Thioreductase containing epitopes inhibit the development of type 1 diabetes in the NOD mouse model

Malek Abrahimians, Elin;Vander Elst, Luc P.;Carlier, Vincent A.;Saint-Remy, Jean-Marie
(2016) Frontiers in Immunology — Vol. 7, p. 67 [1-10] (2016)

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Authors
  • Vander Elst, Luc P.
    Author
  • Carlier, Vincent A.
    Author
  • Saint-Remy, Jean-Marie
    Author
Abstract
Autoreactive CD4+ T cells recognizing islet-derived antigens play a primary role in type 1 diabetes. Specific suppression of such cells therefore represents a strategic target for the cure of the disease. We have developed a methodology by which CD4+ T cells acquire apoptosis-inducing properties on antigen-presenting cells after cognate recognition of natural sequence epitopes. We describe here that inclusion of a thiol-disulfide oxidoreductase (thioreductase) motif within the flanking residues of a single MHC class II-restricted GAD65 epitope induces GAD65-specific cytolytic CD4+ T cells (cCD4+ T). The latter, obtained either in vitro or by active immunization, acquire an effector memory phenotype and lyse APCs by a Fas-FasL interaction. Further, cCD4+ T cells eliminate by apoptosis activated bystander CD4+ T cells recognizing alternative epitopes processed by the same APC. Active immunization with a GAD65 class II-restricted thioreductase-containing T cell epitope protects mice from diabetes and abrogates insulitis. Passive transfer of in vitro-elicited cCD4+ T cells establishes that such cells are efficient in suppressing autoimmunity. These findings provide strong evidence for a new vaccination strategy to prevent type 1 diabetes.
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Citations

Malek Abrahimians, E., Vander Elst, L. P., Carlier, V. A., & Saint-Remy, J.-M. (2016). Thioreductase containing epitopes inhibit the development of type 1 diabetes in the NOD mouse model. Frontiers in Immunology, 7, 67 [1-10]. https://doi.org/10.3389/fimmu.2016.00067 (Original work published 2016)