Signore A, Procaccini E, Chianelli M, Pozzilli P
Clinica Medica II, Policlinico Umberto I, Roma, Italy.
Diabete Metab. 1995 Jun;21(3):147-55.
This review examines the association between retroviruses and diabetes in the mouse model, the role of retroviruses in the pathogenesis of Type 1 diabetes and the mechanisms by which retroviruses can induce an autoimmune reaction. Three putative mechanisms are considered: the expression of retroviral protein(s) on the beta-cell surface as the first step in immune response against beta cells; the homology of a retroviral product with a self antigen inducing a cross-reacting autoimmune response (molecular mimicry); and a retroviral product showing homology with interleukin-2 and inducing T-cell activation against beta-cell antigens and loss of tolerance. These findings are discussed for their possible implications in the pathogenesis of human Type 1 diabetes.
本综述探讨了逆转录病毒与小鼠模型中糖尿病之间的关联、逆转录病毒在1型糖尿病发病机制中的作用以及逆转录病毒诱导自身免疫反应的机制。文中考虑了三种可能的机制:逆转录病毒蛋白在β细胞表面的表达作为针对β细胞免疫反应的第一步;逆转录病毒产物与自身抗原的同源性诱导交叉反应性自身免疫反应(分子模拟);以及与白细胞介素-2具有同源性并诱导针对β细胞抗原的T细胞活化和耐受性丧失的逆转录病毒产物。本文将对这些发现对人类1型糖尿病发病机制可能产生的影响进行讨论。