© 2001 by the American Diabetes Association, Inc. Autoreactive Diabetogenic T-Cells in NOD Mice Can Efficiently Expand From a Greatly Reduced Precursor Pool
1 The Jackson Laboratory, Bar Harbor, Maine
A broad repertoire of pancreatic ß-cell autoreactive T-cells normally contributes to the development of type 1 diabetes in NOD mice. However, it has been unknown if a large reduction in the precursor pool from which autoreactive T-cells are drawn would inhibit the development of type 1 diabetes. To address this issue, we reduced the precursor frequency of autoreactive T-cells in NOD mice through allelic exclusion induced by transgenic expression of an H2-Db class I-restricted T-cell receptor (TCR) specific for a pathologically irrelevant lymphocytic choriomeningitis virus (LCMV) peptide. TCR allelic exclusion greatly reduced the pool of T-cells from which diabetogenic effectors could be derived in these NOD.LCMV TCR Tg mice. Surprisingly, this did not impair their type 1 diabetes susceptibility. Furthermore, a diabetogenic CD8 T-cell population that is prevalent in standard NOD mice was present at essentially equivalent levels in pancreatic islets of NOD.LCMV TCR Tg mice. Other data indicated that the antigenic specificity of these CD8 T-cells is primarily the function of a shared TCR- chain. Although the percentage of TCR transgenic T-cells decreased in NOD versus B6,D2 control mice, much higher total numbers of both the TCR transgenic and the nontransgenic T-cells accumulated in the NOD strain. This transgenic T-cell accumulation in the absence of the cognate peptide indicated that the NOD genetic background preferentially promotes a highly efficient antigen-independent T-cell expansion. This might allow diabetogenic T-cells in NOD mice to undergo an efficient expansion before encountering antigen, which would represent an important and previously unconsidered aspect of pathogenesis.
Type 1 diabetes in NOD mice results from autoimmune destruction of insulin-producing pancreatic ß-cells mediated by both CD4 and CD8 T-cells (1,2,3). The development of autoreactive diabetogenic T-cell responses in NOD mice is controlled by complex interactions between multiple susceptibility (Idd) genes both within and outside of the H2g7 major histocompatibility complex (MHC) (4,5). A major defect brought about by such Idd gene interactions is the reduced ability of NOD antigen-presenting cells (APCs) to mediate tolerogenic functions that would normally block the development and/or functional activation of autoreactive T-cells (3). Given the generic nature of these APC-mediated tolerogenic defects, it is not surprising that in addition to those directed against pancreatic ß-cells, NOD mice also develop autoreactive T-cell responses against a wide range of other cell types (6). Similarly, global defects in APC-mediated tolerance induction also probably account for why the autoreactive MHC class II-restricted CD4 T-cells contributing to type 1 diabetes development in NOD mice demonstrate broad diversity in terms of both their T-cell receptor (TCR) gene utilization patterns and the scope of antigens they recognize (7,8,9,10,11,12,13,14). The repertoire of autoreactive MHC class I-restricted CD8 T-cells that are also essential contributors to type 1 diabetes development in NOD mice is less diverse than for diabetogenic CD4 effectors, as the former subset is characterized by prevalent usage of a TCR V 17 to J 42 gene rearrangement event that encodes a GGSNAKLT motif in the CDR3 region (15,16). Despite this fact, the repertoire of diabetogenic CD8 T-cells in NOD mice is far from being monoclonal in nature (10,15,16,17,18,19,20,21).
