What has zinc transporter 8 autoimmunity taught us about type 1 diabetes?

Abstract:

:Zinc transporter 8 (ZnT8), a protein highly specific to pancreatic insulin-producing beta cells, is vital for the biosynthesis and secretion of insulin. ZnT8 autoantibodies (ZnT8A) are among the most recently discovered and least-characterised islet autoantibodies. In combination with autoantibodies to several other islet antigens, including insulin, ZnT8A help predict risk of future type 1 diabetes. Often, ZnT8A appear later in the pathogenic process leading to type 1 diabetes, suggesting that the antigen is recognised as part of the spreading, rather than the initial, autoimmune response. The development of autoantibodies to different forms of ZnT8 depends on the genotype of an individual for a polymorphic ZnT8 residue. This genetic variant is associated with susceptibility to type 2 but not type 1 diabetes. Levels of ZnT8A often fall rapidly after diagnosis while other islet autoantibodies can persist for many years. In this review, we consider the contribution made by ZnT8 to our understanding of type 1 diabetes over the past decade and what remains to be investigated in future research.

journal_name

Diabetologia

journal_title

Diabetologia

authors

Williams CL,Long AE

doi

10.1007/s00125-019-04975-x

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

1969-1976

issue

11

eissn

0012-186X

issn

1432-0428

pii

10.1007/s00125-019-04975-x

journal_volume

62

pub_type

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