PMID- 26341315 OWN - NLM STAT- MEDLINE DCOM- 20160314 LR - 20151123 IS - 1521-7035 (Electronic) IS - 1521-6616 (Linking) VI - 161 IP - 2 DP - 2015 Dec TI - Adult-onset type 1 diabetes patients display decreased IGRP-specific Tr1 cells in blood. PG - 270-7 LID - S1521-6616(15)30030-9 [pii] LID - 10.1016/j.clim.2015.08.014 [doi] AB - The breakdown of immune tolerance against islet antigens causes type 1 diabetes (T1D). The antigens associated with adult-onset T1D (AT1D) remain largely undefined. It is possible that AT1D patients display a unique type of CD4(+) T cells specific for a certain islet antigen. Here we analyzed the cytokine production profiles of CD4(+) helper T (Th) cells that are specific for three islet antigens; GAD65, preproinsulin, and IGRP in patients with AT1D, juvenile-onset T1D (JT1D), and age-, gender- and human leukocyte antigen (HLA)-matched control adults. While IGRP-specific Th cells in AT1D patients were dominantly Th1 cells, IGRP-specific Th cells in control adults and JT1D patients were dominantly Th2 and T regulatory type 1 (Tr1) cells. Notably, the frequency of IGRP-specific Tr1 cells was significantly lower in AT1D patients than in control adults and JT1D patients. In conclusion, our study suggests that IGRP-specific Th cells play a unique pathogenic role in AT1D. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Chujo, Daisuke AU - Chujo D AD - Baylor Institute for Immunology Research, Dallas, TX, USA; National Center for Global Health and Medicine, Tokyo, Japan. FAU - Nguyen, Thien-Son AU - Nguyen TS AD - Benaroya Research Institute at Virginia Mason, Seattle, WA, USA. FAU - Foucat, Emile AU - Foucat E AD - Baylor Institute for Immunology Research, Dallas, TX, USA. FAU - Blankenship, Derek AU - Blankenship D AD - Baylor Institute for Immunology Research, Dallas, TX, USA. FAU - Banchereau, Jacques AU - Banchereau J AD - Baylor Institute for Immunology Research, Dallas, TX, USA. FAU - Nepom, Gerald T AU - Nepom GT AD - Benaroya Research Institute at Virginia Mason, Seattle, WA, USA. FAU - Chaussabel, Damien AU - Chaussabel D AD - Benaroya Research Institute at Virginia Mason, Seattle, WA, USA. FAU - Ueno, Hideki AU - Ueno H AD - Baylor Institute for Immunology Research, Dallas, TX, USA. Electronic address: HidekiU@baylorhealth.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150902 PL - United States TA - Clin Immunol JT - Clinical immunology (Orlando, Fla.) JID - 100883537 RN - 0 (Cytokines) RN - 0 (Insulin) RN - 0 (Protein Precursors) RN - 61116-24-3 (preproinsulin) RN - EC 3.1.3.9 (Glucose-6-Phosphatase) RN - EC 3.1.3.9. (G6PC2 protein, human) RN - EC 4.1.1.15 (GAD55, human) RN - EC 4.1.1.15 (Glutamate Decarboxylase) SB - IM MH - Adult MH - Age of Onset MH - Amino Acid Sequence MH - CD4-Positive T-Lymphocytes/immunology/metabolism MH - Cells, Cultured MH - Cytokines/immunology/metabolism MH - Diabetes Mellitus, Type 1/blood/*immunology MH - Female MH - Glucose-6-Phosphatase/*immunology/metabolism MH - Glutamate Decarboxylase/immunology/metabolism MH - Humans MH - Insulin/immunology/metabolism MH - Islets of Langerhans/immunology MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Protein Precursors/immunology/metabolism MH - T-Lymphocyte Subsets/immunology/metabolism MH - T-Lymphocytes, Helper-Inducer/*immunology/metabolism MH - T-Lymphocytes, Regulatory/*immunology/metabolism MH - Th1 Cells/immunology/metabolism OTO - NOTNLM OT - CD4 T cells OT - Islet antigens OT - Islet-specific glucose 6 phosphatase catalytic subunit-related protein OT - T regulatory type 1 (Tr1) cells OT - Type 1 diabetes EDAT- 2015/09/06 06:00 MHDA- 2016/03/15 06:00 CRDT- 2015/09/06 06:00 PHST- 2015/06/04 00:00 [received] PHST- 2015/08/25 00:00 [revised] PHST- 2015/08/26 00:00 [accepted] PHST- 2015/09/06 06:00 [entrez] PHST- 2015/09/06 06:00 [pubmed] PHST- 2016/03/15 06:00 [medline] AID - S1521-6616(15)30030-9 [pii] AID - 10.1016/j.clim.2015.08.014 [doi] PST - ppublish SO - Clin Immunol. 2015 Dec;161(2):270-7. doi: 10.1016/j.clim.2015.08.014. Epub 2015 Sep 2.