Project Overview

Most autoimmune research focuses on disease after symptoms appear, not on how immune tolerance first fails. PD-1 is a critical regulator that keeps harmful immune cells in check — and its blockade in cancer patients can unexpectedly trigger type 1 diabetes, even in old age. This project uses a novel mouse model, RIP-NINJA, to control when and where the immune system encounters specific self-antigens in the pancreas, enabling study of the earliest steps in autoimmune induction. Early findings show that antigen-specific T cells begin attacking insulin-producing beta cells but are restrained by PD-1, that T cell infiltration directly induces PD-L1 upregulation in beta cells, and that aPD-1 or aCTLA-4 treatment increases T cell proliferation and cytotoxicity — with Treg infiltration preceding DC infiltration.

Impact & Innovation

Catching autoimmunity before it starts.

 

The RIP-NINJA model enables precise, controlled study of the pre-autoimmune state in the pancreas — revealing how PD-1 restrains early T cell attack and what happens when that restraint is lost, with direct relevance to T1D prevention and checkpoint therapy safety.

  • Reveals that PD-1 actively restrains antigen-specific T cell cytotoxicity in the pre-autoimmune pancreas, with T cell infiltration directly inducing PD-L1 upregulation in beta cells through a unique chromatin-accessible region
  • Establishes RIP-NINJA as a versatile platform for testing genetic, dietary, and microbiome factors that promote or prevent autoimmune induction under controlled, non-autoimmune-prone conditions
  • Advances the Consortium’s Shared Mechanisms Across Autoimmune Diseases pillar by illuminating how PD-1-mediated immune regulation in the pancreas intersects with checkpoint therapy-induced diabetes and broader autoimmune susceptibility
Research Approach

A framework designed for discovery

This project uses the RIP-NINJA genetically engineered mouse model to study the earliest stages of autoimmune induction in the pancreas, focusing on how PD-1-mediated immune regulation prevents progression to overt disease and how its disruption — by checkpoint therapy or genetic deletion — triggers beta cell attack.

RIP-NINJA mouse model enabling controlled, inducible antigen expression in pancreatic beta cells; in vivo T cell infiltration and cytotoxicity studies; in vitro IFN-γ stimulation of beta cell lines to characterize PD-L1 upregulation and chromatin accessibility; aPD-1 and aCTLA-4 checkpoint blockade studies; and analysis of Treg and DC infiltration dynamics in the pre-autoimmune pancreas.

RIP-NINJA mouse model datasets tracking antigen-specific T cell behavior, PD-L1 expression, and immune cell infiltration in pancreatic islets; in vitro beta cell line data characterizing IFN-γ-induced PD-L1 upregulation via chromatin-accessible regulatory regions; and checkpoint blockade treatment datasets measuring T cell proliferation, cytotoxicity, and Treg dynamics.

Elucidation of the PD-1-dependent mechanisms that restrain autoimmune induction in the pancreas, with translational relevance to T1D prevention and the management of checkpoint therapy-induced diabetes. The RIP-NINJA platform will support future studies testing genetic, dietary, and microbiome factors that modulate autoimmune susceptibility.

Investigators & Institutions

Powering the science

Principal Investigator

Nikhil S. Joshi, PhD, Colton Consortium Member

Associate Professor, Department of Immunobiology, Yale School of Medicine, Yale University

Research Outputs

From insight to impact

Publications

Organ injury in systemic autoimmunity is mediated by stem-like CD8+ T cells arising from tissue-draining lymph nodes

Immunity
Al Souz, J; Wei, Y; Cui, C; Qu, R; Choi, JY; Wang, F; Moioffer, SJ; Barrett, J; Chernova, I; Nadella, M; Siniscalco, ER; Moeckel, G; Joshi, NS; Chen, PM; Arazi, A; Ho, YC; Craft, J April 2026
Adaptive ImmunityAnimal ModelsAutoantigensBiological & MechanisticCytokine SignalingDisease SubtypingExperimental Platforms & ModelsImmune ProfilingSingle Cell TechnologiesT Cell BiologyTherapeutic DevelopmentTranslational & ClinicalSystemic DiseasesSystemic Lupus Erythematosus (SLE)Yale University

Additional Outputs

NCI R01CA237037: $557,766 (Nikhil Joshi, 5y). Chan Zuckerberg Investigator Award: $652,173.90 (Nikhil Joshi, 3y).