Autoantibodies to IA-2 in Type 1 diabetes are associated with HLA-DR4, suggesting influences of HLA-DR4 restricted T-cells on IA-2-specific B-cell responses. The aim of this study was to investigate possible T-B-cell collaboration by determining whether autoantibodies to IA-2 epitopes are associated with T-cell responses to IA-2 peptides presented by DR4. T-cells secreting the cytokines interferon-γ and interleukin-10 in response to seven peptides known to elicit T-cell responses in Type 1 diabetes were quantified by cytokine ELISPOT in HLA-typed patients characterised for antibodies to IA-2 epitopes. T-cell responses were detected to all peptides tested, but only interleukin-10 responses to 841-860 and 853-872 peptides were associated with DR4. Phenotyping by RT-PCR of FACS-sorted CD45ROhi T-cells secreting interleukin-10 in response to these two peptides indicated that these expressed GATA-3 or T-bet, but not FoxP3, consistent with these being Th2 or Th1 memory T-cells rather than of regulatory phenotype. T-cell responses to the same two peptides were also associated with specific antibodies; those to 841-860 peptide with antibodies to juxtamembrane epitopes, which appear early in pre-diabetes, and those to peptide 853-872 with antibodies to an epitope located in the 831-862 central region of the IA-2 tyrosine phosphatase domain. Antibodies to juxtamembrane and central region constructs were both DR4-associated. This study identifies a region of focus for B- and T-cell responses to IA-2 in HLA-DR4 diabetic patients that may explain HLA- associations of IA-2 autoantibodies and this region may provide a target for future immune intervention to prevent disease.