Protsenko A M, Budykina T S, Morozov S G, Anikina O M, Burumkulova F F, Petrukhin V A
Patol Fiziol Eksp Ter. 2010 Oct-Dec(4):17-22.
The course of the diabetes type I at pregnants (n=120) with different levels of idiotypic (ABI) and antiidiotypic (AB2) antibodies to insulin was investigated. It is known that AB2 to insulin can interact with insulin receptor. It was shown that changes of levels AB1 and AB2 to insulin are often observed at pregnants suffered from diabetes type I. Isolated high levels of AB1 to insulin is relatively good prognostic sign of the course of the diabetes type I at pregnants. On the contrary, isolated high levels of AB2 to insulin lead to decompensation of the diabetes type I and deep glycohemia. High levels of AB1 and AB2 to insulin together lead to unstable course of the diabetes type I. The same situation is observed in case of abnormal low levels AB1 and AB2 to insulin, taking into consideration that serum of health people contains the certain level of autoantibodies (AB1 and AB2) to insulin. The conclusion about significance of detection AB1 and AB2 to insulin during pregnancy of patients with diabetes type I was made.
对120名患有I型糖尿病的孕妇进行了研究,这些孕妇体内针对胰岛素的独特型(ABI)和抗独特型(AB2)抗体水平各不相同。已知胰岛素的AB2可与胰岛素受体相互作用。研究表明,I型糖尿病孕妇体内常观察到胰岛素AB1和AB2水平的变化。胰岛素AB1的孤立高水平是I型糖尿病孕妇病情相对较好的预后指标。相反,胰岛素AB2的孤立高水平会导致I型糖尿病失代偿和严重糖化血红蛋白升高。胰岛素AB1和AB2的高水平共同导致I型糖尿病病情不稳定。考虑到健康人的血清中含有一定水平的胰岛素自身抗体(AB1和AB2),胰岛素AB1和AB2水平异常低时也会出现同样情况。得出了在I型糖尿病患者孕期检测胰岛素AB1和AB2的意义的结论。