Collective results from the studies described above have indicated that NOD mice normally generate a diverse repertoire of CD4 and CD8 ß-cell autoreactive T-cells. However, the question has remained whether a ß-cell autoreactive T-cell repertoire sufficient to elicit overt type 1 diabetes would still develop under conditions that would greatly limit their precursor frequency. We reasoned that our question could best be addressed through analyses of NOD mice expressing a transgenic TCR that recognizes a ß-cell-irrelevant antigen in the context of an H2g7 MHC molecule. The transgenic TCR we used recognizes an H2-Db class I-restricted peptide derived from the lymphocytic choriomeningitis virus (LCMV). We chose a TCR that should be positively selected in NOD mice, as this would minimize the rearrangement and subsequent expression of endogenous TCR-
Mice. NOD/Lt mice were maintained in a specific pathogen-free research colony at The Jackson Laboratory (Bar Harbor, ME). Currently, type 1 diabetes develops in 90% of female and 63% of male NOD/Lt mice by age 1 year. NOD.AI4 ß transgenic (Tg) mice that transgenically express the TCR from a Kd class I-restricted ß-cell autoreactive CD8 T-cell clone have been previously described (21). Mice with a mixed C57BL/6 and DBA/2 genetic background, including an H2b MHC haplotype, and expressing a transgenic TCR- ß chain complex specific for a Db class I-restricted LCMV peptide (officially designated as B6,D2-TgN[TcrLCMV]327Sdz, and here designated as B6,D2.LCMV TCR Tg mice) have also been previously described (23) and were obtained from The Jackson Laboratorys induced mutant resource. An N9 backcross stock of NOD.LCMV TCR Tg congenic mice fixed to homozygosity for linkage markers delineating all known Idd loci of NOD origin was produced by our previously described methods (26). During the course of establishing this congenic stock, backcross segregants carrying the TCR- chain transgene were identified by screening genomic DNA prepared from peripheral blood leukocytes (PBL) by polymerase chain reaction (PCR) with the primer pair 5'-CTGACCTGCAGTTATGAGGACAGCAC-3' and 5'-CGAGGATCCTTTAACTGGTACACAGCAGG-3', which amplifies a 302-bp product. Presence of the TCR-ß chain transgene was determined by PCR with the primer pair 5'-CATGGAGGCTGCAGTCACCC-3' and 5'-GTTTGTTTGCGAGCTCTGTTTTGATGGCTC-3', which amplifies a 410-bp product. The previously described stock of T-cell- and B-cell-deficient NOD-scid mice (official designation NOD-Prkdcscid) is maintained at the N11 backcross generation (27). These latter two strains served as progenitors for a stock designated NOD-scid.LCMV TCR Tg. NOD-scid homozygotes were outcrossed to NOD.LCMV TCR Tg mice. The subsequent F1 progeny were backcrossed to NOD-scid to produce mice homozygous for scid and heterozygous for LCMV TCR Tg. Homozygous scid segregants were identified by the absence of B-cells among PBL using the previously described flow cytometric techniques (26). Some studies used a previously described stock (16) of NOD-scid mice whose pancreatic ß-cells express a rat insulin promoter-regulated transgene that encodes the B7-1 T-cell co-stimulatory molecule (NOD-scid.RIPB7). All mice were allowed free access to food (Agway Diet NIH 31A; Agway, South Henly, MO) and acidified drinking water. NOD-scid stocks received s trimethoprim-sulfamethoxazole supplement (Sulfatrim; Barre-National, Baltimore, MD) in the drinking water on an alternative weekly basis.
Assessment of diabetes development.
T-cell subset enumeration.
Purification of CD4 and CD8 T-cells and adoptive transfer into NOD-scid recipients.
Isolation and characterization of ß-cell autoreactive CD8 T-cells.
Development of a transfectant expressing an MHC class I-restricted TCR from a prevalent diabetogenic CD8 T-cell.
NOD.LCMV TCR Tg mice were fully susceptible to type 1 diabetes. A wide range of ß-cell autoreactive CD4 T-cells, and a somewhat less diverse, but still broad set of CD8 T-cells, normally contribute to the development of type 1 diabetes in NOD mice. However, the question remained whether a ß-cell autoreactive T-cell repertoire sufficient to elicit overt type 1 diabetes would develop under conditions that would greatly limit their precursor frequency. To initially answer this question, we asked whether the allelic exclusion induced by an H2-Db class I-restricted transgenic TCR, specific for a ß-cell-irrelevant LCMV antigen, blocked type 1 diabetes development in NOD mice. This was clearly not the case because, as shown in Fig. 1, at the N9 backcross generation, the rate and frequency of type 1 diabetes development in female NOD.LCMV TCR Tg mice was identical to that of transgene-negative segregants. Furthermore, the rate and frequency of type 1 diabetes in the LCMV TCR Tg-positive and -negative backcross segregants was identical to that of standard NOD/Lt mice housed at The Jackson Laboratory. This latter result provided a functional confirmation that all Idd susceptibility loci necessary for type 1 diabetes development had been fixed in the N9 congenic stock of NOD.LCMV TCR Tg mice.
