03/06/2026
A newly published study has identified specific fragments of the insulin protein that are recognized by immune cells involved in the autoimmune attack that causes type 1 diabetes. The research, published in The Journal of Immunology, provides new insight into how the immune system identifies insulin-producing pancreatic beta cells.
Understanding exactly which pieces of insulin are recognized by immune cells may help researchers better understand how the disease begins and how the immune attack might one day be stopped.
A major driver of the autoimmune destruction of beta cells is a group of immune cells called CD8⁺ T cells, often referred to as “killer” T cells. These cells recognize small protein fragments displayed on the surface of cells by molecules known as Human Leukocyte Antigens (HLA). Most previous research in type 1 diabetes has focused on HLA-A and HLA-B. This study, led by Teresa DiLorenzo, PhD, at Albert Einstein College of Medicine, examined the role of another member of this family, HLA-C, specifically the variant HLA-C*03:04, which is relatively common in people with type 1 diabetes, but little is known about its contribution to the attack on insulin-producing beta cells.
To investigate this, a mouse model was engineered to express the human HLA-C*03:04 molecule and screened fragments of the insulin protein to determine which ones were recognized by immune cells infiltrating the pancreatic islets. The team identified two short fragments from the A-chain of insulin that were recognized by T cells in the mice. When the laboratory of Sally Kent, PhD, at UMass Chan Medical School, examined immune cells isolated from the pancreatic islets of people with type 1 diabetes, they found that those human T cells also responded to the same insulin fragments.
The findings suggest that HLA-C–restricted T cells may play a role in the autoimmune process that leads to . By identifying specific insulin fragments involved in the immune response, the study could help researchers better understand how beta cells become targets of immune attack.
Pictured, Anthony Manganaro, Research Tech, Kent lab UMass Chan Medical School