Quantitative and qualitative defects in CD1-restricted natural killer T cel
ls have been reported in several autoimmune-prone strains of mice, includin
g the nonobese diabetic (NOD) mouse. These defects are believed to be assoc
iated with the emergence of spontaneous autoimmunity. Here we demonstrate t
hat both CD1d-null NOD and CD1d-null NOD/BDC2.5 T cell receptor transgenic
mice have an accelerated onset and increased incidence of diabetes when com
pared with CD1d(+/-) and CD1d(+/+) littermates, The acceleration of disease
did not seem to result from changes in the T helper (Th)1/Th2 balance beca
use lymphocytes purified from lymphoid organs and pancreatic islets of wild
-type and CD1d-null mice secreted equivalent amounts of IFN-gamma and IL-4
after stimulation. In contrast, the pancreata of CD1d-null mice harbored si
gnificantly higher numbers of activated memory T cells expressing the chemo
kine receptor CCR4, Notably, the presence of these T cells was associated w
ith immunohistochemical evidence of increased destructive insulitis, Thus,
CD1d-restricted T cells are critically important for regulation of the spon
taneous disease process in NOD mice.