An imbalance of naive and effector T-cell phenotypes in early type 1 diabetes across conventional and regulatory subsets

Abstract

Type 1 diabetes (T1D) is an autoimmune disease caused by the loss of self-tolerance toward insulin-producing pancreatic {beta}-cells. Although the etiology of T1D is not fully understood, it is linked to dysregulation of the T-cell compartment. To identify T-cell signatures associated with T1D, we performed single-cell transcriptomic analysis of peripheral blood T-cells from newly diagnosed children, the same children after one year, and healthy donors. We observed reduced expression of genes related to effector and cytotoxic T-cell functions across conventional, unconventional, and regulatory T-cell subsets in diabetic children, particularly at the time of diagnosis. These findings were supported by flow cytometry analysis of the same cohort and by reanalysis of publicly available data. Overall, our results suggest that T1D is associated with impaired T-cell effector differentiation, which may contribute to immune dysregulation and loss of self-tolerance.