Siddiqui Khalid, Nawaz Shaik Sarfaraz
Strategic Center for Diabetes Research, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Immunotargets Ther. 2023 Sep 29;12:91-103. doi: 10.2147/ITT.S417917. eCollection 2023.
Type 1 diabetes (T1D) is an autoimmune disease that destroys pancreatic beta cells, which produce insulin in the islets of Langerhans. The risk of developing T1D is influenced by environmental factors, genetics, and autoantibodies. Latent autoimmune diabetes in adults (LADA) is a type of T1D that is genetically and phenotypically distinct from classic T1D. This review summarizes the accumulated information on the risk factors for T1D and LADA, and immunotherapy trials that offer insights into potential future combined therapeutic interventions for both T1D and LADA to slow the rate of islet cell loss and preserve beta cell function. Future research should also focus on improving intervention doses, conducting more thorough examinations of intervention responders, and/or combining minimally effective single-target immunotherapies to slow the rate of islet cell loss and preserve beta cell function.
1型糖尿病(T1D)是一种自身免疫性疾病,它会破坏胰腺β细胞,而胰腺β细胞在胰岛中产生胰岛素。患T1D的风险受环境因素、遗传因素和自身抗体影响。成人隐匿性自身免疫性糖尿病(LADA)是一种T1D,在遗传和表型上与经典T1D不同。本综述总结了关于T1D和LADA危险因素的累积信息,以及免疫治疗试验,这些试验为未来针对T1D和LADA的潜在联合治疗干预提供了见解,以减缓胰岛细胞损失速度并保留β细胞功能。未来的研究还应专注于提高干预剂量、对干预反应者进行更全面的检查,和/或联合使用最低有效剂量的单靶点免疫疗法,以减缓胰岛细胞损失速度并保留β细胞功能。