IAg7-insulin tetramers detect insulin-reactive CD4+ T cells in the pancreases of prediabetic NOD mice. Two mixtures of fluorescent IAg7 tetramers were prepared: (i) an equimolar mixture of two PE-streptavidin insulin tetramers, one containing p8G with no disulfide and the second containing p8E with a p6 to IAg7 disulfide and an AF647-streptavidin tetramer containing a mimotope (SRLGLWSRMD) for NOD chromogranin A (CHGA) reactive CD4+ T cells; and (ii) an equimolar mixture of a PE-streptavidin tetramer containing the IAg7 presented dominant epitope (MKRHGLDNYRGY) from hen egg lysozyme (HEL) and the AF647 version of the same HEL tetramer. Pooled pancreatic islet cells were isolated from 8-wk-old prediabetic NOD mice and stained with the two tetramer mixtures. The cells were stained as well with anti-B220, anti-F4/80, anti-CD44, anti-CD4, and anti-CD8. For tetramer analysis, cells were pregated on live, B220−, F4/80−, CD8−, CD4+, and CD44high cells. (A) Zebra contour plots showing 2D simultaneous staining with the insulin and CHGA tetramer (Left) or with the two HEL tetramers (Right). The percentage of cell in each quadrant is shown in B. One-dimensional histogram overlay of the PE-labeled insulin (red) and HEL(blue) tetramers (Left) or AF647-labeled CHGA (red) and HEL (blue) tetramers (Right). The percentage of CD4+ and CD44high T cells staining with the insulin or CHGA tetramers was calculated from the difference between the two histograms.