PMID- 37886513 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240508 DP - 2023 Oct 20 TI - Self-reactive germline-like TCR alpha chains shared between blood and pancreas. LID - rs.3.rs-3446917 [pii] LID - 10.21203/rs.3.rs-3446917/v1 [doi] AB - Human islet antigen reactive CD4 + memory T cells (IAR T cells) from peripheral blood have been studied extensively for their role in the pathogenesis of autoimmune type 1 diabetes (T1D). However, IAR T cells are rare, and it remains poorly understood how they affect T1D progression in the pancreas. Using single cell RNA-sequencing coupled with a multiplexed activation induced marker (AIM) enrichment assay, we identified paired TCR alpha/beta (TRA/TRB) T cell receptors (TCRs) in IAR T cells from the blood of healthy, at-risk, new onset, and established T1D donors. Using TCR sequences as barcodes, we measured infiltration of IAR T cells from blood into pancreas of organ donors with and without T1D. We detected extensive TCR sharing between IAR T cells from peripheral blood and pancreatic infiltrating T cells (PIT), with perfectly matched or single mismatched TRA junctions and J gene regions, comprising ~ 34% of unique IAR TCRs. PIT-matching IAR T cells had public TRA chains that showed increased use of germline-encoded residues in epitope engagement and a propensity for cross-reactivity. The link with T cells in the pancreas implicates autoreactive IAR T cells with shared TRA junctions and increased levels in blood with the prediabetic and new onset phases of T1D progression. FAU - Linsley, Peter AU - Linsley P AUID- ORCID: 0000-0002-8960-4307 AD - Benaroya Research Institute at Virginia Mason. FAU - Nakayama, Maki AU - Nakayama M AD - Barbara Davis Center for Childhood Diabetes. FAU - Balmas, Elisa AU - Balmas E AD - Benaroya Research Institute. FAU - Chen, Janice AU - Chen J AD - Benaroya Research Institute. FAU - Pour, Fariba AU - Pour F AD - Benaroya Research Institute. FAU - Bansal, Shubham AU - Bansal S AD - Benaroya Research Institute. FAU - Serti, Elisavet AU - Serti E AUID- ORCID: 0000-0003-4129-0254 AD - The Henry Jackson Foundation. FAU - Speake, Cate AU - Speake C AUID- ORCID: 0000-0003-1480-4272 AD - Benaroya Research Institute. FAU - Pugliese, Alberto AU - Pugliese A AD - City of Hope. FAU - Cerosaletti, Karen AU - Cerosaletti K AUID- ORCID: 0000-0002-7403-6239 AD - Benaroya Research Institute, Seattle, WA. LA - eng GR - U24 DK098085/DK/NIDDK NIH HHS/United States GR - UM1 AI109565/AI/NIAID NIH HHS/United States PT - Preprint DEP - 20231020 PL - United States TA - Res Sq JT - Research square JID - 101768035 PMC - PMC10602137 EDAT- 2023/10/27 06:42 MHDA- 2023/10/27 06:43 PMCR- 2023/10/26 CRDT- 2023/10/27 04:43 PHST- 2023/10/27 06:42 [pubmed] PHST- 2023/10/27 06:43 [medline] PHST- 2023/10/27 04:43 [entrez] PHST- 2023/10/26 00:00 [pmc-release] AID - rs.3.rs-3446917 [pii] AID - 10.21203/rs.3.rs-3446917/v1 [doi] PST - epublish SO - Res Sq [Preprint]. 2023 Oct 20:rs.3.rs-3446917. doi: 10.21203/rs.3.rs-3446917/v1.