1. |
We need direct access to human pancreata to better understand the pathogenesis of the human disease. |
2. |
We need live imaging data from mouse and human islets to better understand the kinetics of β-cell death and regeneration (2-photon and other techniques). |
3. |
We need to have diverse teams that comprise expertise from immunology, islet physiology, and complications in order to tackle this disease. |
4. |
We need to make a commitment to test combination therapies now, before single drugs have been approved for type 1 diabetes. |
5. |
We need to establish suitable biomarkers that can predict success of a given intervention. Longitudinal T-cell studies will be essential, especially if the process leading to type 1 diabetes turns out to be relapsing-remitting in nature. |
6. |
The ultimate goal should be an early childhood vaccine that redirects the immune system towards tolerance to β-cells. |