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The "Lymphoscreen" study aims to characterize precisely (phenotypes/cytokines/functions) CD8+ T cell responses in type 1 Diabetes to identify biomarkers of the disease. Such markers are needed for refine type 1 Diabetes diagnosis/prognostic, and to design new therapeutic approaches targeting autoreactive CD8+ T cells. An original approach using DNA immunization of humanized mice allowed us to identify relevant CD8 epitopes derived from GAD65 and IA-2 beta cell autoantigens. The aims are: (i) identifying exhaustively epitopes recognized by autoreactive CD8+ T lymphocytes in type 1 Diabetes and following islet or pancreas graft in humans; (ii) identifying pathogenic CD8+ T cell patterns or profiles related to type 1 Diabetes pathogenesis and evolution; (iii) correlating CD8+ autoreactive T cell responses and autoantibody responses to new cellular (such as CD4+ T cells or peripheral cell miRNA) or humoral markers of the disease (such as serum miRNA).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Long-term type 1 diabetic patients | Experimental | Long-term type 1 diabetic patients |
|
| control patients | Active Comparator | control patients |
|
| diabetic and transplanted patients | Experimental | diabetic and transplanted patients |
|
| subjects with high risk for diabetes | Experimental | subjects with high risk for diabetes |
|
| patients with recent type 1 diabetes | Experimental | patients with recent type 1 diabetes |
|
| patients with Latent Autoimmune Diabetes | Experimental | patients with Latent Autoimmune Diabetes |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood samplings | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Identification and characterization of new CD8+ T lymphocytes related to type 1 diabetes and its evolution (2009-2012) | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Identification and characterization of new profiles of humoral and cellular markers (including T cell reactivity and miRNA) related to type 1 diabetes (2010-2014). | 3 years |
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Inclusion criteria:
Those subjects have to respect the following criteria :
Non-inclusion criteria :
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| Name | Affiliation | Role |
|---|---|---|
| Lucy Chaillous | Nantes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nantes | Nantes | 44093 | France |
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| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D017218 | Cordocentesis |
| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
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| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D003933 | Diagnosis |
| D019152 | Paracentesis |
| D011677 | Punctures |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |