GSE85531_GPL15456_raw

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Dataset Information Value
Dataset ID GSE85531_GPL15456_raw
Title Partial exhaustion of CD8 T cells and clinical response to teplizumab in new-onset type 1 diabetes.
Summary Biologic agents active in other autoimmune settings have had variable effectiveness in newly diagnosed type 1 diabetes (T1D) where treatment across therapeutic targets is accompanied by transient stabilization of c-peptide levels in some patients, followed by progression at the same rate as in control groups. Why disparate treatments lead to similar clinical courses is currently unknown. Here, we use integrated systems biology and flow cytometry approaches to elucidate immunologic mechanisms associated with c-peptide stabilization in T1D subjects treated with the anti-CD3 monoclonal antibody, teplizumab. This work is part of the Immune Tolerance Network ABATE study (Autoimmunity-Blocking Antibody for Tolerance in Recently Diagnosed Type 1 Diabetes); Data are also available through the ITN TrialShare portal: ITN027AIDB Study Data.
Overall Design We performed bulk RNA-seq on 190 whole blood samples from visit months 0 (R: 14, NR: 16, C: 15, total: 45), 6 (R: 16, NR: 17, C: 15, total: 48), 12 (R: 13, NR: 14, C: 16, total: 43), and 24 (R: 17, NR: 20, C: 17, total: 54).
Number of samples 88
Publication Link Link
Abstract Biologic treatment of T1D typically results in transient stabilization of C-peptide levels (a surrogate for endogenous insulin secretion) in some patients, followed by progression at the same rate as in untreated control groups. Here, we used integrated systems biology and flow cytometry approaches with clinical trial blood samples to elucidate pathways associated with C-peptide stabilization in T1D subjects treated with the anti-CD3 monoclonal antibody teplizumab. We identified a population of CD8 T cells that accumulated in subjects with the best response to treatment (responders) and showed that these cells phenotypically resembled exhausted T cells by expressing high levels of the transcription factor EOMES, effector molecules, and multiple inhibitory receptors (IRs), including TIGIT and KLRG1. These cells expanded after treatment, with levels peaking after 3–6 months. To functionally characterize these exhausted-like T cells, we isolated memory CD8 TIGIT+KLRG1+ T cells from responders and showed that they exhibited expanded TCR clonotypes, indicative of prior in vivo expansion; recognized a broad-based spectrum expressed of environmental and auto-antigens; and were hypo-proliferative during polyclonal stimulation, increasing expression of IR genes and decreasing cell cycle genes. Triggering these cells with a recombinant ligand for TIGIT during polyclonal stimulation further downregulated their activation, demonstrating their exhausted phenotype was not terminal. These findings identify and functionally characterize a partially exhausted cell type associated with response to teplizumab therapy and suggest that pathways regulating T cell exhaustion may play a role in successful immune interventions for T1D.
Curated Disease Diabetes Mellitus, Type 1
Curated Tissue Blood
Curated Drug Teplizumab
Curated Cell Lines None
Curated Cell Type None
Curated Organism Homo Sapiens
Custom Curation curated_disease_snomedct, curated_disease_icd10
Processing Information

The section provides processing details for the data coming from source.

Data Processing SRA files are converted to fastq files using fasterq dump, then QC'ed using FastQC with short read threshold of 20. MinION adapter search with adapter threshold 2 is performed on Fastq file(s) and skewer quality trimming is done, with min. read length (18), and phred quality threshold (10). Kallisto quantification with fragment length (100) and standard deviation (20) is used to get read counts. These parameters ensure robust analysis and reliable interpretation of bulk RNA-seq data.
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