PMID- 29022222 OWN - NLM STAT- MEDLINE DCOM- 20180126 LR - 20240327 IS - 1539-0829 (Electronic) IS - 1534-4827 (Print) IS - 1534-4827 (Linking) VI - 17 IP - 11 DP - 2017 Oct 11 TI - T Cell Receptor Profiling in Type 1 Diabetes. PG - 118 LID - 10.1007/s11892-017-0946-4 [doi] LID - 118 AB - PURPOSE OF REVIEW: The genetic susceptibility and dominant protection for type 1 diabetes (T1D) associated with human leukocyte antigen (HLA) haplotypes, along with minor risk variants, have long been thought to shape the T cell receptor (TCR) repertoire and eventual phenotype of autoreactive T cells that mediate beta-cell destruction. While autoantibodies provide robust markers of disease progression, early studies tracking autoreactive T cells largely failed to achieve clinical utility. RECENT FINDINGS: Advances in acquisition of pancreata and islets from T1D organ donors have facilitated studies of T cells isolated from the target tissues. Immunosequencing of TCR alpha/beta-chain complementarity determining regions, along with transcriptional profiling, offers the potential to transform biomarker discovery. Herein, we review recent studies characterizing the autoreactive TCR signature in T1D, emerging technologies, and the challenges and opportunities associated with tracking TCR molecular profiles during the natural history of T1D. FAU - Jacobsen, Laura M AU - Jacobsen LM AD - Department of Pediatrics, College of Medicine, University of Florida Diabetes Institute, Gainesville, FL, USA. FAU - Posgai, Amanda AU - Posgai A AD - Department of Pathology, Immunology and Laboratory Medicine, College of Medicine, University of Florida Diabetes Institute, Gainesville, FL, USA. FAU - Seay, Howard R AU - Seay HR AD - Department of Pathology, Immunology and Laboratory Medicine, College of Medicine, University of Florida Diabetes Institute, Gainesville, FL, USA. FAU - Haller, Michael J AU - Haller MJ AD - Department of Pediatrics, College of Medicine, University of Florida Diabetes Institute, Gainesville, FL, USA. FAU - Brusko, Todd M AU - Brusko TM AD - Department of Pathology, Immunology and Laboratory Medicine, College of Medicine, University of Florida Diabetes Institute, Gainesville, FL, USA. tbrusko@ufl.edu. LA - eng GR - P01 AI042288/AI/NIAID NIH HHS/United States GR - R01 DK106191/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Review DEP - 20171011 PL - United States TA - Curr Diab Rep JT - Current diabetes reports JID - 101093791 RN - 0 (Biomarkers) RN - 0 (Receptors, Antigen, T-Cell) SB - IM MH - Animals MH - Autoimmunity/immunology MH - Biomarkers/metabolism MH - Diabetes Mellitus, Type 1/*immunology MH - Humans MH - Immunotherapy MH - Receptors, Antigen, T-Cell/metabolism/therapeutic use MH - T-Lymphocytes/*immunology PMC - PMC5636870 OTO - NOTNLM OT - Adaptive immunity OT - Autoimmunity OT - Human immune repertoire OT - Immunosequencing OT - T cell receptor OT - Type 1 diabetes COIS- CONFLICT OF INTEREST: Laura M. Jacobsen, Amanda Posgai, Howard R. Seay, Michael J. Haller, and Todd M. Brusko declare that no conflicts of interest exist relevant to the contents of this work. HUMAN AND ANIMAL RIGHTS AND INFORMED CONSENT: All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki Declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines). Specifically, for nPOD samples, deceased human organ donor tissue samples were obtained and coded by nPOD under the University of Florida (UF) Institutional Review Board approved protocol IRB201600029 and processed by the Brusko Lab under protocol IRB201602502. EDAT- 2017/10/13 06:00 MHDA- 2018/01/27 06:00 PMCR- 2017/10/11 CRDT- 2017/10/13 06:00 PHST- 2017/10/13 06:00 [entrez] PHST- 2017/10/13 06:00 [pubmed] PHST- 2018/01/27 06:00 [medline] PHST- 2017/10/11 00:00 [pmc-release] AID - 10.1007/s11892-017-0946-4 [pii] AID - 946 [pii] AID - 10.1007/s11892-017-0946-4 [doi] PST - epublish SO - Curr Diab Rep. 2017 Oct 11;17(11):118. doi: 10.1007/s11892-017-0946-4.