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Suppression of diabetes by accumulation of non-islet-specific CD8 effector T cells in pancreatic islets.

Sci Immunol. 2018; 
Christoffersson Gustaf,Chodaczek Grzegorz,Ratliff Sowbarnika S,Coppieters Ken,von Herrath Matthi
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摘要

The inflammatory lesion at the pancreatic islet in type 1 diabetes (T1D) contains a heterogeneous infiltrate of T cells. In human and mouse studies, a large majority (98 to 99%) of the cytotoxic CD8 T cells (CTLs) within islets are not specific to any islet antigen and are thought to passively add to tissue damage. We show by intravital confocal microscopy the opposite, immune-regulatory function of this cohort of CTLs. Diabetes did not develop in mice with islets showing high levels of infiltration of non-islet-specific CTLs not recognizing local antigens. Accumulation of such CTLs resulted in lower activation and proliferation of islet-specific CTLs, leading them to enter a state of unresponsiveness due... More

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