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Immune Dysregulation in T1D: Biomarkers and Therapeutic Targets

Profs. Kay and Bonifacio discuss the role of T-cell dysregulation as a central pathophysiological mechanism in T1D, and its implications for emerging therapies and biomarkers

Learning Objectives

  • Understand the underlying immune dysregulation in T1D
  • Explore how immune dysregulation offers opportunities for the development of disease modifying therapies and biomarkers of disease 

Summary

At IDS, Professors Kay, Mathieu, and Bonifacio discussed the role of T-cell dysregulation as a central pathophysiological mechanism in T1D, and its implications for emerging therapies and biomarkers.

While advances in immunology have introduced novel therapeutics such as bispecific antibodies and CAR-T cells, leveraging T-cells as reliable biomarkers in T1D remains an unresolved challenge. Professors Kay and Bonifacio noted that neither T-cell count nor antigen-specific T-cell numbers have proven sufficient as progression markers. A key barrier is the lack of standardization in T-cell assays. Beyond T-cells, other cellular markers such as B cells and neutrophils warrant further investigation: the development of robust, clinically applicable cellular biomarkers of T1D remains a work in progress. 

MAT-GLB-2600299 - 1.0 - 06/2026 

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