Evidence map›Paper›PMID 40490584›Full record

ArticleDiabetologia2025

T cell and autoantibody recognition of nucleus-associated islet autoantigens in individuals with type 1 diabetes.

Perrin Guyer, Kapitolina Seminova, Marija Lugar, Anthony Manganaro, Erandi E Velarde de la Cruz, Rachel Hartley, Megan E Smithmyer, Cate Speake, Ezio Bonifacio, Sally C Kent and 1 more

Abstract read
In one paragraph

Article in Diabetologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Perrin GuyerBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Kapitolina SeminovaBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Marija LugarCenter for Regenerative Therapies Dresden, Technische Universität Dresden, Dresden, Germany.
Anthony ManganaroDepartment of Medicine, Diabetes Center of Excellence, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Erandi E Velarde de la CruzDepartment of Medicine, Diabetes Center of Excellence, University of Massachusetts Chan Medical School, Worcester, MA, USA.ORCID http://orcid.org/0000-0001-6985-8441
Rachel HartleyBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Megan E SmithmyerBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-1005-0621
Cate SpeakeBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-1480-4272
Ezio BonifacioCenter for Regenerative Therapies Dresden, Technische Universität Dresden, Dresden, Germany.ORCID http://orcid.org/0000-0002-8704-4713
Sally C KentDepartment of Medicine, Diabetes Center of Excellence, University of Massachusetts Chan Medical School, Worcester, MA, USA.ORCID http://orcid.org/0000-0002-1543-8086
Eddie A JamesBenaroya Research Institute at Virginia Mason, Seattle, WA, USA. ejames@benaroyaresearch.org.ORCID http://orcid.org/0000-0002-7217-5729

Funding

Human Islet-Infiltrating T Cell Biology: Reactivity, Structure, and FunctionUC4DK116284 · NIDDK · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI HARLAN, DAVID MARSHALL, KENT, SALLY CHOATE · 2017 to 2017
$2.0M
Breakthrough T1D 2-SRA-2018-551-S-BBreakthrough T1D 3-SRA-2023-1417-S-BNIDDK NIH HHS UC4 DK116284NIH HHS UC4DK116284
6 · The paper itself

Abstract

aims/hypothesisThere is a progressive loss of self-tolerance in type 1 diabetes, manifested by the appearance of various autoantibodies. Array-based screening identified antibodies that recognise nucleus-associated proteins in individuals with type 1 diabetes, but the role of these antigens in the disease is poorly understood. Antibodies against MutL homologue 1 (MLH1) and nucleoporin 50 (NUP50) are enriched in DR4-positive and DR3-positive individuals, respectively. Therefore, we sought to investigate CD4

methodsWe used a systematic discovery process to identify CD4

resultsOur discovery process revealed three novel DRB1*03:01-restricted NUP50 epitopes and four novel DRB1*04:01-restricted MLH1 epitopes that are present within the peripheral blood of individuals with type 1 diabetes and among pancreatic islet infiltrates. T cells specific for these epitopes were significantly more frequent in individuals with diabetes than in HLA haplotype-matched control individuals (p=0.0012 and 0.030 for NUP50 and MLH1, respectively). Variable levels of antibody responses were observed: elevated levels of MLH1 and NUP50 antibodies were present in individuals with type 1 diabetes, especially those with the HLA-DR types with previously reported associations, but high titres did not always directly correlate with elevated T cell frequency. CONCLUSIONS/

interpretationThe observation that T cell and antibody responses can target nucleus-associated self-antigens confirms and extends previously published studies. Disease-associated recognition of a class of proteins that are not exclusively expressed in pancreatic islets implies a systemic autoimmune component to the disease process. Linked antibody recognition does not appear to be a general phenomenon, suggesting a subtle relationship between humoral and cellular responses to these self-antigens.

Indexed as

AutoantibodiesAutoantigensCD4-Positive T-LymphocytesDiabetes Mellitus, Type 1Islets of LangerhansAdaptor Proteins, Signal TransducingAdolescentAdultFemaleHLA-DRB1 ChainsHumansMaleMutL Protein Homolog 1Nuclear Pore Complex ProteinsNuclear ProteinsYoung AdultAdaptor Proteins, Signal TransducingAutoantibodiesAutoantigensHLA-DRB1 ChainsMutL Protein Homolog 1Nuclear Pore Complex ProteinsNuclear ProteinsAutoantibodyCD4+ T cellHLA tetramerHuman immunologyNuclear antigenType 1 diabetes

Identifiers

PMID40490584
PMCPMC12955442

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.