Cholera toxin subunit B peptide fusion proteins reveal impaired oral tolerance induction in diabetes-prone but not in diabetes-resistant mice

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Presa, Maximiliano
Zarama Ortiz, Angela
Garabatos, Nahir
Izquierdo, Cristina
Rivas, Elisa I.
Teyton, Luc
Serreze, David
Stratmann, Thomas
Suggested citation
Presa, Maximiliano;
Zarama Ortiz, Angela;
Garabatos, Nahir;
Izquierdo, Cristina;
Rivas, Elisa I.;
Teyton, Luc;
...
Stratmann, Thomas.
(2013)
.
Cholera toxin subunit B peptide fusion proteins reveal impaired oral tolerance induction in diabetes-prone but not in diabetes-resistant mice.
European Journal of Immunology, 2013, vol. 43, núm. 11, p. 2969-79.
https://doi.org/10.1002/eji.201343633.
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The cholera toxin B subunit (CTB) has been used as adjuvant to improve oral vaccine
delivery in type 1 diabetes. The effect of CTB/peptide formulations on Ag-specific CD4+
T cells has remained largely unexplored. Here, using tetramer analysis, we investigated
how oral delivery of CTB fused to two CD4+ T-cell epitopes, the BDC-2.5 T-cell 2.5mi
mimotope and glutamic acid decarboxylase (GAD) 286–300, affected diabetogenic CD4+
T cells in nonobese diabetic (NOD) mice. When administered i.p., CTB-2.5mi activated
2.5mi+ T cells and following intragastric delivery generated Ag-specific Foxp3+ Treg and
Th2 cells. While 2.5mi+ and GAD-specific T cells were tolerized in diabetes-resistant
NODxB6.Foxp3EGFP F1 and nonobese resistant (NOR) mice, this did not occur in NOD mice.
This indicated that NOD mice had a recessive genetic resistance to induce oral tolerance to both CTB-fused epitopes. In contrast to NODxB6.Foxp3EGFP F1 mice, oral treatment in NOD mice lead to strong 2.5mi+ T-cell activation and the sequestration of these
cells to the effector-memory pool. Oral treatment of NOD mice with CTB-2.5mi failed to
prevent diabetes. These findings underline the importance of investigating the effect of
oral vaccine formulations on diabetogenic T cells as in selected cases they may have
counterproductive consequences in human patients.