In a cross-sectional study of individuals with type 1 diabetes mellitus, those who were designated to be slow disease progressors had an increased proportion of autoreactive, islet-specific CD8+ T cells expressing an ‘exhausted’ phenotype. By contrast, rapid disease progressors had increased numbers of islet-specific CD8+ T cells with a transitional memory phenotype.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Leete, P. et al. Differential insulitic profiles determine the extent of beta-cell destruction and the age at onset of type 1 diabetes. Diabetes 65, 1362–1369 (2016).
Wiedeman, A. E. et al. Autoreactive CD8+ T cell exhaustion distinguishes subjects with slow type 1 diabetes progression. J. Clin. Invest. 130, 480–490 (2020).
McKinney, E. F., Lee, J. C., Jayne, D. R., Lyons, P. A. & Smith, K. G. T cell exhaustion, co-stimulation and clinical outcome in autoimmunity and infection. Nature 523, 612–616 (2015).
Wherry, E. J. & Kurachi, M. Molecular and cellular insights into T cell exhaustion. Nat. Rev. Immunol. 15, 486–99 (2015).
Buchholz, V. R. & Busch, D. H. Back to the future: effector fate during T cell exhaustion. Immunity 51, 970–972 (2019).
Zander, R. et al. CD4(+) T cell help is required for the formation of a cytolytic CD8(+) T Cell subset that protects against chronic infection and cancer. Immunity 51, 1028–1042 (2019).
Yeo, L. et al. Circulating beta cell-specific CD8(+) T cells restricted by high-risk HLA class I molecules show antigen experience in children with and at risk of type 1 diabetes. Clin. Exp. Immunol. https://doi.org/10.1111/cei.13391 (2019).
Dufort, M. J., Greenbaum, C. J., Speake, C. & Linsley, P. S. Cell type-specific immune phenotypes predict loss of insulin secretion in new-onset type 1 diabetes. JCI Insight 4, 125556 (2019).
Herold, K. C. et al. An anti-CD3 antibody, teplizumab, in relatives at risk for type 1 diabetes. N. Engl. J. Med. 381, 603–613 (2019).
Mahnke, Y. D., Brodie, T. M., Sallusto, F., Roederer, M. & Lugli, E. The who’s who of T cell differentiation: human memory T cell subsets. Eur. J. Immunol. 43, 2797–2809 (2013).
Acknowledgements
F.S.W. acknowledges the support of a grant from Diabetes UK (18/0005805), and L.W. acknowledges the support of Diabetes Research Connection (19–004803) and Yale Diabetes Research Center (P30-DK-45735).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Rights and permissions
About this article
Cite this article
Wong, F.S., Wen, L. A predictive CD8+ T cell phenotype for T1DM progression. Nat Rev Endocrinol 16, 198–199 (2020). https://doi.org/10.1038/s41574-020-0330-3
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41574-020-0330-3