Autoantibodies to insulin have similar affinity to that of antibodies to exogenous insulin but lower binding capacity.

作者: P. VÄHÄSALO

DOI: 10.1111/J.1365-2362.1992.TB01445.X

关键词: Metabolic control analysisCellAntibodyIsletInternal medicineDiabetes mellitusAutoantibodyC-peptideInsulinEndocrinologyBiology

摘要: The binding characteristics of insulin autoantibodies (IAA) were compared with those antibodies to exogenous (IBA) by analyzing the specific binding, capacity and affinity for in 11 children (age range 1.5-13.0 years) insulin-dependent diabetes (IDDM) both at diagnosis after 1 year treatment. Maximal was 7.8 (1.5; SE) pmol l-1 IAA 28.1 (6.7) IBA (P < 0.01), high class 0.01 (0.003) nmol l-1, as 0.19 (0.08) corresponding 0.01). With regard low-affinity components 0.11 (0.05) 1.50 (0.95) No differences constants could be observed between IBA. There no correlation quantitative levels islet cell (ICA) clinical presentation or subsequent values. correlated negatively serum C-peptide concentrations positively HbA1 year. present observations suggest that developing before IDDM are characterized a reduced insulin, whereas they have similar insulin. seem quantitatively unrelated ICA postdiagnostic levels. High appear associated endogenous secretion poor metabolic control during early course disease.

参考文章(23)
R C Baxter, D K Yue, J R Turtle, Equilibrium binding studies of insulin antibodies in diabetic subjects. Clinical Chemistry. ,vol. 22, pp. 1089- 1094 ,(1976) , 10.1093/CLINCHEM/22.7.1089
George Scatchard, The Attractions of Proteins for Small Molecules and Ions Annals of the New York Academy of Sciences. ,vol. 51, pp. 660- 672 ,(1949) , 10.1111/J.1749-6632.1949.TB27297.X
J. Karjalainen, M. Knip, H. Hy�ty, P. Leinikki, J. Ilonen, M. -L. K��r, H. K. �kerblom, Relationship between serum insulin autoantibodies, islet cell antibodies and coxsackie-B4 and mumps virus-specific antibodies at the clinical manifestation of type 1 (insulin-dependent) diabetes Diabetologia. ,vol. 31, pp. 146- 152 ,(1988) , 10.1007/BF00276847
Terence Wilkin, Mary Armitage, Cecily Casey, D.A. Pyke, P.J. Hoskins, Michel Rodier, Jose-Luis Diaz, R.D.G. Leslie, Value of insulin autoantibodies as serum markers for insulin-dependent diabetes mellitus. The Lancet. ,vol. 325, pp. 480- 482 ,(1985) , 10.1016/S0140-6736(85)92086-0
L. G. Heding, Radioimmunological determination of human C-peptide in serum Diabetologia. ,vol. 11, pp. 541- 548 ,(1975) , 10.1007/BF01222104
B. M. Dean, F. Becker, J. M. McNally, A. C. Tarn, G. Schwartz, E. A. M. Gale, G. F. Bottazzo, Insulin autoantibodies in the pre-diabetic period: correlation with islet cell antibodies and development of diabetes. Diabetologia. ,vol. 29, pp. 339- 342 ,(1986) , 10.1007/BF00452073
Jerry P Palmer, Christopher M Asplin, Peter Clemons, Kenneth Lyen, Olga Tatpati, Prima K Raghu, Thomas L Paquette, None, Insulin antibodies in insulin-dependent diabetics before insulin treatment Science. ,vol. 222, pp. 1337- 1339 ,(1983) , 10.1126/SCIENCE.6362005