Under normal conditions, self-reactive lymphocytes are killed, inactivated or suppressed by regulatory T cells, resulting in unresponsiveness to self-antigens. Disruption of these control mechanisms results in the survival and pathogenic activation of self-reactive lymphocytes. It is unclear how self-reactive lymphocytes are spontaneously activated in the absence of overt infection or other stimuli, leading to autoimmune disease. If the initiators of activation and subsequent disease can be delineated, and the antigen targets of pathogenic antibodies identified, means of controlling these autoimmune reactions may be uncovered.
Antigen identification in autoimmune hemolytic anemia (AIHA)
In this study, we use a mouse model of spontaneous, acute systemic autoimmunity that principally manifests as AIHA to identify the target antigens in this disease. Pinpointing the targets of autoimmune activity remains a central challenge to defining the mechanisms of autoreactive lymphocyte activation. Because IL-2-deficient mice develop autoantibodies that that are highly specific to RBC proteins, they can be used as a tool to identify autoantigens. By identifying the targets of autoaggressive T cells during AIHA we can better understand the functional activities of these cells. These tools will enable the distinction of autoreactive T cells from the expanded and activated bystander cells. This work is supported by a grant from the National Institutes of Health: 5R00HL090706

Tolerance mechanisms to a systemic, endogenous antigen
The goals of this project are to define the cellular and molecular mechanisms by which T cells maintain tolerance to systemically produced cell surface proteins and identify the mechanisms that go awry during the development of systemic autoimmunity. An intact immune system utilizes several tolerance mechanisms to prevent responses of self-reactive T cells. To understand how tolerance to systemic antigen is maintained we have generated TCR retrogenic (Rg) mice reactive against red blood cell proteins. The results from these studies should provide important insights into the multi-step loss of tolerance that occurs leading to autoimmune pathogenesis.

Role of CD8 T cells in autoimmune hemolytic anemia (AIHA)
IFNγ-producing CD4 and CD8 T cells accumulate during systemic autoimmune disease in IL-2-deficient mice. It is clear that CD4 T cells are necessary for disease progression, and we have previously shown that IL-2-KO CD4 T cells from sick mice can transfer autoimmunity and lymphadenopathy to recipient mice. However, the importance of CD8 T cells to the initiation and propagation of autoimmunity is unknown. Several groups have demonstrated a protective role for CD8 T cells in inflammation and autoimmunity, while others have suggested a pathogenic role. The goal of this project is to define the function of CD8 T cells during spontaneous autoimmune disease. We are currently addressing the importance of these autoreactive CD8 T cells relative to that of the self-reactive CD4 T cells, and evaluating the mechanisms by which CD8 T cells influence the autoimmune disease process.