Our group is interested in advancing clinical research – especially in type 1 diabetes, but also in the context of other immune-mediated diseases.
We focus on development and utilization of rigorous analytical methods to identify immune features associated with clinical outcomes, including progression of disease and response to therapy. We also seek to implement cutting-edge clinical trial designs, including use of short-term interventions with mechanistic outcomes and novel considerations of trial outcome measures.
With Drs. Lord and Smithmyer, Dr. Speake oversees BRI’s biorepositories. Her group collaborates with other academic researchers worldwide and facilitates collaborations with biotech and pharma companies. She also oversees BRI’s Clinical Core Laboratory, which is responsible for sample processing and storage for the hundreds of thousands of samples currently stored in the BRI biorepository.
  
		
		Cate Speake, PhD
            Lab Members
      
        
      
                      Christine Bender, PhD
                      Linda Dement
                      Bradford Dimos, PhD
                      Rachel Hartley, PMP
                      Jerry Luu
                      Pamela Miranda
                      Thien-Son Nguyen, BS
                      Sarah Robinson
                      Jessica Sarratt
                      Sheila Scheiding
                      Megan Smithmyer, PhD
                      Cameron Willman
            Research Projects
      
      
									Rigor and Reproducibility in T1D Biomarker Research
									The Sound Life Project
									Understanding Progression of T1D
            Featured Publications
      
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    Jun 2025
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 -     
      
    Nov 2023
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 -     
      
    Mar 2023
SARS-CoV-2 mRNA vaccines decouple anti-viral immunity from humoral autoimmunity.
Nat CommunJaycox JR, Lucas C, Yildirim I, Dai Y, Wang EY, Monteiro V, Lord S, Carlin J, Kita M, Buckner JH, Ma S, Campbell M, Ko A, Omer S, Lucas CL, Speake C, Iwasaki A, Ring AM -     
      
    Oct 2022
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 -     
      
    Apr 2020
Autoantibody Reversion: Changing Risk Categories in Multiple-Autoantibody-Positive Individuals.
Diabetes CareSo M, O'Rourke C, Bahnson HT, Greenbaum CJ, Speake C