Published in:
01-01-2011 | Introduction
Beta cells under attack: toward a better understanding of type 1 diabetes immunopathology
Authors:
Ken T. Coppieters, Bart O. Roep, Matthias G. von Herrath
Published in:
Seminars in Immunopathology
|
Issue 1/2011
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Excerpt
The fact that type 1 diabetes (T1D) is caused by an aberrant autoimmune response against beta cells has been known for almost half a century. Today, several decades after the first report on immune cells invading the pancreatic islets from recently diagnosed children [
1], our knowledge on the disease’s immunopathology has dramatically improved. Yet, despite extensive research, diagnosed individuals are still condemned to a lifetime of meticulous glucose monitoring and insulin replacement therapy. A more detailed understanding of disease mechanisms is required in order to efficiently curb islet autoimmunity and ultimately design appropriate cures. Islet transplantation may serve as an example as the majority of recipients develop recurrent islet autoimmunity, indicating that simply replenishing beta cell mass is not a feasible option unless the underlying immune response is tackled [
2,
3]. The aim of this special issue is to review some of the immunopathologic features that make T1D such a complex autoimmune condition. This opening chapter will provide an introduction to the topics covered by some leading specialists. …