SummaryThe development of type I diabetes in the nonobese diabetic (NOD) mouse is under the control of multiple genes, one or more of which is linked to the major histocompatibility complex (MHC). The MHC class II region has been implicated in disease development, with expression of an I-E transgene in NOD mice shown to provide protection from insulitis and diabetes. To examine the effect of expressing an I-E + or I-E-non-NOD MHC on the NOD background, three I-E + and three I-E-NOD MHC congenic strains (NOD.H-2/s, NOD.H-2 k, and NOD.H-2 h2, and NOD.H-2 h4, NOD.H-2/7, and NOD.H-2 b, respectively) were developed. Of these strains, both I-E + NOD.H-2 h2 and I-E-NOD.H-2 h4 mice developed insulitis, but not diabetes. The remaining four congenic strains were free of insulitis and diabetes. These results indicate that in the absence of the NOD MHC, diabetes fails to develop. Each NOD MHC congenic strain was crossed with the NOD strain to produce I-E + and I-E-F1 mice; these mice thus expressed one dose of the NOD MHC and one dose of a non-NOD MHC on the NOD background. While a single dose of a non-NOD MHC provided a large degree of disease protection to all of the F1 strains, a proportion of I-E + and I-E-F1 mice aged 5-12 mo developed insulitis and cyclophosphamide-induced diabetes. When I-E + F1 mice were aged 9-17 mo, spontaneous diabetes developed as well. These data are the first to demonstrate that I-E + NOD mice develop diabetes, indicating that expression of I-E in NOD mice is not in itself sufficient to prevent insulitis or diabetes. In fact, I-E-F1 strains were no more protected from diabetes than I-E + F1 strains, suggesting that other non-NOD MHC-linked genes are important in protection from disease. Finally, transfer of NOD bone marrow into irradiated I-E + F1 recipients resulted in high incidences of diabetes, indicating that expression of non-NOD MHC products in the thymus, in the absence of expression in bone marrow-derived ceils, is not sufficient to provide protection from diabetes.T he nonobese diabetic (NOD) 1 mouse spontaneously develops autoimmune diabetes (1-4), and is considered an appropriate model for examining the etiology of human type I diabetes. As in human diabetes, the murine disease is associated with lymphocytic infiltration of pancreatic islets (insulitis) (1, 5), the appearance of autoantibodies directed against 3 cell proteins (6-13), the T cell-mediated destruction of 3 cells (14-17), and the presence of both MHC-linked (18-24) and non-MHC-linked (25-30) disease susceptibility genes.As analyzed in an outcross with the C57BL/10SnJ strain, the development of diabetes in the NOD mouse is under poly-1 Abbreviation used in this paper: NOD, nonobese diabetic. genic control (20). At least three non-MHC-linked genes, located on chromosomes 1, 3, and 11 (25, 26), as well as one or more genes in the MHC (18,(20)(21)(22) contribute to disease progression and onset. The MHC class II region has been implicated in disease susceptibility, with the NOD strain expressing a unique I-A B chain (22) a...