A fundamental question is what are the molecular determinants that lead to spontaneous preferential targeting of specific autoantigens in autoimmune diseases, such as the insulin B:9 -23 peptide sequence in type 1 diabetes. Anti-insulin B:9 -23 T cell clones isolated from prediabetic NOD islets have a conserved V␣-segment/J␣-segment, but no conservation of the ␣-chain N region and no conservation of the V-chain. Here, we show that the conserved T cell receptor ␣-chain generates insulin autoantibodies when transgenically or retrogenically introduced into mice without its corresponding V. We suggest that a major part of the mystery as to why islet autoimmunity develops relates to recognition of a primary insulin peptide by a conserved ␣ chain T cell receptor.autoimmunity ͉ NOD mouse ͉ Type 1 diabetes ͉ retrogenic