Type 1 diabetes

T cell and autoantibody recognition of nucleus-associated islet autoantigens in individuals with type 1 diabetes

DiabetologiaPublished Mechanistic study

Authors' conclusion

The observation that T cell and antibody responses can target nucleus-associated self-antigens confirms and extends previously published studies. Disease-associated recognition of a class of proteins that are not exclusively expressed in pancreatic islets implies a systemic autoimmune component to the disease process. Linked antibody recognition does not appear to be a general phenomenon, suggesting a subtle relationship between humoral and cellular responses to these self-antigens.

Study context

Population
Individuals with T1D and HLA-matched controls (DRB1*04:01 or DRB1*03:01); islet-derived T cells from pancreatic organ donors with T1D
Comparison
Individuals with T1D vs HLA haplotype-matched controls
Outcome
Frequency of NUP50- and MLH1-specific CD4+ T cells
Methodological detailsHLA class II tetramer staining, HLA-matched controls
  • HLA class II tetramer staining
  • HLA-matched controls

Main finding

As reported in the abstract

  • Three novel DRB1*03:01-restricted NUP50 epitopes and four novel DRB1*04:01-restricted MLH1 epitopes identified, present in peripheral blood of individuals with T1D and among pancreatic islet infiltrates
  • T1D vs Controls: P = 0.0012
  • T1D vs Controls: 0.030

Further findings

MLH1 and NUP50 antibodies

Elevated MLH1 and NUP50 antibody levels in T1D, especially with the previously associated HLA-DR types; high titres did not always correlate with elevated T cell frequency

Original publication

T cell and autoantibody recognition of nucleus-associated islet autoantigens in individuals with type 1 diabetes. Diabetologia. Published 9 June 2025. doi:10.1007/s00125-025-06458-8

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