title: In vivo evidence for the contribution of human histocompatibility leukocyte antigen (HLA)-DQ molecules to the development of diabetes.
abstract: Although DQA1*0301/DQB1*0302 is the human histocompatibility leukocyte antigen (HLA) class II gene most commonly associated with human type 1 diabetes, direct in vivo experimental evidence for its diabetogenic role is lacking. Therefore, we generated C57BL/6 transgenic mice that bear this molecule and do not express mouse major histocompatibility complex (MHC) class II molecules (DQ8(+)/mII(-)). They did not develop insulitis or spontaneous diabetes. However, when DQ8(+)/mII(-) mice were bred with C57BL/6 mice expressing costimulatory molecule B7-1 on beta cells (which normally do not develop diabetes), 81% of the DQ8(+)/mII(-)/B7-1(+) mice developed spontaneous diabetes. The diabetes was accompanied by severe insulitis composed of both T cells (CD4(+) and CD8(+)) and B cells. T cells from the diabetic mice secreted large amounts of interferon gamma, but not interleukin 4, in response to DQ8(+) islets and the putative islet autoantigens, insulin and glutamic acid decarboxylase (GAD). Diabetes could also be adoptively transferred to irradiated nondiabetic DQ8(+)/mII(-)/B7-1(+) mice. In striking contrast, none of the transgenic mice in which the diabetes protective allele (DQA1*0103/DQB1*0601, DQ6 for short) was substituted for mouse MHC class II molecules but remained for the expression of B7-1 on pancreatic beta cells (DQ6(+)/mII(-)/B7-1(+)) developed diabetes. Only 7% of DQ(-)/mII(-)/B7-1(+) mice developed diabetes at an older age, and none of the DQ(-)/mII(+)/B7-1(+) mice or DQ8(+)/mII(+)/B7-1(+) mice developed diabetes. In conclusion, substitution of HLA-DQA1*0301/DQB1*0302, but not HLA-DQA1*0103/DQB1*0601, for murine MHC class II provokes autoimmune diabetes in non-diabetes-prone rat insulin promoter (RIP).B7-1 C57BL/6 mice. Our data provide direct in vivo evidence for the diabetogenic effect of this human MHC class II molecule and a unique "humanized" animal model of spontaneous diabetes.
authors.affiliation: Section of Endocrinology, Department of Internal Medicine, the. Yale University Shool of Medicine, New Haven, CT, USA. li.wen.@yale.edu
authors.forename: L
authors.initials: L
authors.lastname: Wen
authors.forename: F S
authors.initials: FS
authors.lastname: Wong
authors.forename: J
authors.initials: J
authors.lastname: Tang
authors.forename: N Y
authors.initials: NY
authors.lastname: Chen
authors.forename: M
authors.initials: M
authors.lastname: Altieri
authors.forename: C
authors.initials: C
authors.lastname: David
authors.forename: R
authors.initials: R
authors.lastname: Flavell
authors.forename: R
authors.initials: R
authors.lastname: Sherwin
mesh_terms: D000818:Animals; D001323:Autoantibodies / Q000096:biosynthesis; D018122:B7-1 Antigen / Q000502:physiology; D015496:CD4-Positive T-Lymphocytes / Q000502:physiology; D016207:Cytokines / Q000096:biosynthesis; D003922:Diabetes Mellitus, Type 1 / Q000209:etiology*; D004195:Disease Models, Animal; D006683:HLA-DQ Antigens / Q000502:physiology*; D006801:Humans; D018799:Intercellular Adhesion Molecule-1 / Q000032:analysis; D051379:Mice; D008810:Mice, Inbred C57BL; D008822:Mice, Transgenic; D012793:Sialadenitis / Q000209:etiology
chemical_list: D001323:Autoantibodies; D018122:B7-1 Antigen; D016207:Cytokines; D006683:HLA-DQ Antigens; D018799:Intercellular Adhesion Molecule-1