title: In vitro generated allospecific cytolytic T lymphocytes injure pancreatic islets.
abstract: The role of cytotoxic T lymphocytes in the rejection of pancreatic islet allografts remains poorly defined. The present study was designed to assess the ability of in vitro generated cytolytic T lymphocytes to produce allospecific functional and structural damage of mouse pancreatic islets. A mixed lymphocyte-islet coculture model (MLIC) has been developed, in which islets from DBA/2J mice (H-2d) stimulate the generation of allospecific cytolytic T lymphocytes (C57B1/6, H-2b), as measured by lysis of allospecific chromium-labeled tumor targets. Responder C57B1/6 splenocytes sensitized to DBA/2J islets were harvested from the MLIC on Day 5 and cocultured with either freshly isolated DBA/2J or B10.BR (H-2K) islets. Islet injury was determined by assessment of beta cell function after 8 hr (as measured by insulin release in response to a glucose challenge) and islet destruction after 24 hr of coculture with the sensitized splenocytes. Whereas coculture of third party B10.BR islets with MLIC-sensitized C57B1/6 anti-DBA splenocytes had no effect on insulin release or structure, incubation of allospecific DBA/2J islets with these splenocytes resulted in inhibition of insulin release after 8 hr and disintegration of the islets by 24 hr. The depletion of MLIC-sensitized C57B1/6 anti-DBA splenocytes with anti-Lyt2 monoclonal antibody, but not anti-L3T4 monoclonal antibody, prevented the allospecific destruction of fresh islets by the splenocytes in culture. This study suggests that allospecific, cytotoxic T lymphocytes may play an important role in the effector mechanism of pancreatic islet allograft destruction.
authors.affiliation: Department of Surgery, University of Minnesota Hospital, Minneapolis 55455.
authors.forename: P G
authors.initials: PG
authors.lastname: Stock
authors.forename: N L
authors.initials: NL
authors.lastname: Ascher
authors.forename: D B
authors.initials: DB
authors.lastname: Kaufman
authors.forename: S
authors.initials: S
authors.lastname: Chen
authors.forename: M
authors.initials: M
authors.lastname: Meloche
authors.forename: M J
authors.initials: MJ
authors.lastname: Field
authors.forename: D E
authors.initials: DE
authors.lastname: Sutherland
mesh_terms: D000818:Animals; D003584:Cytological Techniques; D003601:Cytotoxicity Tests, Immunologic; D007328:Insulin / Q000378:metabolism; D007515:Islets of Langerhans / Q000378:metabolism / Q000473:pathology* / Q000503:physiopathology; D013154:Spleen / Q000166:cytology / Q000502:physiology; D013602:T-Lymphocytes, Cytotoxic / Q000145:classification / Q000502:physiology*; D014184:Transplantation, Homologous
chemical_list: D007328:Insulin