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    Diabetes. 2008 Aug;57(8):2099-106. Epub 2008 May 20.

    T-cell promiscuity in autoimmune diabetes.

    Li L, Wang B, Frelinger JA, Tisch R.

    Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

    OBJECTIVE: It is well established that the primary mediators of beta-cell destruction in type 1 diabetes are T-cells. Nevertheless, the molecular basis for recognition of beta-cell-specific epitopes by pathogenic T-cells remains ill defined; we seek to further explore this issue. RESEARCH DESIGN AND METHODS: To determine the properties of beta-cell-specific T-cell receptors (TCRs), we characterized the fine specificity, functional and relative binding avidity/affinity, and diabetogenicity of a panel of GAD65-specific CD4(+) T-cell clones established from unimmunized 4- and 14-week-old NOD female mice. RESULTS: The majority of GAD65-specific CD4(+) T-cells isolated from 4- and 14-week-old NOD female mice were specific for peptides spanning amino acids 217-236 (p217) and 290-309 (p290). Surprisingly, 31% of the T-cell clones prepared from 14-week-old but not younger NOD mice were stimulated with both p217 and p290. These promiscuous T-cell clones recognized the two epitopes when naturally processed and presented, and this dual specificity was mediated by a single TCR. Furthermore, promiscuous T-cell clones demonstrated increased functional avidity and relative TCR binding affinity, which correlated with enhanced islet infiltration on adoptive transfer compared with that of monospecific T-cell clones. CONCLUSIONS: These results indicate that promiscuous recognition contributes to the development of GAD65-specific CD4(+) T-cell clones in NOD mice. Furthermore, these findings suggest that T-cell promiscuity reflects a novel form of T-cell avidity maturation.

    PMID: 18492786 [PubMed - indexed for MEDLINE]

    PMCID: 2494676

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