Type 1 diabetes is caused by an autoimmune T cell response that destroys the cells that produce insulin, called beta cells. The focus of the Islet Biology Laboratory is to protect these beta cells from immune-mediated destruction.

Our vision is to prevent insulin dependence in type 1 diabetes with therapies that target the immune system. We aim to understand how different effector mechanisms participate in diabetes development, and how these can be prevented. We do this by studying interactions between the immune system and beta cells. In particular, we are interested in preventing CD8+ T cells from killing beta cells, and in understanding how blocking the action of cytokines with JAK inhibitors prevents type 1 diabetes.

Our work is currently being applied in:

  • the transplantation of human islets from organ donors to treat severe and unstable type 1 diabetes
  • a clinical trial to test the JAK inhibitor baricitinib in participants with newly diagnosed type 1 diabetes

Current research projects

  • Molecular changes induced by JAK inhibitors in type 1 diabetes (T1D)

    JAK inhibitors potentially have direct beneficial effects on both pancreatic beta cells and immune cells by affecting the signalling from several cytokine receptors. We are evaluating the impact of the JAK inhibitor baricitinib on T1D-associated immune responses and investigating the mechanisms by which this drug impacts the progression of T1D. We are undertaking this work with samples from the BANDIT clinical trial, using phenotypic and genomic analyses of islet antigen-specific T cells from trial participants.

    Tetramer-based magnetic bead enrichment of T cells is used to phenotype cells by flow cytometry. Simultaneous cell surface protein and transcriptome analysis (CITE-seq) is performed to identify gene signatures in antigen-specific T cells. Complementary studies are being done in NOD mice after treatment with JAK inhibitors in combination with antigen-specific tolerance. Our studies are important for design of future human studies for robust, drug-free prevention of T1D.

    Group leaders: Professor Helen Thomas, Prof Tom Kay

    Team members: Associate Professor Bala Krishnamurthy, Associate Professor Stuart Mannering, Dr Tom Brodnicki, Dr Prerak Trivedi, Dr Chris Chiu, Laura Sanz-Villanueva, Leanne Mackin, Dr Michelle So, Sam McNeil

    Defining the role of interferons in autoimmune diabetes

    Cytokines, including interferons, play important roles in the autoimmune T cell responses against beta cells. Interferons have been implicated in the pathogenesis of type 1 diabetes. Interferons induce a transcriptional signature in pancreatic islets and promote immune cell activation and survival in humans and mouse models of type 1 diabetes.

    We hypothesise that interferons create an environment conducive to the breakdown of immune tolerance. We are studying whether interferons have overlapping roles in the pathogenesis of diabetes using NOD mice with deficiency in all three of the interferon receptors, made using CRISPR. By studying the action of interferons on beta cells and on immune cells (including T cells and antigen presenting cells) within the islet, we aim to better understand the role of this cytokine family in antigen-specific immune responses.

    Group Leaders: Professor Helen Thomas, Professor Tom Kay

    Team Members: Dr Bala Krishnamurthy, Dr Gaurang Jhala, David De George

    Islet biology in human type 1 diabetes

    While much is known about the pathogenesis of T1D in NOD mice, far less is known of human type 1 diabetes. The Tom Mandel Islet Transplant Program occasionally receives pancreases from organ donors with type 1 diabetes and it is of enormous value to study these.

    Recently, we have isolated islets from three donors who had T1D. Pancreas sections reveal a range of pathologies, ranging from islets infiltrated with T cells in a donor with recent onset T1D to islets with no insulin staining in a donor who had diabetes for 30 years. We have been able to sort CD4+ and CD8+ T cells from donor islets and have performed single cell RNA sequencing. We will investigate this data to better understand the immune system in T1D in humans, comparing to similar data from NOD mice.

    Group Leaders: Professor Helen Thomas, Professor Tom Kay, Associate Professor Stuart Mannering

    Team Members: Associate Professor Bala Krishnamurthy, Dr Tom Loudovaris, Dr Pushpak Bhattacharjee, Associate Professor Mark Chong, David De George, Dr Chris Chiu, Leanne Mackin

    Effica Biolabs – a preclinical testing service

    Our preclinical testing service, Effica Biolabs, addresses unmet needs for a service platform to assist industry and academic labs in testing candidate therapies for type 1 diabetes. Our main objective is to assist pharma and biotech companies to reveal hidden value in their drug pipelines by expanding their indications and accelerating development of therapies.

