
Abstract Type 1 diabetes results from the autoimmune destruction of insulin-producing β cells by T cells specific for β cell Ags, including insulin. In humans, the non-MHC locus conferring the strongest disease susceptibility is the insulin gene, and alleles yielding lower thymic insulin expression are predisposing. We sought to incorporate this characteristic into an HLA-transgenic model of the disease and to determine the influence of reduced thymic insulin expression on CD8+ T cell responses to preproinsulin. We examined NOD.Ins2−/− mice, which do not express insulin in the thymus and show accelerated disease, to determine whether they exhibit quantitative or qualitative differences in CD8+ T cell responses to preproinsulin. We also generated NOD.Ins2−/− mice expressing type 1 diabetes-associated HLA-A*0201 (designated NOD.β2m−/−.HHD.Ins2−/−) in an effort to obtain an improved humanized disease model. We found that CD8+ T cell reactivity to certain insulin peptides was more readily detected in NOD.Ins2−/− mice than in NOD mice. Furthermore, the proportion of insulin-reactive CD8+ T cells infiltrating the islets of NOD.Ins2−/− mice was increased. NOD.β2m−/−.HHD.Ins2−/− mice exhibited rapid onset of disease and had an increased proportion of HLA-A*0201–restricted insulin-reactive T cells, including those targeting the clinically relevant epitope Ins B10-18. Our results suggest that insulin alleles that predispose to type 1 diabetes in humans do so, at least in part, by facilitating CD8+ T cell responses to the protein. We propose the NOD.β2m−/−.HHD.Ins2−/− strain as an improved humanized disease model, in particular for studies seeking to develop therapeutic strategies targeting insulin-specific T cells.
HLA-A Antigens, Mice, Transgenic, Thymus Gland, CD8-Positive T-Lymphocytes, Disease Models, Animal, Epitopes, Islets of Langerhans, Mice, Diabetes Mellitus, Type 1, Cell Movement, Mice, Inbred NOD, HLA-A2 Antigen, Animals, Humans, Insulin, Protein Precursors
HLA-A Antigens, Mice, Transgenic, Thymus Gland, CD8-Positive T-Lymphocytes, Disease Models, Animal, Epitopes, Islets of Langerhans, Mice, Diabetes Mellitus, Type 1, Cell Movement, Mice, Inbred NOD, HLA-A2 Antigen, Animals, Humans, Insulin, Protein Precursors
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