Buczkowska Ewa Otto, Chobot Przemysława Jarosz
Górnoślaskie Centrum Zdrowia Dziecka i Matki. Poradnia Diabetologiczna, Katowice.
Przegl Lek. 2003;60(9):580-4.
Type 1 diabetes is the consequence of an autoimmune destruction of the pancreatic beta cells. During its progression such autoantibodies as ICA, anti-GAD, anti-IA2 and IAA are found. The disease develops in genetically predisposed individuals, the genetic predisposition is associated with HLA genes. The presence of autoantibody markers at diagnosis could help predict the rapid decrease in residual beta-cell function noted in patients with recent-on-set type 1 diabetes. Autoantibodies are useful to detect developing type 1 diabetes in relatives of diabetic patients. Accurate prediction of future diabetes in healthy relatives remains an important goal for type 1 diabetes prevention.
1型糖尿病是胰腺β细胞自身免疫性破坏的结果。在其进展过程中,可发现如胰岛细胞抗体(ICA)、抗谷氨酸脱羧酶抗体(anti-GAD)、抗胰岛抗原2抗体(anti-IA2)和胰岛素自身抗体(IAA)等自身抗体。该疾病在具有遗传易感性的个体中发生,遗传易感性与人类白细胞抗原(HLA)基因相关。诊断时自身抗体标志物的存在有助于预测近期发病的1型糖尿病患者残余β细胞功能的快速下降。自身抗体对于检测糖尿病患者亲属中正在发展的1型糖尿病很有用。准确预测健康亲属未来患糖尿病的情况仍然是1型糖尿病预防的一个重要目标。