996. CD8 T cell clones from young nonobese diabetic (NOD) islets can transfer rapid onset of diabetes in NOD mice in the absence of CD4 cells. J. Exp. Med. 183:67.[Abstract/Free Full Text]
  20. Haskins, K., M. McDuffie. 1990. Acceleration of diabetes in young NOD mice with a CD4+ islet-specific T cell clone. Science 249:1433.[Abstract/Free Full Text]
  21. Pancewycz, O., T. B. Strom, V. E. Rubin-Kelley. 1991. Islet-infiltrating T cell clones from non-obese diabetic mice that promote or prevent accelerated diabetes. Eur. J. Immunol. 21:873.[Medline]
  22. Shimizu, J., O. Kanagawa, E. R. Unanue. 1993. Presentation of ß-cell antigens to CD4+ and CD8+ T cells of non-obese diabetic mice. J. Immunol. 151:1723.[Abstract]
  23. Peterson, J. D., B. Pike, M. McDuffie, K. Haskins. 1994. Islet-specific T cell clones transfer diabetes to NOD F1 mice. J. Immunol. 153:2800.[Abstract]
  24. Daniel, D., R. G. Gill, N. Schloot, D. Wegmann. 1995. Epitope specificity, cytokine production profile and diabetogenic activity of insulin-specific T cell clones isolated from NOD mice. Eur. J. Immunol. 25:1056.[Medline]
  25. Bergman, B., K. Haskins. 1997. Autoreactive T-cell clones from the nonobese diabetic mouse. Proc. Soc. Exp. Biol. Med. 214:41.[Medline]
  26. Katz, J. D., B. Wang, K. Haskins, C. Benoist, D. Mathis. 1993. Following a diabetogenic T cell from genesis through pathogenesis. Cell 74:1089.[Medline]
  27. Bergman, B., K. Haskins. 1994. Islet-specific T cell clones from the NOD mouse respond to ß granule antigen. Diabetes 43:197.[Abstract]
  28. Kurrer, M. O., S. V. Pakala, H. L. Hanson, J. D. Katz. 1997. ß Cell apoptosis in T cell-mediated autoimmune disease. Proc. Natl. Acad. Sci. USA 94:213.[Abstract/Free Full Text]
  29. Rapoport, M. J., A. Jaramillo, D. Zipris, A. H. Lazarus, D. V. Serreze, E. H. Leiter, P. Cyopick, J. S. Danska, T. L. Delovitch. 1993. Interleukin 4 reverses T cell proliferative unresponsiveness and prevents the onset of diabetes in nonobese diabetic mice. J. Exp. Med. 178:87.[Abstract/Free Full Text]
  30. Cameron, M. J., G. A. Arreaza, P. Zucker, S. W. Chensue, R. M. Strieter, S. Chakrabarti, T. L. Delovitch. 1997. IL-4 prevents insulitis and insulin-dependent diabetes mellitus in nonobese diabetic mice by potentiation of regulatory T helper-2 cell function. J. Immunol. 159:4686.[Abstract]
  31. Mueller, R., T. Krahl, N. Sarvetnick. 1996. Pancreatic expression of interleukin-4 abrogates insulitis and autoimmune diabetes in nonobese diabetic (NOD) mice. J. Exp. Med. 184:1093.[Abstract/Free Full Text]
  32. Pennline, K. J., E. Roque-Gaffney, M. Monahan. 1994. Recombinant human IL-10 prevents the onset of diabetes in the nonobese diabetic mouse. Clin. Immunol. Immunopathol. 71:169.[Medline]
  33. Katz, J. D., C. Benoist, D. Mathis. 1995. T helper cell subsets in insulin-dependent diabetes. Science 268:1185.[Abstract/Free Full Text]
  34. Pakala, S. V., M. O. Kurrer, J. D. Katz. 1997. T helper 2 (Th2) T cells induce acute pancreatitis and diabetes in immune-compromised nonobese diabetic (NOD) mice. J. Exp. Med. 186:299.[Abstract/Free Full Text]
  35. Karasuyama, H., F. Melchers. 1988. Establishment of mouse cell lines which constitutively secrete large quantities of interleukin 2, 3, 4 or 5, using modified cDNA expression vectors. Eur. J. Immunol. 18:97.[Medline]
  36. Bradley, L. M., V. C. Asensio, L. K. Schioetz, J. Harbertson, T. Krahl, G. Patstone, N. Woolf, I. L. Campbell, N. Sarvetnick. 1999. Islet-specific Th1, but not Th2, cells secrete multiple chemokines and promote rapid induction of autoimmune diabetes. J. Immunol. 162:2511.[Abstract/Free Full Text]
  37. Perez, V. L., J. A. Lederer, A. H. Lichtman, A. K. Abbas. 1995. Stability of Th1 and Th2 populations. Int. Immunol. 7:869.[Abstract/Free Full Text]
  38. Murphy, E., K. Shibuya, N. Hosken, P. Openshaw, V. Maino, K. Davis, K. Murphy, A. O’Garra. 1996. Reversibility of T helper 1 and 2 populations is lost after long-term stimulation. J. Exp. Med. 183:901.[Abstract/Free Full Text]
  39. Hu-Li, J., H. Huang, J. Ryan, W. E. Paul. 1997. In differentiated CD4+ T cells, interleukin 4 is cytokine-autonomous, whereas interferon {gamma} production is cytokine-dependent. Proc. Natl. Acad. Sci. USA 94:3189.[Abstract/Free Full Text]
