APC-targeted proinsulin expression inactivates insulin-specific memory CD8+ T cells in NOD mice

Immunol Cell Biol. 2017 Oct;95(9):765-774. doi: 10.1038/icb.2017.48. Epub 2017 Jun 14.

Abstract

Type 1 diabetes (T1D) results from T-cell-mediated autoimmune destruction of pancreatic β cells. Effector T-cell responses emerge early in disease development and expand as disease progresses. Following β-cell destruction, a long-lived T-cell memory is generated that represents a barrier to islet transplantation and other cellular insulin-replacement therapies. Development of effective immunotherapies that control or ablate β-cell destructive effector and memory T-cell responses has the potential to prevent disease progression and recurrence. Targeting antigen expression to antigen-presenting cells inactivates cognate CD8+ effector and memory T-cell responses and has therapeutic potential. Here we investigated this in the context of insulin-specific responses in the non-obese diabetic mouse where genetic immune tolerance defects could impact on therapeutic tolerance induction. Insulin-specific CD8+ memory T cells transferred to mice expressing proinsulin in antigen-presenting cells proliferated in response to transgenically expressed proinsulin and the majority were rapidly deleted. A small proportion of transferred insulin-specific Tmem remained undeleted and these were antigen-unresponsive, exhibited reduced T cell receptor (TCR) expression and H-2Kd/insB15-23 tetramer binding and expressed co-inhibitory molecules. Expression of proinsulin in antigen-presenting cells also abolished the diabetogenic capacity of CD8+ effector T cells. Therefore, destructive insulin-specific CD8+ T cells are effectively inactivated by enforced proinsulin expression despite tolerance defects that exist in diabetes-prone NOD mice. These findings have important implications in developing immunotherapeutic approaches to T1D and other T-cell-mediated autoimmune diseases.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adoptive Transfer
  • Animals
  • Antigen-Presenting Cells / immunology*
  • Autoantigens / immunology
  • CD8-Positive T-Lymphocytes / immunology*
  • Cells, Cultured
  • Diabetes Mellitus, Type 1 / immunology*
  • Humans
  • Immune Tolerance
  • Immunologic Memory
  • Insulin / immunology
  • Insulin-Secreting Cells / physiology*
  • Male
  • Mice
  • Mice, Inbred NOD
  • Mice, Transgenic
  • Proinsulin / genetics
  • Proinsulin / immunology
  • Proinsulin / metabolism*
  • Receptors, Antigen, T-Cell / metabolism

Substances

  • Autoantigens
  • Insulin
  • Receptors, Antigen, T-Cell
  • Proinsulin