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[谷氨酸脱羧酶(GAD)抗体及其临床意义]

[The glutamic acid decarboxylase (GAD) antibodies and their clinical significance].

作者信息

Ogata K, Ohta K, Kubo H, Yamaguchi A, Watanabe H

机构信息

Drug Discovery and Research Laboratories, Hoechst Japan Limited, Kawagoe.

出版信息

Rinsho Byori. 1995 May;43(5):468-71.

PMID:7783365
Abstract

Since it was reported that the 64kD antigen that had been found to be the target of autoantibodies in the sera from IDDM patients was the same as GAD, GAD antibodies have been one of the focuses of many investigations. In this study, we developed a sensitive radioimmunoassay (RIA) system for GAD antibodies in human sera using native GAD purified from the pig brain. To confirm the relevance of pig GAD as the target antigen, we compared the sequences and antigenic activities among pig, rat and recombinant human GAD65. Based on the data from our and other laboratories, the homology of amino acid sequences between pig and human GAD65 was 96.4%. The coefficient of correlation between the results of human and pig GAD RIA was 0.948. The GAD antibody study group confirmed the clinical usefulness of GAD antibodies not only for the diagnosis of IDDM but also slowly progressive IDDM.

摘要

自从有报道称在胰岛素依赖型糖尿病(IDDM)患者血清中发现的作为自身抗体靶标的64kD抗原与谷氨酸脱羧酶(GAD)相同以来,GAD抗体一直是众多研究的重点之一。在本研究中,我们使用从猪脑中纯化的天然GAD开发了一种用于检测人血清中GAD抗体的灵敏放射免疫分析(RIA)系统。为了确认猪GAD作为靶抗原的相关性,我们比较了猪、大鼠和重组人GAD65之间的序列和抗原活性。根据我们实验室和其他实验室的数据,猪和人GAD65之间的氨基酸序列同源性为96.4%。人源和猪源GAD RIA结果之间的相关系数为0.948。GAD抗体研究组证实了GAD抗体不仅对IDDM的诊断有用,而且对缓慢进展型IDDM也有用。

相似文献

1
[The glutamic acid decarboxylase (GAD) antibodies and their clinical significance].[谷氨酸脱羧酶(GAD)抗体及其临床意义]
Rinsho Byori. 1995 May;43(5):468-71.
2
Detection of glutamic acid decarboxylase (GAD) autoantibodies by indirect immunofluorescence using CHO cells expressing recombinant human GAD65.使用表达重组人GAD65的CHO细胞通过间接免疫荧光法检测谷氨酸脱羧酶(GAD)自身抗体。
J Autoimmun. 1996 Oct;9(5):689-97. doi: 10.1006/jaut.1996.0090.
3
Prevalence of autoantibodies to the 65- and 67-kD isoforms of glutamate decarboxylase in insulin-dependent diabetes mellitus.胰岛素依赖型糖尿病患者中谷氨酸脱羧酶65-kD和67-kD同工型自身抗体的患病率。
J Clin Invest. 1993 Sep;92(3):1394-9. doi: 10.1172/JCI116714.
4
[GAD antibody in IDDM].[胰岛素依赖型糖尿病中的谷氨酸脱羧酶抗体]
Rinsho Byori. 1998 Apr;46(4):331-7.
5
Comparison of a new anti-glutamic acid decarboxylase (GAD) enzyme-linked immunosorbent assay (ELISA) with radioimmunoassay methods: a multicenter study.一种新型抗谷氨酸脱羧酶(GAD)酶联免疫吸附测定(ELISA)与放射免疫测定方法的比较:一项多中心研究。
Horm Metab Res. 1997 Aug;29(8):403-6. doi: 10.1055/s-2007-979064.
6
High prevalence of GAD65 (and IA-2) antibodies in Japanese IDDM patients by a new immunoprecipitation assay based on recombinant human GAD65.基于重组人GAD65的新型免疫沉淀法检测日本胰岛素依赖型糖尿病患者中GAD65(和IA-2)抗体的高流行率。
Diabet Med. 1997 Sep;14(9):778-84. doi: 10.1002/(SICI)1096-9136(199709)14:9<778::AID-DIA461>3.0.CO;2-7.
7
[Diagnostic usefulness of glutamic acid decarboxylase antibodies in stiff-man syndrome].[谷氨酸脱羧酶抗体在僵人综合征中的诊断价值]
Med Clin (Barc). 1998 Mar 21;110(10):378-81.
8
High prevalence of antibodies to glutamic acid decarboxylase in comparison to islet cell antibodies in patients with long-standing insulin-dependent diabetes mellitus.与长期胰岛素依赖型糖尿病患者的胰岛细胞抗体相比,谷氨酸脱羧酶抗体的高患病率。
Res Commun Mol Pathol Pharmacol. 1996 Apr;92(1):43-52.
9
Lack of autoimmune serological reactions in rodent models of insulin dependent diabetes mellitus.胰岛素依赖型糖尿病啮齿动物模型中自身免疫血清学反应的缺失
J Autoimmun. 1996 Dec;9(6):705-11. doi: 10.1006/jaut.1996.0092.
10
Demonstration of GAD-65 as the main immunogenic isoform of glutamate decarboxylase in type 1 diabetes and determination of autoantibodies using a radioligand produced by eukaryotic expression.1型糖尿病中谷氨酸脱羧酶主要免疫原性同工型GAD-65的证实及利用真核表达产生的放射性配体测定自身抗体。
J Clin Invest. 1993 May;91(5):2084-90. doi: 10.1172/JCI116431.

引用本文的文献

1
Identification of naturally processed T cell epitopes from glutamic acid decarboxylase presented in the context of HLA-DR alleles by T lymphocytes of recent onset IDDM patients.近期发病的胰岛素依赖型糖尿病患者的T淋巴细胞对在HLA-DR等位基因背景下呈递的谷氨酸脱羧酶天然加工的T细胞表位的鉴定。
J Clin Invest. 1997 May 15;99(10):2405-15. doi: 10.1172/JCI119423.