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Incomplete immune response to coxsackie B viruses associates with early autoimmunity against insulin.


ABSTRACT: Viral infections are associated with autoimmunity in type 1 diabetes. Here, we asked whether this association could be explained by variations in host immune response to a putative type 1 etiological factor, namely coxsackie B viruses (CVB). Heterogeneous antibody responses were observed against CVB capsid proteins. Heterogeneity was largely defined by different binding to VP1 or VP2. Antibody responses that were anti-VP2 competent but anti-VP1 deficient were unable to neutralize CVB, and were characteristic of children who developed early insulin-targeting autoimmunity, suggesting an impaired ability to clear CVB in early childhood. In contrast, children who developed a GAD-targeting autoimmunity had robust VP1 and VP2 antibody responses to CVB. We further found that 20% of memory CD4(+) T cells responding to the GAD65247-266 peptide share identical T cell receptors to T cells responding to the CVB4 p2C30-51 peptide, thereby providing direct evidence for the potential of molecular mimicry as a mechanism for GAD autoimmunity. Here, we highlight functional immune response differences between children who develop insulin-targeting and GAD-targeting autoimmunity, and suggest that children who lose B cell tolerance to insulin within the first years of life have a paradoxical impaired ability to mount humoral immune responses to coxsackie viruses.

SUBMITTER: Ashton MP 

PROVIDER: S-EPMC5015062 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature

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Incomplete immune response to coxsackie B viruses associates with early autoimmunity against insulin.

Ashton Michelle P MP   Eugster Anne A   Walther Denise D   Daehling Natalie N   Riethausen Stephanie S   Kuehn Denise D   Klingel Karin K   Beyerlein Andreas A   Zillmer Stephanie S   Ziegler Anette-Gabriele AG   Bonifacio Ezio E  

Scientific reports 20160908


Viral infections are associated with autoimmunity in type 1 diabetes. Here, we asked whether this association could be explained by variations in host immune response to a putative type 1 etiological factor, namely coxsackie B viruses (CVB). Heterogeneous antibody responses were observed against CVB capsid proteins. Heterogeneity was largely defined by different binding to VP1 or VP2. Antibody responses that were anti-VP2 competent but anti-VP1 deficient were unable to neutralize CVB, and were c  ...[more]

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