The protein tyrosine phosphatases (PTPs) IA-2 and phogrin (IA-2β) are major autoantigens in type 1 diabetes that possess common serological epitopes in their COOH termini. The epitopes recognized by the T-cells that cause the disease, however, remain to be defined. Eight phogrin-specific T-cell clones were generated from NOD mice, and their epitopes were mapped. The mapping was performed initially with recombinant gluthathione S-transferase–phogrin COOH deletion constructs and ultimately with overlapping synthetic peptides. Two dominant epitopes were identified: one (aa 629–649) immediately adjacent to the transmembrane domain (aa 604–628) and the second (aa 755–777) lying in the NH2-terminal region of the conserved PTP domain. T-cells that are specific to either of these peptides and that could destroy islet tissue in vivo though spontaneous T-cell proliferative responses were observed in prediabetic female NOD splenocytes only to the aa 755–777 epitope. In NOD female mice immunized with the epitope peptide, intramolecular determinant spreading occurred from the aa 629–649 epitope to the aa 755–777 epitope but not in the opposite direction. We concluded that the initial T-cell response to phogrin is restricted to a small number of dominant peptides and that it subsequently spreads to other regions of the molecule, including those containing the major humoral epitopes that are highly conserved between IA-2 and phogrin.

IA-2 and phogrin (IA-2β), two structurally related members of the protein tyrosine phosphatase (PTP) family, are expressed in neuroendocrine tissues, including the pancreatic islets (1,2). A role as major autoantigens in type 1 diabetes is suggested by the presence of autoantibodies to these proteins in ∼70% of new-onset type 1 diabetic patients and their first-degree relatives (3). T-cell proliferative responses to IA-2 from peripheral blood mononuclear cells of diabetic patients have also been reported (4). Both proteins are comprised of a signal peptide, a 20-kDa lumenal region, a transmembrane domain, and a 42-kDa cytosolic region, the latter incorporating a single 18-kDa PTP domain at the COOH terminus. The epitopes recognized by autoantibodies have been mapped to the cytosolic region on both antigens (5), where they are distributed throughout the conserved (79% aa identity) PTP domain and the preceding juxtamembrane segment (60% aa identity). Autoantibodies to phogrin appear to be a subset of IA-2 autoantibodies, and individuals with IA-2– or phogrin-specific autoantibodies alone are relatively rare (10 and 1% of antibody-positive sera, respectively). Studies performed with deletion constructs and IA-2/phogrin chimeras indicate the existence of determinant spreading and changes in the epitope specificity of antibodies throughout the progression of preclinical and postclinical diabetes in humans (5,6,7).

We generated a series of phogrin-specific T-cell clones from young NOD female mice by immunization with recombinant phogrin cytosolic region in complete Freund’s adjuvant (CFA). All T-cell clones were of the CD4+/ T-helper 1 phenotype, with diverse patterns of Vβ chain usage in their T-cell receptors (TCRs). Three of these T-cell clones, when tested in vivo, destroyed islet tissue from islet transplant recipients (8). The present study aimed to evaluate the diversity of T-cell epitopes recognized by these clones, to map the dominant determinants with synthetic peptides, and to evaluate the hierarchy of epitope responses by challenging prediabetic animals with the respective peptides. Remarkably, only two specificities were evident in the whole 42-kDa region, one of which appeared dominant, as evidenced in prediabetic NOD mice by the presence of spontaneous T-cell proliferative responses to this epitope.

Animals.

NOD/Bdc mice and BALB/c mice were bred in the Barbara Davis Center Animal Colony, maintained under specific pathogen-free conditions, and manipulated in accordance with University of Colorado Health Sciences Center institutional animal care and use protocols.

Antigens

Recombinant phogrin.

The cytosolic region of the rat phogrin molecule (aa 629–1,003) was subcloned into pGEX-3X to produce a soluble Escherichia coli gluthathione S-transferase (GST) fusion protein (9). Fusion protein was purified with gluthathione agarose affinity resin (Sigma, St. Louis, MO) and digested with factor Xa (Boehringer Mannheim, Indianapolis, IN), and the antigen was isolated by a further round of affinity chromatography (8).

