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Cystatin C not needed
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Treating type 1 diabetes
One approach to treating type 1 diabetes is to tolerize autoreactive T cells without disrupting the ability of the immune system to fight microbial pathogens. Peptide-MHC II multimers have been effective in delaying the onset of autoimmune disorders. Masteller et al. (p. 5587
) generated dimers of I-Ag7 covalently linked to the BDC2.5 mimotope-peptide 1040-31 (p31-I-Ag7) that reacted with BDC2.5 TCR transgenic CD4+ T (BDC2.5 Tg+ T) cells derived from a clone isolated from a diabetic nonobese diabetic (NOD) mouse. p31-I-Ag7 dimers specifically activated BDC2.5 Tg+ T cells in vitro, but they did not recognize or activate control NOD CD4+ T cells. Control I-Ag7 dimers recognized and activated control CD4+ T cells but not the BDC2.5 Tg+ T cells. TCR
-deficient NOD mice adoptively transferred with in vitro-activated BDC2.5 Tg+ T cells developed diabetes within 610 days, whereas mice that received injections of p31-I-Ag7 dimers for 3 days after cell transfer did not develop diabetes until 21 days. Neither control dimers nor soluble peptide 1040-31 protected against diabetes. After p31-I-Ag7 dimer treatment, transferred BDC2.5 Tg+ T cells had an increased activation phenotype and increased cell death compared with controls. Surviving cells had reduced proliferative responses to peptide 1040-31 in vitro. Spleen cells from p31-I-Ag7 dimer-treated animals produced higher levels of IL-10 and lower levels of IFN-
than control animals. Injection of anti-IL10R mAb into mice receiving activated BDC2.5 Tg+ T cells and p31-I-Ag7 dimers abrogated the protection against diabetes. The results show that peptide-I-Ag7 dimers induce tolerance through induction of clonal anergy and anti-inflammatory cytokines.
Tapasin is not a peptide editor
Tapasin is a component of the peptide loading complex that binds peptides to MHC class I molecules in the endoplasmic reticulum. It has been thought to function as a peptide editor by selecting high-affinity peptides. Zarling et al. (p. 5287 ) compared HLA-B8 expression on cells lacking tapasin with that on tapasin-deficient cells that had been transfected with vectors expressing either full-length tapasin or soluble tapasin that did not associate with TAP, the transporter associated with Ag processing. Steady-state levels of HLA-B8 molecules expressed at the cell surface were comparable in the two tapasin transfected cell lines, and levels in both lines were four times higher than the level in tapasin-deficient cells. A small fraction of HLA-B8 molecules was resistant to treatment with acid and with the inhibitor brefeldin A in cells expressing full-length tapasin and, to a lesser extent, in cells expressing soluble tapasin, indicating that tapasin acted intracellularly to stabilize a more receptive peptide binding conformation. HLA-B8-associated peptide profiles from cells expressing either form of tapasin were found by mass spectrometry to be similar to each other but distinct from the peptide profile in tapasin-deficient cells. Moreover, the peptides from cells lacking tapasin had higher average binding affinities than peptides from cells expressing either form of tapasin. The results suggest that tapasin facilitates peptide binding by broadening the peptide repertoire and by stabilizing MHC-peptide complexes rather than by editing peptides.
NIMA-induced allo-tolerance
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, and IL-2 from NIMA-H-2b/b mice responding to H-2b/d splenocytes was greatly reduced vs controls. Injection of an immuno-dominant H-2Ld peptide into pregnant H-2Ld-negative mice rendered recipient spleen cells nonresponsive to peptide challenge in vitro. Tolerant NIMA-H-2d-exposed mice had lower levels of IgG1 and IgG2a Abs after H-2d heart transplants compared with controls. The authors conclude that the NIMA effect involves suppression of allospecific T and B cell responses in the offspring. Myeloid C3
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EBV-induced class switch recombination
Immunoglobulin heavy chain class switching in B cells can be induced by viral and bacterial proteins that up-regulate CD40 ligand on CD4+ T cells. Such switching can lead to autoimmune and atopic disorders. He et al. (p. 5215
) studied EBV-induced class switch recombination (CSR). Noninfected IgD+ B cells from healthy subjects lacked the extrachromosomal switch circles (SC), chimeric I-Cµ circle transcripts (CT), noncoding germline IH-CH transcripts and transcripts for the enzyme that induces CSR, all of which were found in lymphoblastoid and EBV+ B cells. Infection of the noninfected IgD+ B cells with EBV led to appearance of SC and the transcript for the CSR enzyme. EBV- Burkitts lymphoma (BL) cells transfected with expression vectors for two EBV proteins, latent membrane protein 1 (LMP1) and, to a lesser extent, LMP2A, contained CT and mature CSR transcripts, whereas EBV- BL cells transfected with empty vectors or expression vectors for other EBV proteins did not. In addition, LMP1 and LMP2A up-regulated expression of B cell activating factor of the TNF family (BAFF) and a proliferation-inducing ligand (APRIL), two inducers of T cell-independent CSR in the same B cells. Transfection of LMP-transfected EBV- BL cells with increasing amounts of I
B
inhibited activation of BAFF, indicating that NF-
B is crucial for the up-regulation of BAFF by LMP1. Purified EBV-infected IgD+ B cells also expressed BAFF and APRIL along with LMP1-induced surface proteins. Exposure to decoy receptors specific to EBV-induced surface proteins reduced SC, CT and CSR enzyme transcripts in lymphoblastoid cells. The findings suggest that EBV could play an important role in the pathogenesis of disorders associated with aberrant IgG, IgA, and/or IgE production.

T cells can help B cells
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T cells in germinal centers (GC) are critical for Ig somatic hypermutation (SHM), affinity maturation and memory development. However, it is not known whether 
T cells can participate in GC formation and Ig SHM. Zheng et al. (p. 4979
) immunized TCR
-deficient mice with a T-dependent Ag (4-hydroxy-3-nitrophenyl) acetyl conjugate of chicken
globulin (NP-CGG). By 12 days, the number of splenic GC detected by immunohistology was approximately one-sixth of that seen in NP-CGG-injected wild-type mice. The GC in the mutant mice contained 
CD4+ T cells compared with 
CD4+ T cells in the wild-type mice. Frequencies of SHM in VDJ segments (VH186.2 family) in isolated splenic GC B cells were comparable between TCR
-/- and wild-type animals. Affinity-enhancing mutations in complementarity determining regions were positively selected and an affinity-reducing mutation was negatively selected in both strains of mice. A total of 55% of other VH gene sequences from GC were mutated in TCR
-/- mice compared with 0% in wild-type mice. Whereas the
1 L-chain was found in NP-specific Abs in GC and sera in wild-type mice, the mutant mice used the
L-chain. Moreover, IgM predominated in both primary and secondary responses in the TCR
-deficient mice. The data show that 
T cells can provide help to B cells although the signals are different from those of 
T cells. Summaries written by Dorothy L. Buchhagen, Ph.D.
Related articles in The JI:

T Cells Provide Help to B Cells with Altered Clonotypes and Are Capable of Inducing Ig Gene Hypermutation
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