The precursor pool from which diabetogenic T-cells can be drawn was greatly reduced in NOD.LCMV TCR Tg mice, but such effectors may undergo efficient expansion. Our previous studies using another transgenic TCR indicated allelic exclusion might not be an efficient process in NOD mice (21). Thus, it was possible that the high rate of type 1 diabetes development in NOD.LCMV TCR Tg mice was attributable to the fact that these mice continued to develop a significant number of nontransgenic T-cells. To address this issue, we compared the proportion and types of splenic T-cells in which the LCMV TCR Tg was and was not expressed in 8-week-old NOD mice versus in the B6,D2 stock in which it was originally introduced.
As expected based on previously published results (23), the vast majority of total splenic T-cells (
As a result of the differential expansion in the CD4 compartment, the overall proportion of T-cells skewed toward the CD8 compartment by the LCMV TCR Tg in NOD mice ( 82%) was also less than that observed in the B6,D2 stock (Table 1). The proportion of NOD CD8 T-cells expressing the LCMV TCR Tg ( 94%) was only slightly less than that of similar cells in B6,D2 control mice. As a result, the total number of nontransgenic CD8 T-cells in the NOD.LCMV TCR Tg stock (3 x 106) was much less than the total number of CD8 T-cells in standard NOD mice (14 x 106). Thus, similar to the case in the CD4 compartment, the pool of CD8 T-cells in which diabetogenic effectors could presumably reside was four to five times smaller in NOD.LCMV TCR Tg than in standard NOD mice. Another potentially important outcome of these analyses is that, in both the CD4 and CD8 compartments, much higher total numbers of LCMV TCR Tg-positive as well as -negative T-cells accumulated in NOD than in B6,D2 mice (Table 1). The fact that the T-cells that preferentially accumulated in NOD mice include a TCR transgenic clonotype, which presumably would not have encountered their cognate LCMV peptide, indicated that this phenotype is driven in an antigen-independent fashion. Also supporting this conclusion was that analyses of thymuses from 8-week-old NOD.LCMV TCR Tg female mice (n = 3) revealed that the proportions of transgenic CD4 and CD8 single positive T-cells (29.4 ± 2.6 and 90.8 ± 2.0%, respectively) were quite similar to that observed in spleen. Hence the NOD genetic background supported equivalent peripheral expansion of both LCMV TCR Tg-positive and -negative T-cells. Collectively, these data indicate that, although the frequency of any given diabetogenic T-cell clonotype is likely to be less in the NOD.LCMV TCR Tg stock than in standard NOD mice, such effectors might undergo a highly efficient expansion even before their first antigenic encounter.
The LCMV TCR Tg decreases the precursor frequency of other T-cell clonotypes in NOD mice.
Type 1 diabetes development in NOD.LCMV TCR Tg mice required contributions from T-cells in both the CD4 and CD8 compartments. We considered two explanations for the full type 1 diabetes susceptibility of NOD.LCMV TCR Tg mice. The first was that although their precursor frequency was greatly reduced because of the allelic exclusion induced by the pathologically irrelevant transgenic TCR, an ability to undergo efficient expansion allowed the residual ß-cell autoreactive T-cells present in NOD.LCMV TCR Tg mice to mediate full pathogenic effects. Alternatively, it was also possible that type 1 diabetes development in NOD.LCMV TCR Tg mice resulted from their pancreatic ß-cells displaying a MHC class I-bound autoantigenic peptide that could be recognized in a cross-reactive fashion by the transgenic TCR. As an initial means of testing these possibilities, we determined if CD4 and CD8 T-cells purified from 6- to 8-week-old standard NOD or NOD.LCMV TCR Tg female mice could alone, or in various combinations, transfer type 1 diabetes to NOD-scid recipients. A previous study (36) demonstrated that CD4 or CD8 T-cells from young prediabetic NOD donors did not individually transfer disease to NOD-scid recipients, but could do so when admixed. We obtained virtually identical results in the current study (Table 2). Similarly, CD4 or CD8 T-cells from young NOD.LCMV TCR Tg donors did not individually transfer type 1 diabetes to any NOD-scid recipients. In contrast, type 1 diabetes developed in 80% (16/20) of NOD-scid mice repopulated with a mixture of CD4 and CD8 T-cells purified from young standard NOD and NOD.LCMV TCR Tg donors, respectively. These results indicate that type 1 diabetes development in NOD.LCMV TCR Tg mice was not independently mediated by the unusually large pool of nontransgenic CD4 T-cells (see Table 1). Furthermore, these results also indicate that, although mostly expressing a putatively ß-cell-irrelevant TCR, CD8 T-cells are essential contributors to type 1 diabetes development in NOD.LCMV TCR Tg mice, but their pathogenic activity is dependent on CD4 T-cell helper activities.