Deletion constructs.

A series of phogrin COOH-terminal deletion constructs were generated from the rat phogrin sequence by polymerase chain reaction using oligonucleotides that introduced both a BamHI restriction site into the truncated 3′ end and an in-frame EcoRI restriction site at the 5′ end. Gel-purified BamHI/EcoRI fragments were cloned into pGEX-3X and expressed as GST fusion proteins in E. coli. Soluble recombinant proteins were purified with gluthathione agarose affinity resin; insoluble inclusion bodies were purified with a detergent-based purification method (10). The proteins were introduced into T-cell proliferation assays at a concentration of 100 μg/ml. Control experiments showed no nonspecific responses to either the contaminating bacterial proteins or the GST moiety.

Synthetic peptides.

A series of synthetic 20mer peptides, each overlapping by 10 amino acids and spanning two distinct epitope regions on the phogrin C terminus, were obtained from BioWorld (Dublin, OH) (Table 1). They were introduced into T-cell proliferation assays as aqueous solutions at 30–100 μg/ml.

Phogrin-specific T-cell clones and lines.

Phogrin-specific T-cell clones were previously obtained by limiting dilution cloning of T-cell lines established from lymph node cells of young NOD female mice primed with recombinant rat phogrin in CFA (8). Lines and clones were propagated by serial stimulation in Dulbecco’s modified Eagle’s medium (DMEM) (Gibco, Grand Island, NY) supplemented with 10% fetal bovine serum (FBS) (Hyclone Laboratories, Logan, UT) and 50 U/ml recombinant mouse interleukin-2 (IL-2) (DMEM/FBS/IL-2) in the presence of 2.5 × 107 irradiated NOD spleen cells (3,500 Rad) and 5 μg/ml recombinant phogrin.

Immunization of mice with phogrin peptides.

Mice were immunized with 50 μg of either peptide 2 or peptide 7 emulsified in CFA (Sigma, St. Louis, MO) (50 μl total volume) at the base of the tail. Draining lymph nodes (inguinal and periaortic) were removed 7 days postimmunization, and the dissociated cells were washed and cultured in duplicate in 96-well microculture plates (1.0 × 106 cells per well). The cells were cultured in Click’s medium (Irvine Scientific, Santa Anna, CA) supplemented with 0.5% NOD mouse serum, 0.86% NaHCO3, 50 μmol/l 2-mercaptoethanol, 10 mmol/l HEPES, and 50 μg/ml gentamicin and glutamine (complete Click’s medium [CCM]) as well as 10–100 μg/ml antigen with a pulse 6 h before harvest of 0.5 μCi [3H]thymidine. Peptide-responsive lines were maintained by in vitro stimulation of 5 × 105 T-cells with 2 × 107 irradiated NOD spleen cells in 20 ml DMEM/FBS/IL-2 on a 14-day cycle.

T-cell line and clone proliferation assays.

T-cell lines and clones were assayed by coculture of 2.5 × 104 T-cells with 1.0 × 106 irradiated NOD spleen cells and 10–100 μg/ml antigen in DMEM/FBS for 72 h with the addition of 0.5 μCi [3H]thymidine 6 h before harvest.

Detection of spontaneous T-cell proliferative responses to phogrin peptides in NOD and BALB/c mice.

A total of 1.0 × 106 spleen cells of individual female NOD and BALB/c mice (8–12 weeks of age) were cultured in duplicate for 6 days in CCM with 10–100 μg/ml peptide. Cultures were pulsed with 0.5 μCi [3H]thymidine 24 h before harvest. Results were evaluated in the context of individual mice. An average of 40 individual mice of both strains were screened with this assay.

Identification of peptide epitopes of the phogrin-specific T-cell clones.

