The Speake Lab works to advance clinical research in type 1 diabetes (T1D) and other immune-mediated diseases using innovative analytical approaches that aim to improve understanding of disease progression, treatment responses, and immune function.
We focus on development and utilization of rigorous analytical methods to identify immune and metabolic features associated with clinical outcomes. Our work in extending the quantitative response (QR) trial outcome is advancing T1D clinical trial design and definition of response to therapy. The team also uses short-term interventions with mechanistic outcome measures to better understand how therapies affect the immune system.
In collaboration with Sandra Lord, MD, and Megan Smithmyer, PhD, the Speake Lab oversees BRI’s biorepositories. The team works closely with academic researchers, biotechnology companies, and pharmaceutical partners around the world while managing BRI’s Clinical Core Lab, which processes and maintains hundreds of thousands of research samples that support clinical and translational research.
Cate Speake, PhD
Lab Members
Christine Bender, PhD
Linda Dement
Bradford Dimos, PhD
Kurt Griffin, MD, PhD
Rachel Hartley
Sandra Lord, MD
Jerry Luu
Pamela Miranda
Thien-Son Nguyen
Linda Parker
Sarah Robinson
Jessica Sarratt
Sheila Scheiding
Megan Smithmyer, PhD
Cameron Willman
Research Projects
Evaluating Therapies for Type 1 Diabetes
The Center for Interventional Immunology, directed by Dr. Speake, collaborates with biotechnology and pharmaceutical partners to evaluate promising therapies designed to prevent, delay or treat type 1 diabetes.
Experimental Medicine Studies in Type 1 Diabetes
Dr. Speake leads BRI’s Experimental Medicine Unit, which seeks to understand how emerging therapies influence the immune and metabolic pathways involved in type 1 diabetes.
The Sound Life Project
The Sound Life Project studies healthy immune systems to better understand why individuals respond differently to infections, vaccinations, and other immune challenges.
Understanding Type 1 Diabetes Progression
The Speake Lab analyzes Type 1 Diabetes TrialNet data to better understand how type 1 diabetes develops and improve approaches to monitoring people at risk for the disease.
Featured Publications
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Longitudinally stable T cell function and innate immune activation distinguish healthy adult immunotypes.
Sci Transl MedSmithmyer ME, Hu A, Dufort MJ, Hocking AM, Wiedeman AE, Fasano KJ, Torgerson TR, Skene PJ, Reading J, Li X, Gong Q, Long SA, Lacy-Hulbert A, Gustafson CE, Buckner JH, Speake C, members of the BRI Sound Life Project Team, BRI Sound Life Project Team -
A standardized metric to enhance clinical trial design and outcome interpretation in type 1 diabetes.
Nat CommunYlescupidez A, Bahnson HT, O'Rourke C, Lord S, Speake C, Greenbaum CJ -
IL-6-targeted therapies directed to cytokine or receptor blockade drive distinct alterations in T cell function.
JCI InsightSpeake C, Habib T, Lambert K, Hundhausen C, Lord S, Dufort MJ, Skinner SO, Hu A, Kinsman M, Jones BE, Maerz MD, Tatum M, Hocking AM, Nepom GT, Greenbaum CJ, Buckner JH -
Autoantibody Reversion: Changing Risk Categories in Multiple-Autoantibody-Positive Individuals.
Diabetes CareSo M, O'Rourke C, Bahnson HT, Greenbaum CJ, Speake C -
Beyond Stages: Predicting Individual Time Dependent Risk for Type 1 Diabetes.
J Clin Endocrinol MetabPribitzer S, O'Rourke C, Ylescupidez A, Smithmyer M, Bender C, Speake C, Lord S, Greenbaum CJ