A current paradigm states that non-antigen-specific inflammatory cues attract noncognate, bystander T cell specificities to sites of infection and autoimmune inflammation. Here we show that cues emanating from a tissue undergoing spontaneous autoimmune inflammation cannot recruit naive or activated bystander T cell specificities in the absence of local expression of cognate antigen. We monitored the recruitment of CD8 + T cells specific for the prevalent diabetogenic epitope islet-specific glucose-6-phosphatase catalytic subunit-related protein (IGRP) [206][207][208][209][210][211][212][213][214] in gene-targeted nonobese diabetic (NOD) mice expressing a T cell "invisible" IGRP 206-214 sequence. These mice developed islet inflammation and diabetes with normal incidence and kinetics, but their inflammatory lesions could recruit neither naive (endogenous or exogenous) nor ex vivo-activated IGRP 206-214 -reactive CD8 + T cells. Conversely, IGRP 206-214 -reactive, but not nonautoreactive CD8 + T cells rapidly homed to and accumulated in the inflamed islets of wild-type NOD mice. Our results indicate that CD8 + T cell recruitment to a site of autoimmune inflammation results from an active process that is strictly dependent on local display of cognate pMHC and suggest that CD8 + T cells contained in extralymphoid autoimmune lesions are largely autoreactive.diabetes | lymphocyte | islet-specific glucose-6-phosphatase catalytic subunit-related protein | islet inflammation | lymphocyte recruitment R ecognition of cognate peptide-major histocompatibility complexes (pMHC) on the surface of dendritic cells (DC) by naive T lymphocytes in lymph nodes draining a site of infection or autoimmune inflammation elicits the lymphocytes' activation, proliferation, and differentiation into cytolytic effectors. Upon activation, lymphocytes also acquire the ability to survey nonlymphoid tissues for presence of their cognate target antigens, with a preference for inflamed tissues as well as tissues drained by the lymph nodes where activation took place (1-3). Studies in a number of infection and autoimmune disease models have suggested that recruitment of T lymphocytes into a site of extralymphoid inflammation does not require local expression of cognate (foreign or self) pMHC on tissue cells or tissue-associated antigen-presenting cells (APCs) (4-7). Accordingly, it is generally thought that non-antigen-specific inflammatory cues such as cytokines and chemokines emanating from the local microenvironment can recruit noncognate (i.e., bystander) T cells to a site of foreign or self antigen-triggered tissue inflammation (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). Notwithstanding that in vitro-activated bystander T cell clones can transiently comigrate with their cognate counterparts into noninflamed tissue in adoptive T cell transfer experiments and that tissue-specific expression of cytokine and/or chemokine transgenes in normal tissues can trigger bystander T cell inflammation, these models do not faithfully mimic the events that tak...