A crucial role of CD4 T cells as a functional source of CD154 in the initiation of insulin‐dependent diabetes mellitus in the non‐obese diabetic mouse.

Although the critical requirement of CD4 T cells in type I (insulin‐dependent) diabetes mellitus (T1DM) has been well documented, information on the exact role(s) of CD4 T cells in T1DM development is still limited. Here, utilizing non‐obese diabetic (NOD) mice deficient for CD154 (CD154‐KO/NOD), we have identified a mandatory role of CD4 T cells as the functional source of CD154 in the initiation of T1DM. Without CD154, CD4 T cells were not capable of mediating help in disease development in NOD mice. In fact, full expression of CD154 on the CD4 T cells seems to be essential in the normal spontaneous development of T1DM, since no diabetes was observed in CD154+/– mice in which around half of CD4 T cells do not express CD154 at all, at least by the time they were 40 weeks old. It was also shown that transgenic expression of CD80 on β cells of pancreatic islets, which is believed to provide β cells with the ability to prime cytotoxic T lymphocytes specific for islet antigens, did not restore insulitis in CD154‐KO/NOD mice. Taken collectively, these results indicated that CD4 T cells play a crucial role in T1DM as a source of CD154, and that the role of CD154 on CD4 T cells in insulitis may not be just to facilitate priming and expanding of auto‐reactive CD8 T cells by activating antigen‐presenting cells bearing islet antigens. [ABSTRACT FROM PUBLISHER]