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Immune cell trafficking to the islets during type 1 diabetes
Author(s) -
Sandor A. M.,
Jacobelli J.,
Friedman R. S.
Publication year - 2019
Publication title -
clinical & experimental immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.329
H-Index - 135
eISSN - 1365-2249
pISSN - 0009-9104
DOI - 10.1111/cei.13353
Subject(s) - immune system , pancreatic islets , chemokine , islet , type 1 diabetes , immunology , microbiology and biotechnology , cell , t cell , cell type , biology , medicine , insulin , diabetes mellitus , endocrinology , genetics
Summary Inhibition of immune cell trafficking to the pancreatic islets during type 1 diabetes (T1D) has therapeutic potential, since targeting of T cell and B cell trafficking has been clinically effective in other autoimmune diseases. Trafficking to the islets is characterized by redundancy in adhesion molecule and chemokine usage, which has not enabled effective targeting to date. Additionally, cognate antigen is not consistently required for T cell entry into the islets throughout the progression of disease. However, myeloid cells are required to enable T cell and B cell entry into the islets, and may serve as a convergence point in the pathways controlling this process. In this review we describe current knowledge of the factors that mediate immune cell trafficking to pancreatic islets during T1D progression.

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