B CELLS IN AUTOIMMUNE DIABETES

University Of Pennsylvania, Philadelphia PA

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Abstract

Insulin-dependent diabetes mellitus (IDDM) in humans and NOD mice is an autoimmune disease caused by the selective destruction of pancreatic beta cells by autoreactive T lymphocytes. In addition to the well characterized loss of T cell tolerance to islet autoantigens, the presence of anti-islet antibodies highlights a concomitant dysregulation of B cell tolerance to these antigens. The requisite role of B cells in diabetogenesis has recently been established in studies of B cell deficient NOD mice which were found to be diabetes-free. Whether the role of B cells in NOD diabetogenesis is mediated by the islet-reactive B cells and whether this role involves antigen presentation by B cells is unknown. The present application proposes studies focused on elucidating the mechanisms underlying the role of B cells in autoimmune NOD diabetes. Specifically, the contribution of MHC class II mediated antigen presentation by B cells to NOD diabetogenesis will be assessed. Additionally, the contribution of the autoreactive subset of B cells to NOD diabetogenesis will be determined by skewing the B cell repertoire from diabetes associated Ig specificities. Insights into the mechanisms by which B cells contribute to the etiology of autoimmune diabetes will provide the basis for the design of novel strategies for the prevention of IDDM.