COOH-terminally truncated forms of the rat phogrin cytosolic domain were produced in the form of recombinant GST fusion proteins in E. coli (Fig. 1). Of the nine proteins generated, two were soluble, and seven others formed insoluble inclusion bodies that could be purified by a combination of detergent extraction and differential centrifugation. T-cell clone proliferation assays using 100 μg/ml of each construct (Table 1) revealed the presence of two distinct epitope regions, corresponding to the shortest construct (aa 629–664, deletion protein I) (Fig. 1) and the nonoverlapping region between proteins G and F (aa 725–776) (Fig. 1). All of the clones recognized the recombinant phogrin antigen, and none of them proliferated to GST alone. Insulin-specific NOD CD4+ T-cells did not respond to these proteins, indicating that the response was antigen-specific (not shown).

Synthetic 20mer peptides, each overlapping by 10 amino acids, were generated to the two epitope regions (aa 629–664 and aa 725–776) (Table 2), and proliferative responses were tested with the phogrin-specific T-cell clones and lines (Fig. 2). Three clones (6, 13, and 15) gave maximal proliferative responses to peptide 2, three other clones (4, 12, and 14) gave maximal responses to peptide 7, and two clones (18 and 19) gave responses to both peptide 2 and 7. We noted that when the latter were tested with the recombinant proteins (Table 1), they retained marginal reactivity toward protein I, suggesting that they were possibly oligoclonal. As a consequence, they were not studied further. The data with both the recombinant proteins and the synthetic peptides suggest that the induced immune response to phogrin is restricted to two small regions represented by peptides 2 and 7. Peptide 2 reactivity was usually accompanied by a lesser reactivity to peptide 3, indicating that major determinants lay within the 10–amino acid overlap of the peptides (ADATEAYQEL).

Sequences of the two phogrin epitopes are conserved between rat and mouse.

The phogrin-specific T-cell clones used in these studies were generated from NOD mice immunized with rat phogrin. Although rat and mouse phogrin are 95% identical in terms of amino acid sequence, there is a concern that the induced T-cell responses might focus on the residues, which differ between the two species. Both of the peptide epitopes are identical between mouse and rat. Compared with human phogrin, peptide 2 has three amino acid differences, and peptide 7 has two. IA2, which is 75% identical to phogrin over the entire COOH terminus, was more divergent in the region of peptides 2 and 7. Mouse IA-2, which shares only 8 of the 20 positions (in bold type), has an additional histidine residue in peptide 2 (RLAALGPEGAHGDTTFEYQDL); 12 of the 20 residues of mouse IA2 are shared in peptide 7 (QDESNIKKNRHDPFLPYDHARI). Mouse IA-2 did not stimulate any of the above phogrin T-cell clones presented in the form of soluble recombinant COOH fragments.

Phogrin peptides 2 and 7 elicit primed T-cell proliferative responses in NOD mice.

Draining lymph nodes from NOD mice immunized with peptide 2 showed vigorous T-cell proliferative responses when challenged with peptide 2, and they showed a lesser response to the phogrin COOH terminus at the same protein concentration (Fig. 3). No response to a control peptide (peptide 4) was seen, although remarkably, a vigorous response to peptide 7 was observed. When peptide 7 was used for immunization, a vigorous proliferative response to peptide 7 occurred along with a lesser response to phogrin. In this case, however, no response was seen to either peptide 2 or 4.

T-cell lines were established from the lymph nodes of these immunized mice by a round of in vitro restimulation and expansion. At this stage, they responded only to the respective immunogen (peptide 2 or 7), thus indicating that the immunization with peptide 2 elicits two independent T-cell populations but that the peptides are not cross-reactive (Fig. 4).

Spontaneous T-cell proliferative responses to phogrin epitope peptides.

