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Type 1 diabetes is preceded by a period of asymptomatic autoimmunity characterised by positivity for islet autoantibodies. Therefore, T helper cell responses that induce B cell activation are likely to play a critical role in the disease process. Here, we aimed to evaluate the role of a recently described subset, C-X-C motif chemokine receptor type 5-negative, programmed cell death protein 1-positive (CXCR5 - PD-1 hi ) peripheral T helper (Tph) cells, in human type 1 diabetes.

Circulating CXCR5−PD-1hi peripheral T helper cells are associated with progression to type 1 diabetes