
Cytotoxic T cells that are both CD4+ and CD8+ (CD4 & CD8 are glycoproteins on the surface of T cells.) are known as double positive (DP) T cells. These cells undergo two selections: positive selection and negative selection. These make sure that any defective lymphocytes are destroyed in order to ensure that no autoimmunity occurs. The cells that survive the selection mature to become mature cytotoxic T lymphocytes.
The glitch here, I believe, is that there may be a mistake (possibly genetic) that occurs during negative selection of DP T lymphocytes. These cells, though they should be destroyed by apoptosis, survive the selection but are still at the risk of causing autoimmunity. Therefore, they are loose in the body, including the pancreas. They may mistake a self antigen on a beta cell to a be a harmful foreign antigen. This may be the reason that they are destroying pancreatic beta cells
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