Type 1 diabetes

TLR5 influences the development of type 1 diabetes

BMJ Open Diabetes Res CarePublished Mechanistic study

Authors' conclusion

In the present study, we find a low expression of mRNA for TLR5 in patients with newly diagnosed T1D associated with enhanced T cell infiltration. T cells are important for autoimmune diseases, including T1D. We hope that the present findings may be influential for the understanding of how T1D develops.

Study context

Population
Patients with newly diagnosed T1D (islets of Langerhans mRNA) and female diabetic non-obese diabetic (NOD) mice (whole pancreatic tissue)
Comparison
Newly diagnosed T1D vs controls
Outcome
Islet TLR5 mRNA

Main finding

As reported in the abstract

  • Islet mRNA for TLR5 downregulated by one-third in newly diagnosed T1D vs controls
  • Islet TLR5 mRNA correlated inversely with T cell infiltration in the islets
  • Tlr5 and Cd3 expression correlated correspondingly in pancreatic tissue of diabetic NOD mice

Further findings

Two associations found between TLR5 and monocytes
A significant polymorphism seen concerning TLR5 and T1D

Original publication

TLR5 influences the development of type 1 diabetes. BMJ Open Diabetes Res Care. Published 5 September 2025. doi:10.1136/bmjdrc-2025-005111

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