  40. Tisch, R., B. Wang, D. V. Serreze. 1999. Induction of glutamic acid decarboxylase 65-specific Th2 cells and suppression of autoimmune diabetes at late stages of disease is epitope dependent. J. Immunol. 163:1178.[Abstract/Free Full Text]
  41. Gallichan, W. S., B. Balasa, J. D. Davies, N. Sarvetnick. 1999. Pancreatic IL-4 expression results in islet-reactive Th2 cells that inhibit diabetogenic lymphocytes in the nonobese diabetic mouse. J. Immunol. 163:1696.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
Proc. Natl. Acad. Sci. USAHome page
T. Calzascia, M. Pellegrini, A. Lin, K. M. Garza, A. R. Elford, A. Shahinian, P. S. Ohashi, and T. W. Mak
CD4 T cells, lymphopenia, and IL-7 in a multistep pathway to autoimmunity
PNAS, February 26, 2008; 105(8): 2999 - 3004.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
J. Cantor and K. Haskins
Recruitment and Activation of Macrophages by Pathogenic CD4 T Cells in Type 1 Diabetes: Evidence for Involvement of CCR8 and CCL1
J. Immunol., November 1, 2007; 179(9): 5760 - 5767.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
J. Cantor and K. Haskins
Effector Function of Diabetogenic CD4 Th1 T Cell Clones: A Central Role for TNF-{alpha}
J. Immunol., December 1, 2005; 175(11): 7738 - 7745.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
E. J. Woodward and J. W. Thomas
Multiple Germline {kappa} Light Chains Generate Anti-Insulin B Cells in Nonobese Diabetic Mice
J. Immunol., July 15, 2005; 175(2): 1073 - 1079.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
S. S. Smith, T. Patterson, and M. E. Pauza
Transgenic Ly-49A Inhibits Antigen-Driven T Cell Activation and Delays Diabetes
J. Immunol., April 1, 2005; 174(7): 3897 - 3905.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. A. Salam, K. Matin, N. Matsumoto, Y. Tsuha, N. Hanada, and H. Senpuku
E2f1 Mutation Induces Early Onset of Diabetes and Sjogren's Syndrome in Nonobese Diabetic Mice
J. Immunol., October 15, 2004; 173(8): 4908 - 4918.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
H. Moriyama, N. Abiru, J. Paronen, K. Sikora, E. Liu, D. Miao, D. Devendra, J. Beilke, R. Gianani, R. G. Gill, et al.
Evidence for a primary islet autoantigen (preproinsulin 1) for insulitis and diabetes in the nonobese diabetic mouse
PNAS, September 2, 2003; 100(18): 10376 - 10381.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
C. Chen, W.-H. Lee, P. Yun, P. Snow, and C.-P. Liu
Induction of Autoantigen-Specific Th2 and Tr1 Regulatory T Cells and Modulation of Autoimmune Diabetes
J. Immunol., July 15, 2003; 171(2): 733 - 744.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
D. V. Serreze, M. A. Pierce, C. M. Post, H. D. Chapman, H. Savage, R. T. Bronson, P. B. Rothman, and G. A. Cox
Paralytic Autoimmune Myositis Develops in Nonobese Diabetic Mice Made Th1 Cytokine-Deficient by Expression of an IFN-{gamma} Receptor {beta}-Chain Transgene
J. Immunol., March 1, 2003; 170(5): 2742 - 2749.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
D. H. Wagner Jr., G. Vaitaitis, R. Sanderson, M. Poulin, C. Dobbs, and K. Haskins
Expression of CD40 identifies a unique pathogenic T cell population in type 1 diabetes
PNAS, March 19, 2002; 99(6): 3782 - 3787.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
R. Tisch, B. Wang, M. A. Atkinson, D. V. Serreze, and R. Friedline
A Glutamic Acid Decarboxylase 65-Specific Th2 Cell Clone Immunoregulates Autoimmune Diabetes in Nonobese Diabetic Mice
J. Immunol., June 1, 2001; 166(11): 6925 - 6936.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
Y. Chen, E. Rosloniec, M. I. Goral, M. Boothby, and J. Chen
Redirection of T Cell Effector Function In Vivo and Enhanced Collagen-Induced Arthritis Mediated by an IL-2R{{beta}}/IL-4R{{alpha}} Chimeric Cytokine Receptor Transgene
J. Immunol., March 15, 2001; 166(6): 4163 - 4169.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
D. V. Serreze, H. D. Chapman, C. M. Post, E. A. Johnson, W. L. Suarez-Pinzon, and A. Rabinovitch
Th1 to Th2 Cytokine Shifts in Nonobese Diabetic Mice: Sometimes an Outcome, Rather Than the Cause, of Diabetes Resistance Elicited by Immunostimulation
J. Immunol., January 15, 2001; 166(2): 1352 - 1359.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Poulin, M.
Right arrow Articles by Haskins, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Poulin, M.
Right arrow Articles by Haskins, K.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS