AUTOIMMUNE VERSUS INFLAMMATORY TYPE-I DIABETES - A CONTROVERSY

被引:49
作者
KOLB, H
KOLBBACHOFEN, V
ROEP, BO
机构
[1] LEIDEN UNIV HOSP,DEPT IMMUNOHAEMATOL,2300 RC LEIDEN,NETHERLANDS
[2] LEIDEN UNIV HOSP,BLOOD BANK,2300 RC LEIDEN,NETHERLANDS
来源
IMMUNOLOGY TODAY | 1995年 / 16卷 / 04期
关键词
D O I
10.1016/0167-5699(95)80115-4
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Type I (insulin-dependents) diabetes mellitus (IDDM) has long been regarded as resulting from the destruction oi the insulin-producing beta cells in the pancreatic islets of Langerhans by autoreactive T cells. An unorthodox view has since evolved, in which the selective death of beta cells may be due to nonspecific inflammatory attack. This concept has gained considerable support, but may not be sufficient to explain the pathogenesis of IDDM. A recent meeting* examined the apparent controversy between inflammatory and antigen-specific immune mechanisms.
引用
收藏
页码:170 / 172
页数:3
相关论文
共 10 条
[1]   CONSEQUENCES OF IN-SITU PRODUCTION OF IL-2 FOR ISLET-CELL DEATH [J].
ALLISON, J ;
OXBROW, L ;
MILLER, JFAP .
INTERNATIONAL IMMUNOLOGY, 1994, 6 (04) :541-549
[2]  
APPELS B, 1989, J IMMUNOL, V142, P3803
[3]   EVIDENCE FOR SUPERANTIGEN INVOLVEMENT IN INSULIN-DEPENDENT DIABETES-MELLITUS ETIOLOGY [J].
CONRAD, B ;
WEIDMANN, E ;
TRUCCO, G ;
RUDERT, WA ;
BEHBOO, R ;
RICORDI, C ;
RODRIQUEZRILO, H ;
FINEGOLD, D ;
TRUCCO, M .
NATURE, 1994, 371 (6495) :351-355
[5]   MORPHOLOGICAL ANALYSIS OF SELECTIVE DESTRUCTION OF PANCREATIC BETA-CELLS BY CYTOTOXIC LYMPHOCYTES-T IN NOD MICE [J].
HAYAKAWA, M ;
YOKONO, K ;
NAGATA, M ;
HATAMORI, N ;
OGAWA, W ;
MIKI, A ;
MIZOGUTI, H ;
BABA, S .
DIABETES, 1991, 40 (09) :1210-1217
[6]   MACROPHAGE CYTOTOXICITY TOWARDS ISOLATED RAT ISLET CELLS - NEITHER LYSIS NOR ITS PROTECTION BY NICOTINAMIDE ARE BETA-CELL SPECIFIC [J].
KRONCKE, KD ;
FUNDA, J ;
BERSCHICK, B ;
KOLB, H ;
KOLBBACHOFEN, V .
DIABETOLOGIA, 1991, 34 (04) :232-238
[7]  
PIPELEERS D, 1986, P NATL ACAD SCI USA, V3, P5267
[8]   T-CELL REACTIVITY TO 38-KD INSULIN-SECRETORY-GRANULE PROTEIN IN PATIENTS WITH RECENT-ONSET TYPE-1 DIABETES [J].
ROEP, BO ;
KALLAN, AA ;
HAZENBOS, WLW ;
BRUINING, GJ ;
BAILYES, EM ;
ARDEN, SD ;
HUTTON, JC ;
DEVRIES, RRP .
LANCET, 1991, 337 (8755) :1439-1441
[9]   BETA-CELL ANTIGEN SPECIFIC LYSIS OF MACROPHAGES BY CD4 T-CELL CLONES FROM NEWLY DIAGNOSED IDDM PATIENT - A PUTATIVE MECHANISM OF T-CELL MEDIATED AUTOIMMUNE ISLET CELL DESTRUCTION [J].
ROEP, BO ;
KALLAN, AA ;
DEVRIES, RRP .
DIABETES, 1992, 41 (11) :1380-1384
[10]  
YONEDA R, 1994, DIABETES, V43, pA23