Summary
An aberrant mitogen‐induced polarization of peripheral blood T cells has been associated with type 1 diabetes (T1D). We studied, in T1D, type 1 and 2 cytokine‐induced expression of the interleukin‐12 receptor β2 chain (IL‐12Rβ2 chain), which plays a critical role in regulating T‐cell polarization. Peripheral blood lymphocytes from children with newly diagnosed T1D (n = 10; mean age 10 years), from children with longstanding T1D (n = 8; mean age 12·9 years) and from healthy children (n = 15; mean age 11·5 years) were stimulated with phytohaemagglutinin (PHA) in a type 1 (IL‐12 and anti‐IL‐4) or a type 2 (IL‐4 and anti‐IL‐12) cytokine environment. Secretion of interferon‐γ (IFN‐γ), IL‐5 and IL‐13, as detected by enzyme‐linked immunosorbent assay (ELISA), and expression of the IL‐12Rβ2 chain on CD4 and CD8 cells by flow cytometry, were analysed. Children with newly diagnosed and longstanding T1D had lower expression levels of the IL‐12Rβ2 chain on IL‐12Rβ2 chain‐positive CD4 T cells (for a type 1 or a type 2 cytokine environment: P = 0·01 and P = 0·002 or P = 0·02 and P = 0·01, respectively) and on IL‐12Rβ2 chain‐positive CD8 T cells (for a type 1 or a type 2 cytokine environment: P = 0·007 and P = 0·0007 or P = 0·003 and P = 0·01, respectively) when compared to healthy children. A decreased percentage of IL‐12Rβ2 chain‐expressing CD4 T cells (P = 0·07 and P = 0·03) and CD8 T cells (P = 0·004 and P = 0·01) and increased secretion of IL‐13 (P = 0·006 and P = 0·04) in a type 1 cytokine environment was seen in both groups of patients. Peripheral blood T cells from patients with both newly diagnosed and longstanding T1D showed poor polarization towards type 1 cells.