Slow progressors to type 1 diabetes lose islet autoantibodies over time, have few islet antigen-specific CD8+ T cells and exhibit a distinct CD95hi B cell phenotype.
Stephanie J HannaWendy E PowellAnna E LongEmma J S RobinsonJoanne DaviesClare MegsonAlexandra HowellTaz J JonesKristin LadellDavid A PriceColin M DayanAlistair J K WilliamsKathleen M GillespieF Susan WongPublished in: Diabetologia (2020)
In this study, we found that slow progression to type 1 diabetes was associated with a loss of islet autoantibodies and a distinct B cell phenotype, consistent with enhanced apoptotic regulation of peripheral autoreactivity via CD95. These phenotypic changes warrant further studies in larger cohorts to determine their functional implications.