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MiamiOH OARS on 13 Sep 13Validated biomarkers that detect risk, stage the disease, and predict its rate of progression in the at-risk setting for T1D are required to conduct more efficient clinical trials. These biomarkers may include markers of beta cell stress, dysfunction, and damage, functional beta cell mass, autoimmune/inflammatory biomarkers, and/or biomarkers of impaired glucose and metabolic control. While progress has been made in identifying predictive markers for risk of T1D, there may be alternative molecular biomarkers (metabolites, proteomics, gene expression patterns, additional autoantibodies, etc.) that may prove to be expressed earlier, be more highly predictive, and/or more cost effective for detecting risk. Biomarkers that detect activation of innate immunity or of T cells specific for beta cells, islet inflammation or beta cell stress, dysfunction or damage may be demonstrated to serve this role.