The predisposition of nonobese diabetic (NOD) mice to develop autoimmune di
sease is usually attributed to defects in peripheral tolerance mechanisms.
Here, evidence is presented that NOD mice display a defect in central toler
ance (negative selection) of thymocytes. Impaired central tolerance in NOD
mice was most prominent in a population of semi-mature thymocytes found in
the medulla. The defect was apparent in vivo as well as in vitro, was indep
endent of IA beta (g7) expression and affected both Fas-dependent and Fas-i
ndependent pathways of apoptosis; for Fas-dependent apoptosis, the defectiv
e tolerance of NOD thymocytes correlated with the strong T cell receptor-me
diated up-regulation of caspase 8-homologous FLICE (Fas-associated death-do
main-like interleukin I beta -converting enzyme)-inhibitory protein. In lig
ht of these findings, disease onset in NOD mice may reflect defects in cent
ral as well as peripheral tolerance.