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Diabetes 54:3395-3401, 2005
© 2005 by the American Diabetes Association, Inc.

On the Edge of Autoimmunity

T-Cell Stimulation by Steady-State Dendritic Cells Prevents Autoimmune Diabetes

Dunja Bruder1, Astrid M. Westendorf1, Wiebke Hansen1, Silvia Prettin1, Achim D. Gruber2, Yingjie Qian3, Harald von Boehmer4, Karsten Mahnke3, and Jan Buer1,5

1 Department of Mucosal Immunity, German Research Centre for Biotechnology, Braunschweig, Germany
2 Department of Veterinary Pathology, Free University Berlin, Berlin, Germany
3 Department of Dermatology, University of Heidelberg, Heidelberg, Germany
4 Dana Faber Cancer Institute, Harvard Medical School, Boston, Massachusetts
5 Institute of Medical Microbiology, Hannover Medical School, Hannover, Germany

Targeting of antigens to immature dendritic cells has been shown to result in antigen-specific T-cell tolerance in vivo. In the INS-HA/TCR-HA transgenic mouse model for type 1 diabetes, we tested the potential of the dendritic cell–specific monoclonal antibody DEC-205 conjugated to the hemagglutinin (HA) antigen (DEC-HA) to prevent disease onset. Whereas untreated INS-HA/TCR-HA mice all develop insulitis, and ~40% of these mice become diabetic, repeated injection of newborn mice with DEC-HA protected almost all mice from disease development. Histological examination of the pancreata revealed significant reduction of peri-islet infiltrations in DEC-HA–treated mice, and the islet structure remained intact. Moreover, HA-specific CD4+ T-cells from anti–DEC-HA–treated INS-HA/TCR-HA mice exhibited increased expression of Foxp3, cytotoxic T-lymphocyte–associated antigen-4, and the immunosuppressive cytokines interleukin-10 and transforming growth factor-ß. The findings indicate that targeting of the HA antigen to immature dendritic cells in vivo leads to a relative increase of antigen-specific Foxp3+ regulatory T-cells that suppress the development of type 1 diabetes. Our results provide a basis for the development of novel strategies focusing on prevention rather than treatment of autoimmune diseases.


Address correspondencereprint requests to Dunja Bruder, Department of Mucosal Immunity, German Research Centre for Biotechnology, Mascheroder Weg 1, D-38124 Braunschweig, Germany. E-mail: dbr{at}gbf.de

Abbreviations: CTLA, cytotoxic T-lymphocyte–associated antigen; DEC-HA, DEC-205 conjugated to the hemagglutinin antigen; HA, hemagglutinin; IL, interleukin; TCR, T-cell receptor; TGF, transforming growth factor; TRP2, tyrosinase-related protein-2


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