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ICA69(null) nonobese diabetic mice develop diabetes, but resist disease acceleration by cyclophosphamide

Shawn Winer1, Igor Astsaturov, Roger Gaedigk

  • 1The Hospital For Sick Children, Research Institute, University of Toronto, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8.

Insights

Islet cell antigen 69 (ICA69) deficiency protects against cyclophosphamide-accelerated diabetes in NOD mice. ICA69 in beta cells, not T cell recognition, drives drug toxicity and autoreactivity.

Area of Science:

  • Immunology
  • Endocrinology
  • Neuroscience

Background:

  • Islet cell antigen 69 (ICA69) is a diabetes-associated autoantigen highly expressed in beta cells and brain.
  • Its homologue in C. elegans, ric-19, is crucial for neurotransmission, suggesting a role in neuronal function.
  • The precise function of ICA69 and its role in autoimmune diabetes remain largely unknown.

Purpose of the Study:

  • To investigate the function of ICA69 in autoimmune diabetes using a murine knockout model.
  • To determine the role of ICA69 in T cell recognition of self and environmental antigens.
  • To elucidate the mechanism behind cyclophosphamide-accelerated diabetes and ICA69's involvement.

Main Methods:

  • Generation of ICA69 knockout mice (ica-1 null) on a 129 strain background.
  • Speed-congenic development of ICA69(null) nonobese diabetic (NOD) mice.
  • Immunization studies to assess T cell responses to ICA69 and BSA epitopes.
  • Analysis of insulitis, diabetes development, and cyclophosphamide (CY) acceleration.
  • Transplantation experiments using hemopoietic and islet tissue.

Main Results:

  • ICA69(null) NOD mice exhibited mid-life lethality, distinct from wild-type NOD mice.
  • ICA69(null) NOD mice failed to generate cross-reactive T cells recognizing ICA69 and BSA epitopes.
  • Antigenic mimicry was driven by endogenous ICA69, not environmental factors.
  • Spontaneous and transferred diabetes, as well as insulitis, developed normally in ICA69(null) NOD mice.
  • ICA69(null) NOD mice were unexpectedly resistant to CY-accelerated diabetes.
  • CY resistance was linked to ICA69 deficiency in islets, involving beta-cell drug toxicity.

Conclusions:

  • ICA69 is not an obligate autoantigen for spontaneous diabetes development in NOD mice.
  • ICA69 plays a critical role in beta-cell toxicity induced by cyclophosphamide, exacerbating autoreactivity.
  • The findings reveal a novel function of ICA69 in drug-induced exacerbation of autoimmune diabetes.

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