The residual CD8 T-cells bypassing allelic exclusion were essential contributors to type 1 diabetes development in NOD.LCMV TCR Tg mice. The question still remained whether the diabetogenic activity of CD8 T-cells in NOD.LCMV TCR Tg mice resulted from cross-reactivity of the transgenic TCR against an unknown pancreatic ß-cell autoantigen. Another possibility was that the diabetogenic CD8 T-cells resided within the residual subpopulation that used endogenously derived TCR molecules and were capable of undergoing efficient expansion. To distinguish between these possibilities, we exploited the scid mutation that blocks productive rearrangement of germ line TCR gene segments (37). Because the scid mutation had already been fixed on the inbred NOD background (27), it was possible to produce NOD-scid.LCMV TCR Tg mice through a single outcross-intercross cycle. FACS analysis revealed a complete absence of CD4 T-cells in these NOD-scid.LCMV TCR Tg mice (Fig. 3). Hence the subpopulation of CD4 T-cells expressing the transgenic TCR that developed in standard NOD.LCMV TCR Tg mice was actually selected through expression of a second endogenously derived TCR. In contrast, CD8 T-cells, which all expressed the transgenic TCR, remained present in NOD-scid.LCMV TCR Tg mice. Most importantly, NOD-scid.LCMV TCR Tg mice remained completely free of type 1 diabetes (Table 3). These results indicate that the transgenic LCMV-reactive CD8 T-cells could not independently mediate type 1 diabetes development in NOD mice by mounting a cross-reactive response against pancreatic ß-cells.
Based on the adoptive transfer studies described earlier, one possible explanation for the inability of transgenic LCMV-reactive CD8 T-cells to independently mediate type 1 diabetes development in NOD-scid.LCMV TCR Tg mice was a lack of helper activities provided by CD4 T-cells. Thus, we determined if NOD-scid.LCMV TCR Tg mice developed type 1 diabetes after an infusion of CD4 T-cells purified from standard NOD donors. As shown in Table 3, these NOD-scid.LCMV TCR Tg mice were successfully repopulated with CD4 T-cells, but remained completely free of type 1 diabetes. These results indicate that, even when provided with a source of helper activity, CD8 T-cells expressing the transgenic LCMV-reactive TCR did not exert diabetogenic activity in NOD mice by mounting a cross-reactive response against pancreatic ß-cells. Furthermore, these collective results also indicate that the CD8 T-cells that did contribute to type 1 diabetes development in standard NOD.LCMV TCR Tg mice reside within the residual subpopulation that bypasses allelic exclusion, express endogenously derived TCR molecules, and undergo efficient expansion. However, as a further test of this issue, we also evaluated whether CD8 T-cells propagated from the islets of NOD.LCMV TCR Tg mice truly resided within the residual nontransgenic compartment. Based on the absence of TCR V 2 expression, the vast majority ( 92%) of islet-reactive CD8 T-cells from NOD.LCMV TCR Tg mice did indeed reside in the residual nontransgenic compartment (Fig. 4). Virtually all ( 99%) of ß-cell autoreactive CD8 T-cells isolated from standard NOD mice were also TCR V 2 negative.
