Type 1 diabetes

Deep learning-powered quantification of endocrine cells and CD3+ T cells in the natural history of type 1 diabetes

DiabetologiaPublished Cross-sectional study

Authors' conclusion

The deep learning-powered approach enabled our study to include clusters of endocrine cells scattered throughout WSIs, providing precise quantitative evidence of cluster-level infiltration.

Study context

Population
Pancreases from control, autoantibody-positive and T1D organ donors; head, body and tail sections stained for insulin, glucagon and CD3
Participants
77 participants231 whole-slide images (WSIs)
Exposure
Control vs sAAb+ vs mAAb+ vs recent-onset T1D vs longstanding T1D donors
  • Controln = 32reference
  • sAAb+n = 12
  • mAAb+n = 8
  • Recent-onset T1Dn = 6
  • Longstanding T1Dn = 19
Outcome
Disease stage-associated patterns of endocrine cells and CD3+ T cells
Methodological detailshistopathological analysis of organ donor pancreases, deep learning-assisted analysis workflow
  • Histopathological analysis of organ donor pancreases
  • Deep learning-assisted analysis workflow

Main finding

As reported in the abstract

Islets analysed

>82,000

Clusters analysed

>26,000

Observational data: associations, not effects.

Original publication

Deep learning-powered quantification of endocrine cells and CD3+ T cells in the natural history of type 1 diabetes. Diabetologia. Published 7 May 2026. doi:10.1007/s00125-026-06742-1

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