51. A disease-associated cellular immune response in type 1 diabetics to an immunodominant epitope of insulin.
- Author
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Alleva DG, Crowe PD, Jin L, Kwok WW, Ling N, Gottschalk M, Conlon PJ, Gottlieb PA, Putnam AL, and Gaur A
- Subjects
- Adolescent, Adult, Cells, Cultured, Diabetes Mellitus, Type 1 blood, Female, Humans, Immunodominant Epitopes pharmacology, Interferon-gamma immunology, Lymphocyte Activation drug effects, Male, Prediabetic State blood, Risk Factors, T-Lymphocytes immunology, Diabetes Mellitus, Type 1 immunology, Insulin pharmacology, Peptide Fragments pharmacology, Prediabetic State immunology, T-Lymphocytes drug effects
- Abstract
The 9-23 amino acid region of the insulin B chain (B9-23) is a dominant epitope recognized by pathogenic T lymphocytes in nonobese diabetic mice, the animal model for type 1 diabetes. We describe herein similar (B9-23)-specific T-cell responses in peripheral lymphocytes obtained from patients with recent-onset type 1 diabetes and from prediabetic subjects at high risk for disease. Short-term T-cell lines generated from patient peripheral lymphocytes showed significant proliferative responses to (B9-23), whereas lymphocytes isolated from HLA and/or age-matched nondiabetic normal controls were unresponsive. Antibody-mediated blockade demonstrated that the response was HLA class II restricted. Use of the highly sensitive cytokine-detection ELISPOT assay revealed that these (B9-23)-specific cells were present in freshly isolated lymphocytes from only the type 1 diabetics and prediabetics and produced the proinflammatory cytokine IFN-gamma. This study is, to our knowledge, the first demonstration of a cellular response to the (B9-23) insulin epitope in human type 1 diabetes and suggests that the mouse and human diseases have strikingly similar autoantigenic targets, a feature that should facilitate development of antigen-based therapeutics.
- Published
- 2001
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