Summary
The initiation of the immunological processes leading to type I diabetes is still
not understood. The potential of endogenous peptides to induce autoimmune reactions
was investigated. Peptides generated in the β-cell by proteolysis could bypass antigen
processing by binding to MHC molecules. Selfreactive T and B lymphocytes could be
activated by these MHC peptide complexes. The antibody production of peptide-induced
B lymphocytes was investigated in mice. Insulin A chain, B chain, C-peptide or amylin
were tested for potential induction of antibodies to antigens other than the immunizing
peptide. Lymph node B lymphocytes were characterized with an avidin at solid phase
ELISA-spots assay. In BALB/c mice insulin A chain induced more spots to B29biotin-
and to B1 biotinDOP insulin than the A chain itself (P < 0.01, each). Spots to insulin
were not inhibited by insulin A chain. Spots to B1DOP insulin were not inhibited by
A chain or insulin, excluding crossreaction. Inbred strains of mice with H-2d but need with H-2k or H-2b showed the effect. Application of the chain without adjuvant produced the effect.
The antigens recognized by A chain-induced B lymphocytes has to be included in the
natural IgM antibody repertoisum of the spleen. The study supports the hypothesis
that endogenous breakdown peptides can bypass antigens processing resulting in an
autoreactive T-B cell interaction. A potential to induce type I diabetes could exist.
Key words
Type I diabetes - insulin A chain - MHC loci - B lymphocytes