Autoimmune diseases like multiple sclerosis (MS) and insulin-dependent diab
etes (IDD) are believed to be mediated by pathogenic CD4(+) autoreactive T
cells which mediate selective destruction of specific host cells. Interrupt
ing the trafficking of such T cells from host circulation to the sites of p
athology, such as the central nervous system in the case of MS and the panc
reas in the case of IDD, potentially offers a novel opportunity for therape
utic intervention in these diseases. The following summarizes our evolving
thoughts on the role of the chemokine network in MS and IDD, and focuses on
the chemokine receptor CXCR3 as a potential target for impeding T-cell-med
iated destruction in these disease settings.