Splenocytes from 8- to 12-week-old female NOD mice exhibited a significant spontaneous T-cell proliferative response to peptide 7 (stimulation index [SI] = 4) but not to peptide 2 or control peptide 4 (Fig. 5). BALB/c females of the same age showed no responses to any of the peptides. Results were evaluated in the context of individual mice. An average of 40 mice were screened in each strains, with ∼90% of NOD and 0% of BALB/c mice showing significantly increased T-cell responses to peptide 7.

The natural history of type 1 diabetes in humans is characterized by initial serological reactivity to a limited number of antigens and epitopes, a situation that may persist without clinical sequelae for many years (11). This is followed by the emergence of autoantibodies directed at multiple autoantigens and the rapid progression to clinical disease. What happens within the effector and regulatory T-cell population is essentially unknown, especially at the level of islet infiltrates. Based on data from the NOD mouse, one surmises that disease progresses from a benign peri-islet mononuclear infiltration to an invasive destructive lesion over the course of several months or years (12,13). The major targets of humoral autoimmunity in human type 1 diabetes (i.e., insulin, GAD65, and IA-2/phogrin) also appear to be targets of cellular autoimmunity both in humans and in the NOD mouse. With regard to either insulin or GAD65, whether the same peptide epitopes are involved in human and mouse diabetes is unclear (14,15,16,17,18). An immunodominant epitope sequence on the IA-2 C terminus (aa 841–850) that was recognized by T-cell lines derived from peripheral blood of type 1 diabetic patients has been reported; however, a group of nondiabetic siblings responded in a similar manner (19), suggesting that it was not disease-related. Peptide sequences on IA-2 that were preferentially processed and presented in the context of the human HLA DR-4 molecule have also been characterized (20). Neither study, however, provides any information on either the destructive potential to islet tissue carried by T-cells specific to these epitopes or their participation in spontaneous disease pathogenesis.

Our previous studies demonstrated that phogrin-specific T-cell clones derived from immunized NOD mice are capable of causing diabetes in an islet transplant model and that spontaneous T-cell reactivity to the phogrin cytosolic domain is detectable in lymph nodes draining the prediabetic NOD pancreas (8). Analysis of these T-cell clones using expressed phogrin deletion constructs proved a sensitive means of mapping the boundaries of epitopes and provided evidence for the existence of only two major epitopes. Synthetic peptides narrowed the regions to two distinct T-cell epitopes represented by peptide 2 (aa 629–649) in the first epitope region and peptide 7 (aa 755–777) in the second. The phogrin-specific T-cell clones were generated from NOD mice immunized with phogrin COOH terminus from the rat; nevertheless, the T-cell epitope sequences appeared to be 100% conserved between rat and mouse, indicating that they are potentially related to autoimmunity.

Immunization of NOD mice with either of the two epitope peptides resulted in vigorous T-cell proliferation to the epitope peptide itself and also to phogrin. Remarkably, peptide 2 immunization resulted in a response to peptide 7, but the converse was not true. Spleen cells of prediabetic NOD female mice showed spontaneous T-cell proliferative responses to peptide 7 but not to peptide 2, a control peptide (peptide 4), or phogrin itself (data not shown). The data suggest that NOD animals are not tolerant to phogrin and that more specifically, they are not tolerant to either peptide 2 or 7. It appears that an expanded population of T-cells reactive to phogrin peptide 7 exist in the prediabetic NOD mouse and are probably present at a higher precursor frequency than cells reactive to peptide 2 or any other phogrin epitope. We speculate that after immunization with peptide 2, endogenous phogrin is processed and presented, resulting in the further expansion of other autoreactive clones, notably peptide 7–reactive T-cells. Both peptides 2 and 7 bear consensus sequences for I-Ag7 major histocompatibility complex (MHC) binding (21), and peptide 7 overlaps with a region of IA-2 that can be presented by human DR4 MHC (20). Peptide 7 is located in a region that is highly conserved between phogrin and IA-2, and the epitope itself exhibits 60% identity. IA-2–specific T-cell hybridomas generated from NOD mice after immunization with their IA-2 COOH domain also respond to this general region, although the exact epitope remains to be determined (K.K., D.R.W., J.C.H., unpublished results). We currently have no examples of crossreactive T-cell clones that respond to both phogrin and IA-2 epitopes, but we presume that these may emerge during the course of disease and, furthermore, that along with changes in the affinity of cognate TCRs (22), they contribute to progression to clinical diabetes.