NOD ß-cell autoreactive CD8 T-cells could efficiently expand from a small precursor pool. An array of ß-cell autoreactive effectors broad enough to elicit type 1 diabetes development could clearly be generated from within the overall small proportion of CD8 T-cells that bypassed allelic exclusion in NOD.LCMV TCR Tg mice. However, it was possible that the process of allelic exclusion did result in a lower frequency of certain ß-cell autoreactive CD8 T-cell populations in the NOD.LCMV TCR Tg stock than in standard NOD mice. The Kd-bound NRP-A7 peptide represents a mimotope of the ß-cell autoantigen recognized by a prevalent population of diabetogenic CD8 T-cells in standard NOD mice (20). A characteristic of the first CD8 T-cell clone (NY8.3) found to recognize Kd/NRP-A7 was a TCR containing a GGSNAKLT motif in the CDR3 region (20). We subsequently isolated another diabetogenic CD8 T-cell clone from NOD mice, AI12.B1.3, that was characterized by the identical CDR3 GGSNAKLT motif but a very different TCR-ß chain than that found in the NY8.3 clone (16). As shown in Fig. 5, a Kd/NRP-A7 tetramer was recognized by a lymphoma transfected to express the AI12-B1.3 TCR, but not by the previously described Kd-restricted ß-cell autoreactive T-cell clone, AI4, which does not use a CDR3 GGSNAKLT motif. Furthermore, the transfected lymphoma expressing the AI12.B1.3 TCR secreted IL-2 when stimulated with RMA-S/Kd-cells pulsed with NRP-A7 but not with an insulin control peptide, indicating that tetramer binding to these cells was an antigen-specific event (Table 4). Thus, we were able to use the AI12.B1.3 TCR expressing transfectant as a positive control in a tetramer-binding assay that compared the frequency of CD8 T-cells capable of recognizing Kd/NRP-A7 in the islets of NOD.LCMV TCR Tg and standard NOD mice. Significantly, as shown in Fig. 6, the proportion of ß-cell autoreactive CD8 T-cells from NOD.LCMV TCR Tg mice that recognized Kd/NRP-A7 ( 22%) approached a level similar to that of CD8 T-cells from standard NOD mice ( 39%). These results indicate that, even under conditions in which their precursor pool is drastically reduced, ß-cell autoreactive CD8 T-cells contributing to type 1 diabetes development in NOD mice undergo a highly efficient expansion.
Our results indicate that, even under conditions in which their precursor frequency is greatly reduced through the allelic exclusion induced by a pathologically irrelevant transgenic TCR, ß-cell autoreactive T-cells in NOD mice still efficiently expand to levels necessary for the development of overt type 1 diabetes. This was best illustrated by the fact that a ß-cell autoreactive CD8 T-cell population that was prevalently observed in standard NOD mice remained present at high levels in pancreatic islets of a NOD stock in which the total T-cell repertoire was predominantly skewed toward recognition of an MHC class I-restricted LCMV peptide. Although nontransgenic CD8 T-cells were essential contributors to the normal rate of type 1 diabetes development in the NOD.LCMV TCR Tg stock, the disease process also required contributions from MHC class II-restricted CD4 T-cells. This indicated that the high rate of allelic exclusion induced by the transgenic MHC class I-restricted, LCMV-specific TCR did not prevent NOD mice from continuing to produce a sufficient array of diabetogenic CD4 T-cells. The high numbers of ß-cell autoreactive T-cells that continued to accumulate in the NOD.LCMV TCR Tg stock appeared to result from a highly efficient expansion of such effectors, rather than their being generated at the same frequency as in standard NOD mice. We base this conclusion on two observations. The first is that because of the high rate of allelic exclusion elicited by the pathologically irrelevant transgenic TCR, all other TCR clonotypes examined were present at much lower frequencies in NOD.LCMV TCR Tg than in standard NOD mice. Second, although characterized by a slightly reduced frequency of TCR transgenic T-cells, much higher total numbers of both these and nontransgenic T-cells accumulated in NOD than in B6,D2 control mice. Because the T-cells that preferentially accumulate in NOD versus B6,D2 mice include the TCR transgenic clonotype that presumably would not have encountered its cognate LCMV peptide, this phenotype appears to be driven in an antigen-independent fashion. By extension, this indicates that the NOD genetic background may preferentially promote a generalized highly efficient