Evidence map›Paper›PMID 41315082›Full record

ArticleNature immunology2026

A microenvironment-driven HLA-II-associated insulin neoantigen elicits persistent memory T cell activation in diabetes.

Neetu Srivastava, Anthony N Vomund, Rongzhen Yu, Orion J Peterson, Yuqing Yang, David P Turicek, Omar Abousaway, Tiandao Li, Lisa Kain, Pamela Stone and 16 more

Abstract read
In one paragraph

Article in Nature immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Crinophagy in Pancreatic Beta Cells: From Insulin Granule Turnover to Diabetes Pathogenesis.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors.

Neetu Srivastava *Department of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-7315-6258
Anthony N Vomund *Department of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.
Rongzhen YuDepartment of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.
Orion J PetersonDepartment of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-2978-1501
Yuqing YangDepartment of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.
David P TuricekDepartment of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-0837-2688
Omar AbousawayDepartment of Internal Medicine, Division of Rheumatology, Washington University School of Medicine, St. Louis, MO, USA.
Tiandao LiDepartment of Developmental Biology, Center of Regenerative Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-1650-0555
Lisa KainDepartment of Immunology and Microbiology, Scripps Research Institute, La Jolla, CA, USA.ORCID 0000-0001-5873-8647
Pamela StoneDepartment of Pediatrics, Division of Endocrinology, Diabetes, and Metabolism, Washington University School of Medicine, St. Louis, MO, USA.
Aisha AnsarDepartment of Pediatrics, Division of Endocrinology, Diabetes, and Metabolism, Washington University School of Medicine, St. Louis, MO, USA.
Cristina C ClementDepartment of Radiation Oncology, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0003-1464-407X
Siddhartha SharmaDepartment of Immunology and Microbiology, Scripps Research Institute, La Jolla, CA, USA.ORCID 0000-0001-8597-7547
Rima MelhemDepartment of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.
Bo ZhangDepartment of Developmental Biology, Center of Regenerative Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-2962-5314
Chang LiuDepartment of Pathology and Immunology, Division of Laboratory and Genomic Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-6624-1454
Alok V JoglekarDepartment of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.ORCID 0000-0001-7554-7447
Hao HuDepartment of Neurology, Hope Center for Neurological Disorders, Knight Alzheimer's Disease Research Center, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-3622-9897
Chyi-Song HsiehDepartment of Internal Medicine, Division of Rheumatology, Washington University School of Medicine, St. Louis, MO, USA.
Laura CampisiDepartment of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.
Laura SantambrogioDepartment of Radiation Oncology, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-4674-7041
Luc TeytonDepartment of Immunology and Microbiology, Scripps Research Institute, La Jolla, CA, USA.ORCID 0000-0002-4049-1583
Emil R UnanueDepartment of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-8629-0018
Ana Maria ArbelaezDepartment of Pediatrics, Division of Endocrinology, Diabetes, and Metabolism, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-6977-9786
Cheryl F LichtiDepartment of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA. clichti@wustl.edu.ORCID 0000-0003-4099-4954
Xiaoxiao WanDepartment of Pathology and Immunology, Division of Immunobiology, Washington University School of Medicine, St. Louis, MO, USA. wanx@wustl.edu.ORCID 0000-0001-7439-9374

Funding

WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Clay F. Semenkovich · 2013 to 2026
$27.1M
The role of beta-cell crinophagy in generating diabetogenic neoepitopesR01DK134437 · NIDDK · WASHINGTON UNIVERSITY · PI Xiaoxiao Wan · 2023 to 2026
$2.4M
Autoimmune Diabetes: Macrophage ResponsesR01AI162591 · NIAID · WASHINGTON UNIVERSITY · PI Xiaoxiao Wan · 2022 to 2026
$2.3M
Identification of the cognate epitopes of autoreactive T cells in Type 1 DiabetesR03DK127447 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOGLEKAR, ALOK · 2020 to 2021
$313k
Division of Intramural Research, National Institute of Allergy and Infectious Diseases (Division of Intramural Research of the NIAID) R01AI162591NIAID NIH HHS R01 AI162591NIDDK NIH HHS P30 DK020579NIDDK NIH HHS R01 DK134437NIDDK NIH HHS R03 DK127447U.S. Department of Health & Human Services | NIH | National Institute of Diabetes and Digestive and Kidney Diseases (National Institute of Diabetes & Digestive & Kidney Diseases) R01DK134437
6 · The paper itself

Abstract

The antigenic landscape of autoimmune diabetes reflects a failure to preserve self-tolerance, yet how novel neoantigens emerge in humans remains incompletely understood. Here we designed an immunopeptidomics-based approach to probe HLA-II-bound, islet-derived neoepitopes in patients with type 1 diabetes. We uncovered a Cys→Ser transformation, conserved between mice and humans, that reshapes autoreactivity to insulin at the single-residue level. This transformation, which we call C19S, arises from oxidative remodeling of insulin in stressed pancreatic islets and also occurs in cytokine-activated antigen-presenting cells, contributing to a feed-forward loop of neoepitope formation and presentation. Despite involving just one amino acid, C19S is recognized by HLA-DQ8-restricted, register-specific CD4

Indexed as

AutoantigensCD4-Positive T-LymphocytesDiabetes Mellitus, Type 1InsulinMemory T CellsAnimalsAutoimmunityEpitopes, T-LymphocyteFemaleHLA-DQ AntigensHumansImmunologic MemoryIslets of LangerhansLymphocyte ActivationMaleMiceAutoantigensEpitopes, T-LymphocyteHLA-DQ8 antigenHLA-DQ AntigensInsulin

Identifiers

PMID41315082
PMCPMC12764431

What OpenQuestion holds

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Registered trials

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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.