    Group leaders: Professor Helen Thomas, Dr Tom Brodnicki

    Team members: Dr Michalea Waibel, Dr Chris Meoli, Dr Tom Loudovaris and members of the lab

People

Helen Thomas
Helen Thomas

Head, Islet Biology

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[email protected]

+61 3 9231 3282

Available for Student Supervision

Tom Loudovaris
Tom Loudovaris

Islet Isolation Manager, Tom Mandel Islet Transplant Program

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[email protected]

+61 3 9231 2405

Available for Student Supervision

Prerak Trivedi
Prerak Trivedi

Postdoctoral Fellow, Islet Biology

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[email protected]

Available for Student Supervision

Chris Chiu

Senior Research Officer, Immunology and Diabetes

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[email protected]

Available for Student Supervision

  • Leanne Mackin, Research assistant
  • Tara Catterall, Research assistant
  • Jarrod Skinner, Research assistant
  • Lina Mariana, Islet isolation coordinator
  • Cameron Kos, Islet production officer
  • Lorraine Elkerbout, Laboratory assistant
  • Dhruv Balasubramanian, Laboratory assistant
  • David De George, PhD student
  • Laura Sanz-Villanueva, PhD student
  • Lilian Giang, honours student

Student projects

PhD

Understanding the molecular basis of response to JAK inhibitors in type 1 diabetes

Lab: Islet Biology

Supervisor(s): Professor Helen Thomas Professor Tom Kay

Diseases focus: Immunology
PhD

Recurrence of type 1 diabetes in transplanted autologous beta cells

Lab: Islet Biology

Supervisor(s): Professor Helen Thomas Professor Tom Kay

Diseases focus: Immunology

Selected publications

Waibel M, Wentworth JM, So M, Couper JJ, Cameron FJ, MacIsaac RJ, Atlas G, Gorelik A, Litwak S, Sanz-Villanueva L, Trivedi P, Ahmed S, Martin FJ, Doyle ME, Harvison JE, Hall C, Krishnamurthy B, Colman PG, Harrison LC, Thomas HE, Kay TWH Baricitinib and beta-cell function in patients with new-onset type 1 diabetes. New Engl J Med (2023) 389:2140-50.

Selck C, Jhala G, De George DJ, Kwong C-TJ, Christensen MK, Pappas EG, Liu X, Ge T, Trivedi P, Kallies A, Thomas HE, Kay TWH, Krishnamurthy B Extraislet expression of islet antigen boosts T cell exhaustion to partially prevent autoimmune diabetes. Proc Natl Acad Sci (2024)

Ge T, Phung A-L, Jhala G, Trivedi P, Principe N, De George DJ, Pappas EG, Litwak S, Sanz-Villanueva L, Catterall T, Fynch S, Boon L, Kay TW, Chee J, Krishnamurthy B, Thomas HE Diabetes induced by checkpoint inhibition in nonobese diabetic mice can be prevented or reversed by a JAK1/JAK2 inhibitor. Clin Transl Immunol, 2022, e1425, doi: 10.1002/cti2.1425

Jhala G, Krishnamurthy B, Brodnicki TC, Ge T, Akazawa S, Selck C, Trivedi PM, Pappas EG, Mackin L, Principe N, Brémaud E, De George DJ, Boon L, Smyth I, Chee J, Kay TWH, Thomas HE. Interferons limit autoantigen-specific CD8+ T-cell expansion in the non-obese diabetic mouse. Cell Rep. 2022 Apr 26;39(4):110747. doi: 10.1016/j.celrep.2022.110747.

Wali JA, Rondas D, McKenzie MD, Zhao Y, Elkerbout L, Fynch S, Gurzov EN, Akira S, Mathieu C, Kay TW, Overbergh L, Strasser A, Thomas HE. The proapoptotic BH3-only proteins Bim and Puma are downstream of endoplasmic reticulum and mitochondrial oxidative stress in pancreatic islets in response to glucotoxicity. Cell Death Dis. 2014 Mar 13;5:e1124. doi: 10.1038/cddis.2014.88.

Thomas HE, Parker JL, Schreiber RD, Kay TW. IFN-gamma action on pancreatic beta cells causes class I MHC upregulation but not diabetes. J Clin Invest. 1998 Sep 15;102(6):1249-57. doi: 10.1172/JCI2899.

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