Intramolecular epitope spreading has been demonstrated as an important component of pathogenicity in several models of autoimmune disease, including lupus (23), diabetes (24), and experimental autoimmune encephalitis (EAE) (25). As shown in EAE, an effect on the progress of the disease can be achieved if tolerance is induced to the determinant that appears as the last specificity at the end of the chain of determinant spreading (26). The identification of the T-cell epitopes on the phogrin C terminus may thus facilitate the design of diabetes intervention strategies based on native epitopes or altered peptide ligands.

FIG. 1.

Epitope regions on the phogrin COOH terminus. DNA deletion constructs A through I were derived from phogrin aa 604-1,004 using a common 5′ primer and specific 3′ primers inserted into BamHI/EcoRI–cut pGEX3X with 3′-terminal stop codon. Purified recombinant GST-fusion proteins were used as antigens in T-cell proliferation assays (see Table 1) and revealed two distinct epitope regions (aa 629–664 and aa 725–776).  

FIG. 1.

Epitope regions on the phogrin COOH terminus. DNA deletion constructs A through I were derived from phogrin aa 604-1,004 using a common 5′ primer and specific 3′ primers inserted into BamHI/EcoRI–cut pGEX3X with 3′-terminal stop codon. Purified recombinant GST-fusion proteins were used as antigens in T-cell proliferation assays (see Table 1) and revealed two distinct epitope regions (aa 629–664 and aa 725–776).  

Close modal
FIG. 2.

Proliferative responses of phogrin-specific T-cell clones and lines to phogrin (Ph), phogrin peptides 1–7, and the absence of antigen (-Ag). Proliferation assays were performed as described in research design and methods.

FIG. 2.

Proliferative responses of phogrin-specific T-cell clones and lines to phogrin (Ph), phogrin peptides 1–7, and the absence of antigen (-Ag). Proliferation assays were performed as described in research design and methods.

Close modal
FIG. 3.

Proliferative recall responses of regional lymph node cells of 12-week-old NOD mice 7 days postimmunization with peptide 2 (A) or peptide 7 (B). Proliferation assays were performed as described in research design and methods. Ag, antigen; Pep, peptide; Pho, phogrin.

FIG. 3.

Proliferative recall responses of regional lymph node cells of 12-week-old NOD mice 7 days postimmunization with peptide 2 (A) or peptide 7 (B). Proliferation assays were performed as described in research design and methods. Ag, antigen; Pep, peptide; Pho, phogrin.

Close modal
FIG. 4.

Proliferative recall responses of T-cell lines generated from lymph nodes of NOD mice primed with either peptide 2 (A) or 7 (B) in CFA and maintained in vitro with the corresponding peptide (25 μg/ml) in DMEM/FBS/IL-2 together with irradiated NOD antigen-presenting cells. Proliferation assays were performed as described in research design and methods. Ag, antigen; Pep, peptide.

FIG. 4.

Proliferative recall responses of T-cell lines generated from lymph nodes of NOD mice primed with either peptide 2 (A) or 7 (B) in CFA and maintained in vitro with the corresponding peptide (25 μg/ml) in DMEM/FBS/IL-2 together with irradiated NOD antigen-presenting cells. Proliferation assays were performed as described in research design and methods. Ag, antigen; Pep, peptide.

Close modal
FIG. 5.

Spontaneous T-cell proliferative responses of spleen cells of female NOD (A) and BALB/c mice (B) to phogrin peptides. A total of 1.0 × 106 spleen cells of individual mice were cultured in duplicate in the presence of serial dilutions of phogrin peptides or without antigen for 5 days, with a pulse of 1 μCi 3H thymidine per well before harvest. Ag, antigen; Pep, peptide.

