Review Article

Making the Most of Major Histocompatibility Complex Molecule Multimers: Applications in Type 1 Diabetes

Table 1

Summary of studies investigating therapeutic effects of pMHC multimer treatment on T1D in mouse models.

MHC restrictionMouse modelAntigen*Multimer formModificationT1D status at administrationTherapeutic effectMechanism of modulationReference, year

Class INODNRP; mIGRP; DMKNanoparticleNonePrediabeticProtectedPotentiated low avidity, regulatory CD8+ T cellsTsai et al., 2010 [22]
Newly diabeticReversed
Humanized NODhIGRP; InsBReversed
NODNRP; mIGRPTetramerToxinPre-diabeticDelayed onsetDeleted cognate CD8+ T cellsVincent et al., 2010 [23]
DMK; InsBNo protection
Class IITCR x beta cell antigen double transgenic crossHADimerNonePre-diabeticProtected during treatmentInduced anergy and IL-10- secreting TregsCasares et al., 2002 [24]
Newly diabeticReversed
Late diabeticNo reversal
Transfer of transgenic CD4+ T cellsChgADimerNonePre-diabeticProtected during treatmentInduced anergy and IL-10- secreting cellsMasteller et al., 2003 [25]
Transfer of NOD splenocytes; NODPre-diabetic; diabeticNo protection; No reversal
TCR x beta cell antigen double transgenic crossHAOctamerNonePre-diabeticDelayed onsetCaused activation-induced cell deathPreda-Pais et al., 2005 [26]
Newly diabeticReversed
NODGAD65DimerNoneLate pre-diabeticProtectedInduced GAD-specific, IL-10-secreting TregsLi et al., 2009 [27]

*mIGRP, murine islet-specific glucose-6-phosphatase catalytic subunit-related protein; DMK: dystrophia myotonica kinase; hIGRP: human IGRP; InsB: insulin B chain; HA: influenza hemagglutinin; ChgA: chromogranin A; GAD65: glutamic acid decarboxylase 65. Indicates content is identical to entry directly above.