Type 1 diabetes

Technical Validation and Utility of an HLA Class II Tetramer Assay for Type 1 Diabetes: A Multicenter Study

J Clin Endocrinol MetabPublished Multicenter technical validation study

Authors' conclusion

Our results demonstrate that the assay is reproducible and useful to characterize islet-specific T cells and identify correlations between T-cell measures and clinical traits.

Study context

Population
Clone-spiked specimen and replicate samples from T1D patients; exploratory cross-sectional set of 24 T1D patients24 T1D in cross-sectional set
Comparison
Single-center vs Multicenter
Outcome
Reproducibility of the HLA-DRA-DRB1*04:01 tetramer assay, target CV less than 30%
Methodological detailssingle-center and multicenter testing, exploratory cross-sectional sample set
  • Single-center and multicenter testing
  • Exploratory cross-sectional sample set

Performance

As reported in the abstract

Mean CV of T-cell measurements
Influenza-specific, clone-spiked specimen, single-center
6%
Influenza-specific, T1D samples, single-center
11%
Influenza-specific, clone-spiked specimen, multicenter
20%
Influenza-specific, T1D samples, multicenter
31%
Islet-specific, single-center (clone-spiked; T1D samples)
14% and 23%
Islet-specific, multicenter (clone-spiked; T1D samples)
23% and 41%

Further findings

Cross-sectional study (24 T1D patients)

Relationships identified between T-cell frequencies and phenotype and disease duration, sex, and autoantibodies
A large fraction of islet-specific T cells exhibited a naive phenotype
  • Exploratory

Original publication

Technical Validation and Utility of an HLA Class II Tetramer Assay for Type 1 Diabetes: A Multicenter Study. J Clin Endocrinol Metab. Published 20 July 2023. doi:10.1210/clinem/dgad434

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