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青少年糖尿病中的胰岛细胞抗体(作者译)

[Islet-cell antibodies in juvenile diabetes mellitus (author's transl)].

作者信息

Ludwig H, Schernthaner G, Mayr W R

出版信息

Dtsch Med Wochenschr. 1977 Aug 26;102(34):1221-4. doi: 10.1055/s-0028-1105483.

Abstract

Islet-cell antibodies were detected in 11 of the 67 patients with juvenile diabetes mellitus. These antibodies reacted with all endocrine-islet cells, although higher serum dilutions and different staining intensity of the various islet cells were noted. Antibody formation to islet antigens was found to be closely associated with HLA B8 (P = 0.03). However, there was no relationship between islet-cell antibody production and insulin antibody formation. The demonstration of pancreatic islet-cell antibodies, particularly in HLA B8-positive juvenile diabetics, constitutes further circumstantial evidence of a genetically determined auto-immune pathogenesis in some patients with juvenile diabetes mellitus.

摘要

在67例青少年糖尿病患者中,有11例检测到胰岛细胞抗体。这些抗体与所有内分泌胰岛细胞发生反应,不过不同胰岛细胞的血清稀释度较高且染色强度有所不同。发现针对胰岛抗原的抗体形成与HLA B8密切相关(P = 0.03)。然而,胰岛细胞抗体产生与胰岛素抗体形成之间并无关联。胰岛细胞抗体的证实,尤其是在HLA B8阳性的青少年糖尿病患者中,进一步间接证明了某些青少年糖尿病患者存在基因决定的自身免疫发病机制。

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