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Children With Celiac Disease Have a Higher Degree of Activated or Exhausted CD4+ and CD8+ T Cells Compared to Healthy References
Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. Studies on Integrated Health and Welfare (SIHW). Division of Systems and Synthetic Biology, Department of Life Sciences, Chalmers University of Technology, Gothenburg, Sweden.ORCID iD: 0000-0002-7995-3546
Division of Systems and Synthetic Biology, Department of Life Sciences, Chalmers University of Technology, Gothenburg, Sweden.
Division of Systems and Synthetic Biology, Department of Life Sciences, Chalmers University of Technology, Gothenburg, Sweden.
2025 (English)In: Scandinavian Journal of Immunology, ISSN 0300-9475, E-ISSN 1365-3083, Vol. 102, no 3, article id e70054Article in journal (Refereed) Published
Abstract [en]

Type 1 diabetes (T1D) and celiac disease (CeD) are two chronic autoimmune disorders commonly diagnosed during childhood. In this exploratory study we performed flow cytometric immunophenotyping of various immune cell populations in peripheral blood from children with T1D, CeD, a T1D and CeD comorbidity, and from age-matched healthy references (controls). With extensive flow cytometry panels covering subpopulations of both CD4+ and CD8+ T cells, as well as monocytes and NK cells, our main finding is a tendency towards a higher degree of activated/exhausted T cells in children with a sole diagnosis of CeD compared with healthy references. This was seen through a higher fraction of CD4+ T cells positive for PD-1, CCR5 and CCR10, as well as a higher fraction of CD8+ T cells expressing PD-1 and CD39. In contrast, children with CeD showed a lower percentage of naïve CD8+ T cells compared with healthy references. Other important findings are a skewed CD4+/CD8+ ratio for children with a comorbidity compared with references, increased fractions of T regulatory cells (Tregs, CD4+CD25+CD127low) for all three diagnosis groups compared with references, and a higher percentage of CD56dimCD16+ NK cells with a corresponding lower percentage in CD56dimCD16− NK cells in CeD compared to the T1D and CeD comorbidity. Ultimately, analysis of the peripheral immunological milieu might lead to the development of more efficient tools for diagnosis and monitoring, and better treatment options, for children with T1D, CeD, and the rare combination of T1D and CeD.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025. Vol. 102, no 3, article id e70054
Keywords [en]
celiac disease, flow cytometry, monocytes, NK cells, T cells, Treg cells, type 1 diabetes, Adolescent, CD4-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes, Child, Child, Preschool, Diabetes Mellitus, Type 1, Female, Humans, Immunophenotyping, Killer Cells, Natural, Lymphocyte Activation, Male, Programmed Cell Death 1 Receptor, programmed death 1 receptor, CD4+ T lymphocyte, CD8+ T lymphocyte, human, immunology, insulin dependent diabetes mellitus, natural killer cell, preschool child
National Category
Immunology in the Medical Area
Identifiers
URN: urn:nbn:se:hj:diva-69815DOI: 10.1111/sji.70054ISI: 001579051300006PubMedID: 40936207Scopus ID: 2-s2.0-105015551272Local ID: HOA;;1036968OAI: oai:DiVA.org:hj-69815DiVA, id: diva2:2000408
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden, 941901, FUTURUM‐962245Region Jönköping CountyAvailable from: 2025-09-24 Created: 2025-09-24 Last updated: 2025-10-13Bibliographically approved

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Tompa, Andrea

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