The nonobese diabetic (NOD) mouse spontaneously develops insulin depen
dent diabetes mellitus. The disease is associated with a leucocytic in
filtration of the pancreatic islets of Langerhans and it is believed t
hat during the development of autoimmune diabetes, the insulin-secreti
ng islet beta-cells are destroyed by autoreactive T lymphocytes. We in
vestigated the alteration of lymphocyte subsets in central and periphe
ral lymphoid organs of NOD female mice with increasing age beginning b
efore the onset of insulitis and ending well after the onset of diabet
es. The spleen, inguinal and pancreatic lymph nodes all increased in c
ell number, especially after the onset of insulitis (8 weeks), and all
decreased after the onset of diabetes. Flow cytometric studies showed
a widening of the visible side scatter profile of female NOD lymph no
de cells which coincided with the initiation of insulitis. Anti-CD4 an
d anti-CD8 double staining of thymocytes revealed a large increase in
the double negative population and a corresponding decrease in the dou
ble positive population, but this occurred long after the onset of dia
betes. Generally, there was an increase in the CD4 : CD8 ratio in the
peripheral lymphoid organs during the onset of insulitis which was lar
gely due to an increase in the CD4 T cell population while the ratio d
ecreased after the onset of diabetes. In the spleen this was mostly du
e to an increase in CD8 T cells. The pancreatic lymph nodes, which the
oretically might reflect what is happening in the pancreas, showed an
unexpected decrease in overall cell number and a decrease in T-cells (
especially CD4 T cells), while B cells were increased. Overall, it wou
ld appear that no single immunological parameter could be used to pred
ict a prediabetic state.