151. A unique CD8(+) T lymphocyte signature in pediatric type 1 diabetes.
- Author
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Hamel Y, Mauvais FX, Pham HP, Kratzer R, Marchi C, Barilleau É, Waeckel-Enée E, Arnoux JB, Hartemann A, Cordier C, Mégret J, Rocha B, de Lonlay P, Beltrand J, Six A, Robert JJ, and van Endert P
- Subjects
- Adolescent, Adult, Autoantibodies blood, Biomarkers metabolism, CD8-Positive T-Lymphocytes immunology, Child, Child, Preschool, Diabetes Mellitus, Type 1 blood, Diabetes Mellitus, Type 1 metabolism, Female, Glutamate Decarboxylase immunology, Glycated Hemoglobin analysis, Humans, Leukocyte Common Antigens metabolism, Male, Middle Aged, Receptors, Interleukin-10 metabolism, Transforming Growth Factor beta metabolism, Young Adult, CD8-Positive T-Lymphocytes metabolism, Diabetes Mellitus, Type 1 immunology, Granzymes metabolism, Lymphocyte Activation immunology, Perforin metabolism, Transcriptome immunology
- Abstract
Human type 1 diabetes results from a destructive auto-reactive immune response in which CD8(+) T lymphocytes play a critical role. Given the intense ongoing efforts to develop immune intervention to prevent and/or cure the disease, biomarkers suitable for prediction of disease risk and progress, as well as for monitoring of immunotherapy are required. We undertook separate multi-parameter analyses of single naïve and activated/memory CD8(+) T lymphocytes from pediatric and adult patients, with the objective of identifying cellular profiles associated with onset of type 1 diabetes. We observe global perturbations in gene and protein expression and in the abundance of T cell populations characterizing pediatric but not adult patients, relative to age-matched healthy individuals. Pediatric diabetes is associated with a unique population of CD8(+) T lymphocytes co-expressing effector (perforin, granzyme B) and regulatory (transforming growth factor β, interleukin-10 receptor) molecules. This population persists after metabolic normalization and is especially abundant in children with high titers of auto-antibodies to glutamic acid decarboxylase and with elevated HbA1c values. These findings highlight striking differences between pediatric and adult type 1 diabetes, indicate prolonged large-scale perturbations in the CD8(+) T cell compartment in the former, and suggest that CD8(+)CD45RA(-) T cells co-expressing effector and regulatory factors are of interest as biomarkers in pediatric type 1 diabetes., (Copyright © 2016 Elsevier Ltd. All rights reserved.)
- Published
- 2016
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