Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2
Conditions
Brief summary
The purpose of this study is to investigate CD8 + T-cell receptor (TCR) repertoire differences between patients with type 1 diabetes mellitus and type 2 diabetes or healthy controls.
Detailed description
Using a systems biology approach by combining high-throughput sequencing, cytometry, gene expression, transcriptome profiling, HLA typing, single cell analysis, and TCR affinity assays, the investigators will define a set of immune metrics for the prediction or early diagnosis of disease that is superior to the current examination of auto-antibodies, which is a fairly late stage in the disease development. This can also be used to guide therapy in advanced disease.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients must have a current or previous diagnosis of Type I Diabetes (Autoimmune-related T1DA as confirmed by a positive test for glutamic acid decarboxylase (GAD) auto-antibodies. When available, idiopathic T1DB patients with a lack of autoantibodies to GAD will be recruited) * Patients must be ≥ 18 years old and ≤55 years old Inclusion criteria: patients T2D as controls * Patients must have a current or previous diagnosis of T2D * Patients must be ≥ 18 years old and ≤55 years old
Exclusion criteria
• \<18 years old; \> 55 years old
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensitivity and specificity of T cell repertoire analysis to classify Type I Diabetes | 3 month intervals for 2 years. Time to assess effectiveness is 1 year. |
Countries
United States