Transplantation of normal bone marrow from C3H/HeN nu/nu (H-2k) mice into young MRL/MPlpr/lpr (MRL/I; H-2k) mice (<1.5 mo) prevented the development of autoimmune diseases and characteristic thymic abnormalities in the recipient mice. When female MRL/1 (>2 mo) or male BXSB (H-2b) mice (9 mo) with autoimmune diseases and lymphadenopathy were lethally irradiated and then reconstituted with allogeneic bone marrow cells from young BALB/c nu/nu (H-2d) mice (<2 mo), the recipients survived for more than 3 mo after the bone marrow transplantation and showed no graft-versus-host reaction. Histopathological study revealed that lymphadenopathy disappeared and that all evidence of autoimmune disease either was prevented from developing or was completely corrected even after its development in such mice. All abnormal T-cell functions were restored to normal. The newly developed T cells were found to be tolerant of both bone marrow donor-type (BALB/c) and host-type (MRL/I or BXSB) major histocompatibility complex (MHC) determinants. Therefore, T-cell dysfunction in autoimmuneprone mice can be associated with both the involutionary changes that occur in the thymus of the autoimmune-prone mice and also to abnormalities that reside in the stem cells.However, normal stem cells from BALB/c nu/nu donors can differentiate into normal functional T cells even in mice whose thymus had undergone considerable involution, as in the case of BXSB or MRL/I mice in the present studies. These findings suggest that marrow transplantation may be a strategy ultimately to be considered as an approach to treatment of lifethreatening autoimmune diseases in humans. T-cell dysfunction in autoimmune-prone mice previously attributed to involutionary changes that occur in the thymus of these mice may instead be attributed to abnormalities that basically reside in the stem cells of the autoimmune-prone mice.The availability of several murine strains that develop systemic lupus erythematosus-like disease has prompted efforts to gain better understanding of the fundamental nature of autoimmune diseases through extensive studies of the immunological abnormalities of these mice. MRL/MP-lpr/lpr (MRL/l) and BXSB mice as well as NZB mice and NZB x NZW F1 hybrids spontaneously develop autoimmune diseases characterized by anti-double-stranded (ds) DNA antibodies, immune-complex glomerulonephritis, and death from renal failure (1). Abnormalities have been found in or attributed to T cells, thymic epithelium, B cells, and/or macrophages in these mice (2-8). Recently, several groups have shown that the proneness to develop autoimmune diseases actually resides in defects at the lymphoid stem-cell level and that defects of function are not directly attributable to environmental factors such as hormones or viruses (9-11).Therefore, we examined whether or not transfer of normal stem cells into autoimmune-prone mice can be used to both prevent and treat autoimmune diseases.In the present study, we show that allogeneic bone marrow transplantation from donors carry...