antigen-independent expansion of T-cells. Of course, the residual nontransgenic diabetogenic T-cells that remain present in NOD.LCMV TCR Tg mice will retain the capacity to expand upon recognition of their cognate antigen. However, our current findings indicate that diabetogenic T-cells in NOD mice may also be able to undergo an efficient expansion before encountering antigen that may represent an important and heretofore unconsidered aspect of pathogenesis. The ability of NOD mice to generate a relatively large number of non-TCR transgenic T-cells suggests that the process of allelic exclusion may be less efficient in these mice than in other inbred strains. This possibility is supported by the fact that, in the presence of the same MHC class I-restricted LCMV-specific transgenic TCR, more nontransgenic MHC class II-restricted CD4 T-cells were produced in NOD mice than in nonautoimmune-prone B6,D2 control animals. Similarly, we previously found that NOD mice transgenically expressing the TCR from an MHC class I-restricted ß-cell autoreactive T-cell clone also continued to generate a relatively large number of CD4 T-cells that bypassed allelic exclusion, as evidenced by their coexpression of a second endogenously derived TCR (21). Indeed, it has been proposed that the ability to bypass allelic exclusion and express a second TCR is an important pathogenic mechanism by which ß-cell autoreactive T-cells in NOD mice escape normal selection constraints (38). However, the higher levels of nontransgenic CD4 T-cells in NOD than in B6,D2 mice carrying the LCMV TCR Tg could also result from the known defective ability of H2-Ag7 MHC class II molecules expressed in the former strain to induce immunologic tolerance (3).
The current studies provided further insights into the antigen recognition characteristics of TCR molecules used by ß-cell autoreactive CD8 T-cells in NOD mice. It has been previously demonstrated that a prevalent population of ß-cell autoreactive CD8 T-cells in standard NOD mice use a TCR- As noted above, the fact that Kd/NRP-A7 reactive CD8 T-cells continued to accumulate at high levels in the islets of NOD.LCMV TCR Tg mice also provided strong evidence that NOD ß-cell autoreactive T-cells can undergo a highly efficient expansion from a limited pool of precursors. The highly efficient expansive capacity of such autoreactive effectors also probably accounts for why type 1 diabetes developed at a high rate in a NOD stock transgenically expressing another putatively nonpathogenic TCR (39), rather than the explanation proposed in this earlier study (39) that under some circumstances, T-cells can mediate ß-cell destruction in a nonspecific (i.e., antigen-independent) fashion. In conclusion, our results indicate that the accumulation of ß-cell-autoreactive T-cells in NOD mice is a highly efficient process, even under conditions that greatly limit their precursor frequency. Significantly, it appears that such an expansion can potentially occur in an antigen-independent fashion. This potential ability of ß-cell autoreactive T-cells to efficiently expand before their first encounter with antigen represents a previously unconsidered and perhaps important aspect of type 1 diabetes development in NOD mice. Hence, it should be taken into account that a similar situation may exist in humans deemed at high risk for type 1 diabetes development when developing possible disease intervention protocols.
This work was supported by National Institutes of Health Grants DK-46266 (D.V.S), DK-51090 (D.V.S), AI-41469 (D.V.S.), AI-28802 (S.G.N.), AI-07289 (S.G.N.), DK-52956 (S.G.N.), HL-54977 (S.J.), F-32-DK-09889 (R.T.G.), and Cancer Center Support Grant CA-34196 (The Jackson Laboratory), as well as by grants from the Juvenile Diabetes Foundation International (D.V.S., S.G.N., and S.J.). T.P.D. is a fellow of the Cancer Research Institute.
Address correspondence and reprint requests to Dr. David V. Serreze, Staff Scientist, The Jackson Laboratory, Bar Harbor, ME 04609. E-mail: dvs{at}jax.org. Received for publication 18 December 2000 and accepted in revised form 31 May 2001. APC, antigen-presenting cell; FACS, fluorescence-activated cell sorter; FITC, fluorescein isothiocyanate; IL, interleukin; LCMV, lymphocytic choriomeningitis virus; MHC, major histocompatibility complex; PBL, peripheral blood leukocyte; PCR, polymerase chain reaction; PE, phycoethrin; TCR, T-cell receptor; Tg, transgenic.
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