
Abstract Type 1 diabetes results from T cell-mediated destruction of insulin-producing β cells. Although elimination of B lymphocytes has proven successful at preventing disease, modulation of B cell function as a means to prevent type 1 diabetes has not been investigated. The development, fate, and function of B lymphocytes depend upon BCR signaling, which is mediated in part by Bruton’s tyrosine kinase (BTK). When introduced into NOD mice, btk deficiency only modestly reduces B cell numbers, but dramatically protects against diabetes. In NOD, btk deficiency mirrors changes in B cell subsets seen in other strains, but also improves B cell-related tolerance, as indicated by failure to generate insulin autoantibodies. Introduction of an anti-insulin BCR H chain transgene restores diabetes in btk-deficient NOD mice, indicating that btk-deficient B cells are functionally capable of promoting autoimmune diabetes if they have a critical autoimmune specificity. This suggests that the disease-protective effect of btk deficiency may reflect a lack of autoreactive specificities in the B cell repertoire. Thus, signaling via BTK can be modulated to improve B cell tolerance, and prevent T cell-mediated autoimmune diabetes.
Mice, Knockout, Insulin Antibodies, B-Lymphocyte Subsets, Receptors, Antigen, B-Cell, Protein-Tyrosine Kinases, Mice, Inbred C57BL, Mice, Diabetes Mellitus, Type 1, Mice, Inbred NOD, T-Lymphocyte Subsets, Mutation, Agammaglobulinaemia Tyrosine Kinase, Immune Tolerance, Animals, Insulin, Transgenes, Immunoglobulin Heavy Chains, Autoantibodies, Signal Transduction
Mice, Knockout, Insulin Antibodies, B-Lymphocyte Subsets, Receptors, Antigen, B-Cell, Protein-Tyrosine Kinases, Mice, Inbred C57BL, Mice, Diabetes Mellitus, Type 1, Mice, Inbred NOD, T-Lymphocyte Subsets, Mutation, Agammaglobulinaemia Tyrosine Kinase, Immune Tolerance, Animals, Insulin, Transgenes, Immunoglobulin Heavy Chains, Autoantibodies, Signal Transduction
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| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
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