Targeting of Pancreatic Glia in Type 1 Diabetes

  1. Hubert Tsui, Ph.D1,
  2. Yin Chan, B.Sc1,
  3. Lan Tang, MD1,
  4. Shawn Winer, MD1,
  5. Roy K. Cheung, M.Sc1,
  6. Geoffrey Paltser, B.Sc1,
  7. Thirumahal Selvanantham, B.Sc1,
  8. Alisha R. Elford, B.Sc2,
  9. James R. Ellis, Ph.D1,
  10. Dorothy J. Becker, MD2,
  11. Pamela S. Ohashi, Ph.D3 and
  12. Hans-Michael Dosch, MD (hmdosch{at}sickkids.ca)1
  1. 1Research Institute, The Hospital for Sick Children, Departments of Pediatrics, Immunology and Genetics, University of Toronto, Toronto, ON, M5G 1X8, Canada
  2. 2Department of Pediatrics, Children's Hospital and University of Pittsburgh, Pittsburgh, PA, USA
  3. 3The Campbell Family Institute for Breast Cancer Research, Ontario Cancer Institute, University Health Network, Departments of Medical Biophysics and Immunology, University of Toronto, Toronto, ON, M5G 2C1, Canada

    Abstract

    Objective: Type 1 Diabetes (T1D) reflects autoimmune-destruction of β-cells and peri-islet Schwann cells (pSC) but the mechanisms of pSC death and the T cell epitopes involved remain unclear.

    Research Design And Methods: Primary pSC cultures were generated and used as targets in CTL assays in NOD mice. Cognate interaction between pSC and CD8+ T cells was assessed by transgenic restoration of β2-microglobulin (β 2m) to pSC in NOD.β 2m−/− congenics. I-Ag7 and Kd epitopes in the pSC antigen GFAP were identified by peptide mapping or algorithms, respectively and the latter tested by immunotherapy.

    Results: pSC cultures did not express MHC class II and were lysed by ex vivo CTLs from diabetic NOD mice. In vivo, restoration of MHC class I in GFAP-β 2M transgenics significantly accelerated adoptively transferred diabetes. Target epitopes in the pSC autoantigen GFAP were mapped to residues 79-87 and 253-261 for Kd and 96-110, 116-130 and 216-230 for I-Ag7. These peptides were recognized spontaneously in NOD spleens as early as 2.5 wk of age, with proliferative responses peaking around weaning and detectable life-long. Several were also recognized by T cells from new-onset T1D patients. NOD mouse immunotherapy at 8 wk with the CD8+ T cell epitope, GFAP79-87 but not 253-261, significantly inhibited T1D and was associated with reduced IFN-γ production to whole protein GFAP.

    Conclusions: Collectively, these findings elucidate a role for pSC specific CD8+ T cells in islet inflammation and T1D pathogenesis, further supporting neuronal involvement in β-cell demise.

    Footnotes

      • Received February 21, 2007.
      • Accepted January 9, 2008.