INSULIN-DEPENDENT DIABETES-MELLITUS HYPOTHESIS OF AUTOIMMUNITY

被引:19
作者
ROSSINI, AA
HANDLER, ES
GREINER, DL
MORDES, JP
机构
[1] Department of Medicine, University of Massachusetts Medical School, Worcester, MA
[2] Department of Pathology, University of Connecticut Health Science Center, Farmington, CT
关键词
D O I
10.3109/08916939108997110
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Diabetes mellitus, a disorder of hyperglycemia recognized for centuries by its classical symptoms of polyuria and polydipsia, affects about 5% of the population in Western nations. Among many diabetic syndromes now recognized, insulin dependent diabetes mellitus (IDDM, Type I) and non-insulin dependent diabetes mellitus (NIDDM, Type II) are by far the most common1. IDDM accounts for ≊ 10% of all cases of diabetes and characteristically appears in children, whereas NIDDM is primarily a disorder of obese adults. A growing consensus supports the hypothesis that IDDM is a disorder of autoimmunity2-4. Evidence supporting this view falls into several broad categories. © 1991 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
引用
收藏
页码:221 / 235
页数:15
相关论文
共 169 条
[1]  
Classification and diagnosis of diabetes mellitus and other- categories of glucose intoler ance, Diabetes, 28, pp. 1039-1057, (1979)
[2]  
Bach J.F., Mechanisms of autoimmunity in insulin-dependent diabetes mellitus, Clin Exp Immunol, 72, pp. 1-8, (1988)
[3]  
Hitchcock C.L., Riley W.J., Maclaren N.K., Autoimmunity in insulin-dependent diabetes mellitus: its detection and prevention, Concepts Immunopathol, 5, pp. 144-167, (1988)
[4]  
Cohen I.R., Insulin-dependent diabetes mellitus, Curr Opinion Immunol, 1, pp. 727-732, (1989)
[5]  
Gepts W., Pathology and anatomy of the pancreas in juvenile diabetes mellitus, Diabetes, 14, pp. 619-633, (1965)
[6]  
Bottazzo G.F., Dean B.M., McNally J.M., MacKay E.H., Swift P.G.F., Gamble D.R., In Situ characterization of autoimmune phenomena and expression of HLA molecules in the pancreas in diabetic insulitis, N Engl J Med, 313, pp. 353-360, (1985)
[7]  
Sibley R.K., Sutherland D.E., Goetz F., Michael A.F., Recurrent diabetes mellitus in the pancreas iso- and allograft. A light and electron microscopic and immunohistochemical analysis of four cases, Lab Invest, 53, pp. 132-144, (1985)
[8]  
Pozzilli P., Zuccarini O., Iavicoli M., Andreani D., Sensi M., Spencer K.M., Et al., Monoclonal antibodies defined abnormalities of T-lymphocytes in type 1 (Insulin-dependent) diabetes, Diabetes, 32, pp. 91-94, (1983)
[9]  
Lederman M.M., Ellner J.J., Rodman H.M., Defective suppressor cell generation in juvenile onset diabetes, J lmmunol, 127, pp. 2051-2055, (1981)
[10]  
Quiniou-Debrie M.C., Debray-Sachs M., Dardenne M., Czernichow P., Assan R., Bach J.F., Anti-islet cellular and humoral immunity, T-cell subsets, and thymic function in Type 1 diabetes, Diabetes, 34, pp. 373-379, (1985)