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Diabetes, Vol 38, Issue 4 441-447, Copyright © 1989 by American Diabetes Association
Cyclophosphamide-induced diabetes in NOD/WEHI mice. Evidence for suppression in spontaneous autoimmune diabetes mellitus
B Charlton, A Bacelj, RM Slattery and TE Mandel
Walter and Eliza Hall Institute of Medical Research, P.O. Royal Melbourne Hospital, Parkville, Victoria, Australia.
Nonobese diabetic (NOD) mice spontaneously develop a lymphocytic
infiltration of pancreatic islets (insulitis) that may progress to overt
diabetes. Virtually all NOD/WEHI mice develop insulitis, but very few
progress to diabetes. However, cyclophosphamide (CY) can promote the onset
of diabetes in NOD mice, including the NOD/WEHI strain. The means by which
CY produces diabetes was investigated in NOD/WEHI mice, in which it was
hypothesized that active suppression mechanisms prevented the progression
from insulitis to diabetes. A study of the time course of insulitis in the
islets after CY was given showed that insulitis was initially reduced but
rapidly increased over 16 days, and T-lymphocytes were predominant in the
lesion. This suggested a compression of the normal time course of the
disease seen in NOD mice. CY did not produce diabetes in any of 11 non-NOD
strains studied. Fetal isografts in NOD mice given CY several days before
were subjected to lymphocytic infiltration and beta-cell destruction. These
findings suggested that CY was not directly beta-cell toxic and that
altered beta-cells were not essential for beta-cell destruction. This was
further demonstrated with subdiabetogenic doses of streptozocin, which
significantly damaged beta-cells but did not increase the severity of
insulitis or induce diabetes as did CY. Most important, the transfer of
mononuclear cells from nondiabetic NOD mice to mice given CY prevented
diabetes, which indicated that the likely effect of CY was via
immunomodulation, possibly by allowing poised effector cells to act on
beta-cells.(ABSTRACT TRUNCATED AT 250 WORDS)

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Copyright © 1989 by the American Diabetes Association.
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