Thymic B Cell-Mediated Attack of Thymic Stroma Precedes Type 1 Diabetes Development

Type 1 diabetes (T1D) results from a coordinated autoimmune attack of insulin producing beta cells in the pancreas by the innate and adaptive immune systems, beta cell death being predominantly T cell-mediated. In addition to T cells, peripheral B cells are important in T1D progression. The thymus o...

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Main Authors: Ana Isabel Pinto, Jennifer Smith, Miriam R. Kissack, Karen G. Hogg, E. Allison Green
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-06-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2018.01281/full
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author Ana Isabel Pinto
Jennifer Smith
Miriam R. Kissack
Karen G. Hogg
E. Allison Green
E. Allison Green
author_facet Ana Isabel Pinto
Jennifer Smith
Miriam R. Kissack
Karen G. Hogg
E. Allison Green
E. Allison Green
author_sort Ana Isabel Pinto
collection DOAJ
description Type 1 diabetes (T1D) results from a coordinated autoimmune attack of insulin producing beta cells in the pancreas by the innate and adaptive immune systems, beta cell death being predominantly T cell-mediated. In addition to T cells, peripheral B cells are important in T1D progression. The thymus of mice and man also contains B cells, and lately they have been linked to central tolerance of T cells. The role of thymic B cells in T1D is undefined. Here, we show there are abnormalities in the thymic B cell compartment before beta cell destruction and T1D manifestation. Using non-obese diabetic (NOD) mice, we document that preceding T1D development, there is significant accumulation of thymic B cells-partly through in situ development- and the putative formation of ectopic germinal centers. In addition, in NOD mice we quantify thymic plasma cells and observe in situ binding of immunoglobulins to undefined antigens on a proportion of medullary thymic epithelial cells (mTECs). By contrast, no ectopic germinal centers or pronounced intrathymic autoantibodies are detectable in animals not genetically predisposed to developing T1D. Binding of autoantibodies to thymic stroma correlates with apoptosis of mTECs, including insulin-expressing cells. By contrast, apoptosis of mTECs was decreased by 50% in B cell-deficient NOD mice suggesting intrathymic autoantibodies may selectively target certain mTECs for destruction. Furthermore, we observe that these thymic B cell-associated events correlated with an increased prevalence of premature thymic emigration of T cells. Together, our data suggest that the thymus may be a principal autoimmune target in T1D and contributes to disease progression.
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spelling doaj.art-69966b538b8e4bafbffb3f28f54dd3fe2022-12-22T01:40:59ZengFrontiers Media S.A.Frontiers in Immunology1664-32242018-06-01910.3389/fimmu.2018.01281355362Thymic B Cell-Mediated Attack of Thymic Stroma Precedes Type 1 Diabetes DevelopmentAna Isabel Pinto0Jennifer Smith1Miriam R. Kissack2Karen G. Hogg3E. Allison Green4E. Allison Green5Centre for Immunology and Infection, Department of Biology, Hull York Medical School, University of York, York, United KingdomCambridge Institute for Medical Research, University of Cambridge, Addenbrooke’s Hospital, Cambridge, United KingdomCentre for Immunology and Infection, Department of Biology, Hull York Medical School, University of York, York, United KingdomCentre for Immunology and Infection, Department of Biology, Hull York Medical School, University of York, York, United KingdomCentre for Immunology and Infection, Department of Biology, Hull York Medical School, University of York, York, United KingdomCambridge Institute for Medical Research, University of Cambridge, Addenbrooke’s Hospital, Cambridge, United KingdomType 1 diabetes (T1D) results from a coordinated autoimmune attack of insulin producing beta cells in the pancreas by the innate and adaptive immune systems, beta cell death being predominantly T cell-mediated. In addition to T cells, peripheral B cells are important in T1D progression. The thymus of mice and man also contains B cells, and lately they have been linked to central tolerance of T cells. The role of thymic B cells in T1D is undefined. Here, we show there are abnormalities in the thymic B cell compartment before beta cell destruction and T1D manifestation. Using non-obese diabetic (NOD) mice, we document that preceding T1D development, there is significant accumulation of thymic B cells-partly through in situ development- and the putative formation of ectopic germinal centers. In addition, in NOD mice we quantify thymic plasma cells and observe in situ binding of immunoglobulins to undefined antigens on a proportion of medullary thymic epithelial cells (mTECs). By contrast, no ectopic germinal centers or pronounced intrathymic autoantibodies are detectable in animals not genetically predisposed to developing T1D. Binding of autoantibodies to thymic stroma correlates with apoptosis of mTECs, including insulin-expressing cells. By contrast, apoptosis of mTECs was decreased by 50% in B cell-deficient NOD mice suggesting intrathymic autoantibodies may selectively target certain mTECs for destruction. Furthermore, we observe that these thymic B cell-associated events correlated with an increased prevalence of premature thymic emigration of T cells. Together, our data suggest that the thymus may be a principal autoimmune target in T1D and contributes to disease progression.https://www.frontiersin.org/article/10.3389/fimmu.2018.01281/fulltype 1 diabetesthymic B cellsautoreactive antibodynon-obese diabeticmedullary thymic epithelial cells
spellingShingle Ana Isabel Pinto
Jennifer Smith
Miriam R. Kissack
Karen G. Hogg
E. Allison Green
E. Allison Green
Thymic B Cell-Mediated Attack of Thymic Stroma Precedes Type 1 Diabetes Development
Frontiers in Immunology
type 1 diabetes
thymic B cells
autoreactive antibody
non-obese diabetic
medullary thymic epithelial cells
title Thymic B Cell-Mediated Attack of Thymic Stroma Precedes Type 1 Diabetes Development
title_full Thymic B Cell-Mediated Attack of Thymic Stroma Precedes Type 1 Diabetes Development
title_fullStr Thymic B Cell-Mediated Attack of Thymic Stroma Precedes Type 1 Diabetes Development
title_full_unstemmed Thymic B Cell-Mediated Attack of Thymic Stroma Precedes Type 1 Diabetes Development
title_short Thymic B Cell-Mediated Attack of Thymic Stroma Precedes Type 1 Diabetes Development
title_sort thymic b cell mediated attack of thymic stroma precedes type 1 diabetes development
topic type 1 diabetes
thymic B cells
autoreactive antibody
non-obese diabetic
medullary thymic epithelial cells
url https://www.frontiersin.org/article/10.3389/fimmu.2018.01281/full
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