FIG. 5.

Spontaneous T-cell proliferative responses of spleen cells of female NOD (A) and BALB/c mice (B) to phogrin peptides. A total of 1.0 × 106 spleen cells of individual mice were cultured in duplicate in the presence of serial dilutions of phogrin peptides or without antigen for 5 days, with a pulse of 1 μCi 3H thymidine per well before harvest. Ag, antigen; Pep, peptide.

Close modal
TABLE 1

Proliferative responses of phogrin-specific clones to the deletion proteins A through I and to phogrin cytosolic domain (FL)

CloneIHGFEDCBAFL
1.3 1.1 1.1 6.1 6.2 6.0 6.4 4.6 6.8 4.2 
11.0 6.4 6.7 5.7 4.5 6.0 5.3 5.8 6.3 4.9 
12 1.1 1.7 1.4 8.1 6.7 8.3 7.2 8.3 5.1 8.2 
13 15.0 10.0 17.3 18.0 13.0 21.0 14.0 14.5 19.0 11.6 
14 1.7 1.1 1.0 17.5 20.0 21.0 27.0 20.0 11.0 21.0 
15 60.0 53.0 52.0 61.0 44.0 58.0 63.0 60.0 45.0 47.0 
18 3.3 1.0 3.0 67.0 51.0 84.0 58.0 58.0 60.0 53.0 
19 2.2 1.5 2.7 18.0 98.0 95.0 103.0 23.0 30.0 27.0 
CloneIHGFEDCBAFL
1.3 1.1 1.1 6.1 6.2 6.0 6.4 4.6 6.8 4.2 
11.0 6.4 6.7 5.7 4.5 6.0 5.3 5.8 6.3 4.9 
12 1.1 1.7 1.4 8.1 6.7 8.3 7.2 8.3 5.1 8.2 
13 15.0 10.0 17.3 18.0 13.0 21.0 14.0 14.5 19.0 11.6 
14 1.7 1.1 1.0 17.5 20.0 21.0 27.0 20.0 11.0 21.0 
15 60.0 53.0 52.0 61.0 44.0 58.0 63.0 60.0 45.0 47.0 
18 3.3 1.0 3.0 67.0 51.0 84.0 58.0 58.0 60.0 53.0 
19 2.2 1.5 2.7 18.0 98.0 95.0 103.0 23.0 30.0 27.0 

Responses are given in SI relative to incubation without antigen.

TABLE 2

Synthetic 20mer peptides and the responding phogrin-specific clones

PeptidesSequencesClones/lines positive
Epitope region aa 629–664   
 Phogrin 1 (629–649) RHNSHYKLKEKLSGLGADPS — 
 Phogrin 2 (640–659) KLSGLGADPSADATEAYQEL 6, 13, 15, 18, and 19 
 Phogrin 3 (650–669) ADATEAYQELCRQRMAVRPQ — 
Epitope region aa 725–776   
 Phogrin 4 (725–745) EDHLKNKNRLEKEWEALCAY — 
 Phogrin 5 (735–755) EKEWEALCAYQAEPDSSLVA — 
 Phogrin 6 (745–765) QAEPDSSLVAQREENAPKNR — 
 Phogrin 7 (755–777) QREENAPKNRSLAVLTYDHASRI 4, 12, 18, and 19 
PeptidesSequencesClones/lines positive
Epitope region aa 629–664   
 Phogrin 1 (629–649) RHNSHYKLKEKLSGLGADPS — 
 Phogrin 2 (640–659) KLSGLGADPSADATEAYQEL 6, 13, 15, 18, and 19 
 Phogrin 3 (650–669) ADATEAYQELCRQRMAVRPQ — 
Epitope region aa 725–776   
 Phogrin 4 (725–745) EDHLKNKNRLEKEWEALCAY — 
 Phogrin 5 (735–755) EKEWEALCAYQAEPDSSLVA — 
 Phogrin 6 (745–765) QAEPDSSLVAQREENAPKNR — 
 Phogrin 7 (755–777) QREENAPKNRSLAVLTYDHASRI 4, 12, 18, and 19 

This work was supported by grants from the Juvenile Diabetes Foundation (1-1998-222) and the Barbara Davis Center Diabetes and Endocrinology Research Center (P30 DK57516). K.K. is the recipient of an American Diabetes Association mentor-based postdoctoral fellowship.

