Viral infection prevents diabetes by inducing regulatory T cells through NKT cell-plasmacytoid dendritic cell interplay

J Exp Med. 2011 Apr 11;208(4):729-45. doi: 10.1084/jem.20101692. Epub 2011 Mar 28.

Abstract

Type 1 diabetes (T1D) is an autoimmune disease resulting from T cell-mediated destruction of insulin-producing β cells, and viral infections can prevent the onset of disease. Invariant natural killer T cells (iNKT cells) exert a regulatory role in T1D by inhibiting autoimmune T cell responses. As iNKT cell-plasmacytoid dendritic cell (pDC) cooperation controls viral replication in the pancreatic islets, we investigated whether this cellular cross talk could interfere with T1D development during viral infection. Using both virus-induced and spontaneous mouse models of T1D, we show that upon viral infection, iNKT cells induce TGF-β-producing pDCs in the pancreatic lymph nodes (LNs). These tolerogenic pDCs convert naive anti-islet T cells into Foxp3(+) CD4(+) regulatory T cells (T reg cells) in pancreatic LNs. T reg cells are then recruited into the pancreatic islets where they produce TGF-β, which dampens the activity of viral- and islet-specific CD8(+) T cells, thereby preventing T1D development in both T1D models. These findings reveal a crucial cooperation between iNKT cells, pDCs, and T reg cells for prevention of T1D by viral infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antigens, Surface / physiology
  • Apoptosis Regulatory Proteins / physiology
  • B7-1 Antigen / physiology
  • B7-H1 Antigen
  • CD8-Positive T-Lymphocytes / immunology
  • Cell Communication*
  • Dendritic Cells / physiology*
  • Diabetes Mellitus, Type 1 / prevention & control*
  • Interleukin-10 / physiology
  • Islets of Langerhans / immunology
  • Lymph Nodes / immunology
  • Lymphocyte Activation
  • Membrane Glycoproteins / physiology
  • Mice
  • Natural Killer T-Cells / physiology*
  • Peptides / physiology
  • Programmed Cell Death 1 Receptor
  • T-Lymphocytes, Regulatory / immunology*
  • Transforming Growth Factor beta / biosynthesis
  • Virus Diseases / immunology*

Substances

  • Antigens, Surface
  • Apoptosis Regulatory Proteins
  • B7-1 Antigen
  • B7-H1 Antigen
  • Cd274 protein, mouse
  • Membrane Glycoproteins
  • Pdcd1 protein, mouse
  • Peptides
  • Programmed Cell Death 1 Receptor
  • Transforming Growth Factor beta
  • Interleukin-10