1. T-cell responses to hybrid insulin peptides prior to type 1 diabetes development
- Author
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Marian Rewers, Aimon A. Alkanani, Peter A. Gottlieb, Liping Yu, Kathleen Waugh, Kristen A. McDaniel, Aaron W. Michels, Laura Pyle, Angela M. Mitchell, Maki Nakayama, and Andrea K. Steck
- Subjects
0301 basic medicine ,Adult ,CD4-Positive T-Lymphocytes ,Male ,Adolescent ,medicine.medical_treatment ,T-Lymphocytes ,030209 endocrinology & metabolism ,Autoimmunity ,medicine.disease_cause ,Autoantigens ,Proinflammatory cytokine ,03 medical and health sciences ,Interferon-gamma ,Islets of Langerhans ,Young Adult ,0302 clinical medicine ,Diabetes mellitus ,Insulin-Secreting Cells ,medicine ,Humans ,Insulin ,Child ,Autoantibodies ,Autoimmune disease ,Type 1 diabetes ,Multidisciplinary ,business.industry ,Pancreatic islets ,Autoantibody ,Correction ,Biological Sciences ,medicine.disease ,030104 developmental biology ,medicine.anatomical_structure ,Diabetes Mellitus, Type 1 ,Immunology ,Disease Progression ,Female ,business ,Peptides - Abstract
T-cell responses to posttranslationally modified self-antigens are associated with many autoimmune disorders. In type 1 diabetes, hybrid insulin peptides (HIPs) are implicated in the T-cell–mediated destruction of insulin-producing β-cells within pancreatic islets. The natural history of the disease is such that it allows for the study of T-cell reactivity prior to the onset of clinical symptoms. We hypothesized that CD4 T-cell responses to posttranslationally modified islet peptides precedes diabetes onset. In a cohort of genetically at-risk individuals, we measured longitudinal T-cell responses to native insulin and hybrid insulin peptides. Both proinflammatory (interferon-γ) and antiinflammatory (interluekin-10) cytokine responses to HIPs were more robust than those to native peptides, and the ratio of such responses oscillated between pro- and antiinflammatory over time. However, individuals who developed islet autoantibodies or progressed to clinical type 1 diabetes had predominantly inflammatory T-cell responses to HIPs. Additionally, several HIP T-cell responses correlated to worsening measurements of blood glucose, highlighting the relevance of T-cell responses to posttranslationally modified peptides prior to autoimmune disease development.
- Published
- 2021