1.
Lan MS, Lu J, Goto Y, Notkins AL: Molecular cloning and identification of a receptor-type protein tyrosine phosphatase, IA-2, from human insulinoma.
DNA Cell Biol
13
:
505
–514,
1994
2.
Wasmeier C, Hutton JC: Molecular cloning of phogrin, a protein-tyrosine phosphatase homologue localized to insulin secretory granule membranes.
J Biol Chem
271
:
18161
–18170,
1996
3.
Notkins AL, Lu J, Li Q, VanderVegt FP, Wasserfall C, Maclaren NK, Lan MS: IA-2 and IA-2 beta are major autoantigens in IDDM and the precursors of the 40 kDa and 37 kDa tryptic fragments.
J Autoimmun
9
:
677
–682,
1996
4.
Durinovic-Bello I, Hummel M, Ziegler AG: Cellular immune response to diverse islet cell antigens in IDDM.
Diabetes
45
:
795
–800,
1996
5.
Kawasaki E, Yu L, Rewers MJ, Hutton JC, Eisenbarth GS: Definition of multiple ICA512/phogrin autoantibody epitopes and detection of intramolecular epitope spreading in relatives of patients with type 1 diabetes.
Diabetes
47
:
733
–742,
1998
6.
Naserke HE, Ziegler AG, Lampasona V, Bonifacio E: Early development and spreading of autoantibodies to epitopes of IA-2 and their association with progression to type 1 diabetes.
J Immunol
161
:
6963
–6969,
1998
7.
Park YS, Kawasaki E, Kelemen K, Yu L, Schiller MR, Rewers M, Mizuta M, Eisenbarth GS, Hutton JC: Humoral reactivity to an alternatively spliced variant of ICA512/IA-2 in type 1 diabetes.
Diabetologia
43
:
1293
–1301,
2000
8.
Kelemen K, Crawford ML, Gill RG, Hutton JC, Wegmann D: Cellular immune response to phogrin in the NOD mouse: cloned T-cells cause destruction of islet transplants.
Diabetes
48
:
1529
–1534,
1999
9.
Smith DB, Johnson KS: Single-step purification of polypeptides expressed in Escherichia coli as fusions with glutathione S-transferase.
Gene
67
:
31
–40,
1988
10.
Bohmann D, Tjian R: Biochemical analysis of transcriptional activation by Jun: differential activity of c- and v-Jun.
Cell
59
:
709
–717,
1989
11.
Verge CF, Stenger D, Bonifacio E, Colman PG, Pilcher C, Bingley PJ, Eisenbarth GS: Combined use of autoantibodies (IA-2 autoantibody, GAD autoantibody, insulin autoantibody, cytoplasmic islet cell antibodies) in type 1 diabetes: Combinatorial Islet Autoantibody Workshop.
Diabetes
47
:
1857
–1866,
1998
12.
Makino S, Kunimoto K, Muraoka Y, Mizushima Y, Katagiri K, Tochino Y: Breeding of a non-obese, diabetic strain of mice.
Jikken Dobutsu
29
:
1
–13,
1980
13.
Hoglund P, Mintern J, Waltzinger C, Heath W, Benoist C, Mathis D: Initiation of autoimmune diabetes by developmentally regulated presentation of islet cell antigens in the pancreatic lymph nodes.
J Exp Med
189
:
331
–339,
1999
14.
Daniel D, Gill RG, Schloot N, Wegmann D: Epitope specificity, cytokine production profile and diabetogenic activity of insulin-specific T cell clones isolated from NOD mice.
Eur J Immunol
25
:
1056
–1062,
1995
15.
Roep BO: Standardization of T-cell assays in Type I diabetes: Immunology of Diabetes Society T-cell Committee.
