Abstract
Pancreatic islet cell, thyroid, and gastric antibodies were studied in 116 young insulin-dependent diabetics and 257 relatives. Seventy-four per cent of the diabetics studied within three months of diagnosis had islet-cell antibodies but only 20% of those studied three years or more after diagnosis. Persistence of these antibodies was associated with a high prevalence of thyrogastric autoimmunity, which suggests that some cases have an aetiology similar to that of "polyendocrine" autoimmune disease. Retinopathy or nephropathy, or both, was present in 10 diabetics, who were all members of "autoimmune" families, in which one or more members had organ-specific antibodies. Nine of the 10 healthy relatives with islet-cell antibodies and all families with more than one diabetic were also in this autoimmune group. These data suggest that an autoimmune factor may contribute to juvenile diabetes and that such autoimmune diabetes has a tendency to run in families and may be more likely to cause complications.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bastenie P. A., Vanhaelst L., Golstein J., Smets P. Asymptomatic autoimmune thyroiditis and coronary heart-disease. Cross-sectional and prospective studies. Lancet. 1977 Jul 23;2(8030):155–158. doi: 10.1016/s0140-6736(77)90177-5. [DOI] [PubMed] [Google Scholar]
- Bottazzo G. F., Doniach D. [Pancreatic autoimmunity and HLA antigens]. Lancet. 1976 Oct 9;2(7989):800–800. doi: 10.1016/s0140-6736(76)90631-0. [DOI] [PubMed] [Google Scholar]
- Bottazzo G. F., Florin-Christensen A., Doniach D. Islet-cell antibodies in diabetes mellitus with autoimmune polyendocrine deficiencies. Lancet. 1974 Nov 30;2(7892):1279–1283. doi: 10.1016/s0140-6736(74)90140-8. [DOI] [PubMed] [Google Scholar]
- Bottazzo G. F., Lendrum R. Separate autoantibodies to human pancreatic glucagon and somatostatin cells. Lancet. 1976 Oct 23;2(7991):873–876. doi: 10.1016/s0140-6736(76)90538-9. [DOI] [PubMed] [Google Scholar]
- Cudworth A. G., Woodrow J. C. Genetic susceptibility in diabetes mellitus: analysis of the HLA association. Br Med J. 1976 Oct 9;2(6040):846–848. doi: 10.1136/bmj.2.6040.846. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Del Prete G. F., Betterle C., Padovan D., Erle G., Toffolo A., Bersahi G. Incidence and significance of islet-cell autoantibodies in different types of diabetes mellitus. Diabetes. 1977 Oct;26(10):909–915. doi: 10.2337/diab.26.10.909. [DOI] [PubMed] [Google Scholar]
- Doniach D., Bottazzo G. F. Autoimmunity and the endocrine pancreas. Pathobiol Annu. 1977;7:327–346. [PubMed] [Google Scholar]
- Fialkow P. J., Zavala C., Nielsen R. Thyroid autoimmunity: increased frequency in relatives of insulin-dependent diabetes patients. Ann Intern Med. 1975 Aug;83(2):170–176. doi: 10.7326/0003-4819-83-2-170. [DOI] [PubMed] [Google Scholar]
- Fowler P. B. Premyxoedema--a cause of preventable coronary heart disease. Proc R Soc Med. 1977 May;70(5):297–299. [PMC free article] [PubMed] [Google Scholar]
- Irvine W. J., Clarke B. F., Scarth L., Cullen D. R., Duncan L. J. Thyroid and gastric autoimmunity in patients with diabetes mellitus. Lancet. 1970 Jul 25;2(7665):163–168. doi: 10.1016/s0140-6736(70)92531-6. [DOI] [PubMed] [Google Scholar]
- Irvine W. J. Classification of idiopathic diabetes. Lancet. 1977 Mar 19;1(8012):638–642. doi: 10.1016/s0140-6736(77)92071-2. [DOI] [PubMed] [Google Scholar]
- Irvine W. J., Gray R. S., McCallum C. J. Pancreatic islet-cell antibody as a marker for asymptomatic and latent diabetes and prediabetes. Lancet. 1976 Nov 20;2(7995):1097–1102. doi: 10.1016/s0140-6736(76)91084-9. [DOI] [PubMed] [Google Scholar]
- Irvine W. J., McCallum C. J., Gray R. S., Campbell C. J., Duncan L. J., Farquhar J. W., Vaughan H., Morris P. J. Pancreatic islet-cell antibodies in diabetes mellitus correlated with the duration and type of diabetes, coexistent autoimmune disease, and HLA type. Diabetes. 1977 Feb;26(2):138–147. doi: 10.2337/diab.26.2.138. [DOI] [PubMed] [Google Scholar]
- Lendrum R., Walker G., Cudworth A. G., Theophanides C., Pyke D. A., Bloom A., Gamble D. R. Islet-cell antibodies in diabetes mellitus. Lancet. 1976 Dec 11;2(7998):1273–1276. doi: 10.1016/s0140-6736(76)92033-x. [DOI] [PubMed] [Google Scholar]
- Lendrum R., Walker G., Gamble D. R. Islet-cell antibodies in juvenile diabetes mellitus of recent onset. Lancet. 1975 Apr 19;1(7912):880–882. doi: 10.1016/s0140-6736(75)91683-9. [DOI] [PubMed] [Google Scholar]
- MacCuish A. C., Irvine W. J., Barnes E. W., Duncan L. J. Antibodies to pancreatic islet cells in insulin-dependent diabetics with coexistent autoimmune disease. Lancet. 1974 Dec 28;2(7896):1529–1531. doi: 10.1016/s0140-6736(74)90281-5. [DOI] [PubMed] [Google Scholar]
- Nerup J., Platz P., Andersen O. O., Christy M., Lyngsoe J., Poulsen J. E., Ryder L. P., Nielsen L. S., Thomsen M., Svejgaard A. HL-A antigens and diabetes mellitus. Lancet. 1974 Oct 12;2(7885):864–866. doi: 10.1016/s0140-6736(74)91201-x. [DOI] [PubMed] [Google Scholar]
- Nissley S. P., Drash A. L., Blizzard R. M., Sperling M., Childs B. Comparison of juvenile diabetics with positive and negative organ specific antibody titers. Evidence for genetic heterogeneity. Diabetes. 1973 Jan;22(1):63–65. doi: 10.2337/diab.22.1.63. [DOI] [PubMed] [Google Scholar]
- Singal D. P., Blajchman M. A. Histocompatibility (HL-A) antigens, lymphocytotoxic antibodies and tissue antibodies in patients with diabetes mellitus. Diabetes. 1973 Jun;22(6):429–432. doi: 10.2337/diab.22.6.429. [DOI] [PubMed] [Google Scholar]
- Ungar B., Stocks A. E., Martin F. I., Whittingham S., Mackay I. R. Intrinsic-factor antibody, parietal-cell antibody, and latent pernicious anaemia in diabetes mellitus. Lancet. 1968 Aug 24;2(7565):415–417. doi: 10.1016/s0140-6736(68)90462-5. [DOI] [PubMed] [Google Scholar]