Immune perturbations in human pancreas lymphatic tissues prior to and after type 1 diabetes onset

Autoimmune destruction of pancreatic β cells results in type 1 diabetes (T1D), with pancreatic immune infiltrate representing a key feature in this process. However, characterization of the immunological processes occurring in human pancreatic lymphatic tissues is lacking. Here, we conduct a comprehensive study of immune cells from pancreatic, mesenteric, and splenic lymphatic tissues of non-diabetic control (ND), β cell autoantibody-positive non-diabetic (AAb+), and T1D donors using flow cytometry and CITEseq. Compared to ND pancreas-draining lymph nodes (pLN), AAb+ and T1D donor pLNs display decreased CD4+ Treg and increased stem-like CD8+ T cell signatures, while only T1D donor pLNs exhibit naive T cell and NK cell differentiation. Mesenteric LNs have modulations only in CD4+ Tregs and naive cells, while splenocytes lack these perturbations. Further, T cell expression of activation markers and IL7 receptor correlate with T1D genetic risk. These results demonstrate tissue-restricted immune changes occur before and after T1D onset.

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Publication Details

Journal
Nature Communications
Published
2025-05-18
DOI
https://doi.org/10.1038/s41467-025-59626-0
Citations
8
Primary Topic
Diabetes and associated disorders
Type
article
Field-Weighted Citation Impact
14.54
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article

Immune perturbations in human pancreas lymphatic tissues prior to and after type 1 diabetes onset

Kevin R. Amses, Klaus H. Kaestner, Michael R. Betts, Jacob T. Hamilton et al.
8 citations
Nature Communications
Diabetes and associated disorders
14.54
article

Immune perturbations in human pancreas lymphatic tissues prior to and after type 1 diabetes onset

Kevin R. Amses, Klaus H. Kaestner, Michael R. Betts, Jacob T. Hamilton, Gregory J. Golden, Eline T. Luning Prak, James J. Knox, Melanie R. Shapiro, Todd M. Brusko, Mark A. Atkinson, Vincent H. Wu, M. Betina Pampena, Alberto Sada Japp, Jay Gardner, Ali Naji, Leticia Kuri-Cervantes, Chengyang Liu
article en
8 citations

Abstract

Autoimmune destruction of pancreatic β cells results in type 1 diabetes (T1D), with pancreatic immune infiltrate representing a key feature in this process. However, characterization of the immunological processes occurring in human pancreatic lymphatic tissues is lacking. Here, we conduct a comprehensive study of immune cells from pancreatic, mesenteric, and splenic lymphatic tissues of non-diabetic control (ND), β cell autoantibody-positive non-diabetic (AAb+), and T1D donors using flow cytometry and CITEseq. Compared to ND pancreas-draining lymph nodes (pLN), AAb+ and T1D donor pLNs display decreased CD4+ Treg and increased stem-like CD8+ T cell signatures, while only T1D donor pLNs exhibit naive T cell and NK cell differentiation. Mesenteric LNs have modulations only in CD4+ Tregs and naive cells, while splenocytes lack these perturbations. Further, T cell expression of activation markers and IL7 receptor correlate with T1D genetic risk. These results demonstrate tissue-restricted immune changes occur before and after T1D onset.

Nature CommunicationsVol. 16(1)
University of Florida (US), University of Pennsylvania (US), Florida College (US)
Good health and well-being
Openalex Percentile: Top 1%
Diabetes and associated disorders
14.54
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