Diabetologia
42
:
636
–637,
1999
16.
Zechel MA, Elliott JF, Atkinson MA, Singh B: Characterization of novel T-cell epitopes on 65 kDa and 67 kDa glutamic acid decarboxylase relevant in autoimmune responses in NOD mice.
J Autoimmun
11
:
83
–95,
1998
17.
Chao CC, McDevitt HO: Identification of immunogenic epitopes of GAD 65 presented by Ag7 in non-obese diabetic mice.
Immunogenetics
46
:
29
–34,
1997
18.
Bach JM, Otto H, Nepom GT, Jung G, Cohen H, Timsit J, Boitard C, van Endert PM: High affinity presentation of an autoantigenic peptide in type I diabetes by an HLA class II protein encoded in a haplotype protecting from disease.
J Autoimmun
10
:
375
–386,
1997
19.
Hawkes CJ, Schloot NC, Marks J, Willemen SJ, Drijfhout JW, Mayer EK, Christie MR, Roep BO: T-cell lines reactive to an immunodominant epitope of the tyrosine phosphatase-like autoantigen IA-2 in type 1 diabetes.
Diabetes
49
:
356
–366,
2000
20.
Peakman M, Stevens EJ, Lohmann T, Narendran P, Dromey J, Alexander A, Tomlinson AJ, Trucco M, Gorga JC, Chicz RM: Naturally processed and presented epitopes of the islet cell autoantigen IA-2 eluted from HLA-DR4.
J Clin Invest
104
:
1449
–1457,
1999
21.
Stratmann T, Apostolopoulos V, Mallet-Designe V, Corper AL, Scott CA, Wilson IA, Kang AS, Teyton L: The I-Ag7 MHC class II molecule linked to murine diabetes is a promiscuous peptide binder.
J Immunol
165
:
3214
–3225,
2000
22.
Amrani A, Verdaguer J, Serra P, Tafuro S, Tan R, Santamaria P: Progression of autoimmune diabetes driven by avidity maturation of a T-cell population.
Nature
406
:
739
–742,
2000
23.
Singh RR, Hahn BH: Reciprocal T-B determinant spreading develops spontaneously in murine lupus: implications for pathogenesis.
Immunol Rev
164
:
201
–208,
1998
24.
Zechel MA, Krawetz MD, Singh B: Epitope dominance: evidence for reciprocal determinant spreading to glutamic acid decarboxylase in non-obese diabetic mice.
Immunol Rev
164
:
111
–118,
1998
25.
Lehmann PV, Forsthuber T, Miller A, Sercarz EE: Spreading of T-cell autoimmunity to cryptic determinants of an autoantigen.
Nature
358
:
155
–157,
1992
26.
Brocke S, Gijbels K, Allegretta M, Ferber I, Piercy C, Blankenstein T, Martin R, Utz U, Karin N, Mitchell D: Treatment of experimental encephalomyelitis with a peptide analogue of myelin basic protein.
Nature
379
:
343
–346,
1996

Address correspondence and reprint requests to John C. Hutton, Barbara Davis Center for Childhood Diabetes, University of Colorado Health Sciences Center, Box B-140, 4200 E. 9th Ave., Denver, CO 80262. Email: john.hutton@uchsc.edu.

Received for publication 27 November 2000 and accepted in revised form 23 April 2001.

CCM, complete Click’s medium; CFA, complete Freund’s adjuvant; DMEM, Dulbecco’s modified Eagle’s medium; EAE, experimental autoimmune encephalitis; FBS, fetal bovine serum; GST, gluthathione S-transferase; IL-2, interleukin-2; PTP, protein tyrosine phosphatase; SI, stimulation index; TCR, T-cell receptor.