Savi M, Neri T M, Zavaroni I, Coscelli C
Minerva Med. 1978 Oct 17;69(49):3359-65.
A significant association has been established between insulin-dependent diabetes and HL-A. This was appraised in a selected series of 16 patients and 64 of their first-degree relatives by HL-A typing. The relatives also underwent a glucose tolerance test. The results showed a high incidence of B8 in the patients (31%, VS 15% in controls: p less than 0.01). A previously observed prevalence of Bw 15, however, was not noted. In addition, an increased incidence of Bw 35 was detected (38%, VS 23% in the controls: p less than 0.02). In the case of the relatives, no significant differences in HL-A frequency were apparent, nor could a relationship between HL-A phenotype and altered glucose tolerance be established. The true aetiopathogenetic significance of this association is discussed in the light of recent views concerning HL-A and diseases.
胰岛素依赖型糖尿病与人类白细胞抗原(HL-A)之间已确立了显著关联。通过HL-A分型对一组选定的16例患者及其64名一级亲属进行了评估。这些亲属也接受了葡萄糖耐量试验。结果显示,患者中B8的发生率很高(31%,而对照组为15%:p<0.01)。然而,之前观察到的Bw15的流行率并未出现。此外,还检测到Bw35的发生率有所增加(38%,而对照组为23%:p<0.02)。就亲属而言,HL-A频率没有明显差异,也无法确立HL-A表型与葡萄糖耐量改变之间的关系。根据最近有关HL-A与疾病的观点,讨论了这种关联真正的病因学意义。