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Autoimmunity in insulin-dependent diabetes mellitus

Nerup, Jørn LU and Lernmark, Ake LU orcid (1981) In The American journal of medicine 70(1). p.135-141
Abstract

Genetic susceptibility, environmental factors and immune mechanisms are implicated in the pathogenesis and etiology of insulindependent diabetes mellitus. The onset of the disease is associated with a major loss of beta cells, and inflammatory cells may be seen in and around the islets of Langerhans. Insulin-dependent diabetes is often associated with autoimmune endocrinopathies. Antipancreatic cell-mediated autoimmunity is found predominantly in young patients with insulin-dependent diabetes of recent onset as are antibodies reactive with cytoplasmic components or cell surface determinants of islet cells. Antibodies reactive with live islet cells may mediate complement-dependent cytotoxicity. The antigen(s) in the islet cells remain(s)... (More)

Genetic susceptibility, environmental factors and immune mechanisms are implicated in the pathogenesis and etiology of insulindependent diabetes mellitus. The onset of the disease is associated with a major loss of beta cells, and inflammatory cells may be seen in and around the islets of Langerhans. Insulin-dependent diabetes is often associated with autoimmune endocrinopathies. Antipancreatic cell-mediated autoimmunity is found predominantly in young patients with insulin-dependent diabetes of recent onset as are antibodies reactive with cytoplasmic components or cell surface determinants of islet cells. Antibodies reactive with live islet cells may mediate complement-dependent cytotoxicity. The antigen(s) in the islet cells remain(s) to be identified and characterized. Further studies will be necessary to determine whether autoimmunity is the cause of beta-cell destruction or whether it is a consequence of damages caused by exogenous agents in susceptible persons.

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author
and
publishing date
type
Contribution to journal
publication status
published
in
The American journal of medicine
volume
70
issue
1
pages
135 - 141
publisher
Elsevier
external identifiers
  • scopus:0019400456
  • pmid:7006386
ISSN
0002-9343
DOI
10.1016/0002-9343(81)90420-4
language
English
LU publication?
no
id
f86b9dec-6b26-4c7d-94c8-b567e7d399bd
date added to LUP
2019-09-16 15:36:32
date last changed
2024-03-13 08:12:18
@article{f86b9dec-6b26-4c7d-94c8-b567e7d399bd,
  abstract     = {{<p>Genetic susceptibility, environmental factors and immune mechanisms are implicated in the pathogenesis and etiology of insulindependent diabetes mellitus. The onset of the disease is associated with a major loss of beta cells, and inflammatory cells may be seen in and around the islets of Langerhans. Insulin-dependent diabetes is often associated with autoimmune endocrinopathies. Antipancreatic cell-mediated autoimmunity is found predominantly in young patients with insulin-dependent diabetes of recent onset as are antibodies reactive with cytoplasmic components or cell surface determinants of islet cells. Antibodies reactive with live islet cells may mediate complement-dependent cytotoxicity. The antigen(s) in the islet cells remain(s) to be identified and characterized. Further studies will be necessary to determine whether autoimmunity is the cause of beta-cell destruction or whether it is a consequence of damages caused by exogenous agents in susceptible persons.</p>}},
  author       = {{Nerup, Jørn and Lernmark, Ake}},
  issn         = {{0002-9343}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{1}},
  pages        = {{135--141}},
  publisher    = {{Elsevier}},
  series       = {{The American journal of medicine}},
  title        = {{Autoimmunity in insulin-dependent diabetes mellitus}},
  url          = {{http://dx.doi.org/10.1016/0002-9343(81)90420-4}},
  doi          = {{10.1016/0002-9343(81)90420-4}},
  volume       = {{70}},
  year         = {{1981}},
}