Gorsuch A N, Dean B M, Bottazzo G F, Lister J, Cudworth A G
Br Med J. 1980 Jan 19;280(6208):145-7. doi: 10.1136/bmj.280.6208.145.
The prevalences of autoimmune endocrine disease and relevant organ-specific autoantibodies were determined in 141 patients with type I (insulin-dependent) diabetes and their families. All available members of the families were genotyped for HLA. Islet-cell antibody was found in 10 (4%) out of 248 unaffected siblings, all of whom were genetically potential cases of diabetes. One developed classical symptoms six months later. In contrast, thyroid and gastric parietal-cell antibodies occurred independent of the HLA-linked susceptibility to diabetes. These results suggest that different genes control the production of these autoantibodies and the susceptibility to type I diabetes.
对141例I型(胰岛素依赖型)糖尿病患者及其家族成员进行了自身免疫性内分泌疾病及相关器官特异性自身抗体的患病率测定。对家族中所有可获得的成员进行了HLA基因分型。在248名未患病的兄弟姐妹中,有10名(4%)检测到胰岛细胞抗体,他们均为糖尿病的潜在遗传病例。其中1人在6个月后出现了典型症状。相比之下,甲状腺和胃壁细胞抗体的出现与HLA相关的糖尿病易感性无关。这些结果表明,不同的基因控制着这些自身抗体的产生以及I型糖尿病的易感性。