Immunological Aspects of Fulminant Type 1 Diabetes in Chinese

Background. Fulminant type 1 diabetes (FT1D) is a novel subtype of type 1 diabetes characterized by extremely rapid onset and complete deficiency of insulin due to the destruction of pancreatic β cells. However, the precise mechanisms underlying the etiology of this disease remain unclear. Methods....

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Main Authors: Zhen Wang, Ying Zheng, Yiting Tu, Zhijie Dai, Jian Lin, Zhiguang Zhou
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2016/1858202
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author Zhen Wang
Ying Zheng
Yiting Tu
Zhijie Dai
Jian Lin
Zhiguang Zhou
author_facet Zhen Wang
Ying Zheng
Yiting Tu
Zhijie Dai
Jian Lin
Zhiguang Zhou
author_sort Zhen Wang
collection DOAJ
description Background. Fulminant type 1 diabetes (FT1D) is a novel subtype of type 1 diabetes characterized by extremely rapid onset and complete deficiency of insulin due to the destruction of pancreatic β cells. However, the precise mechanisms underlying the etiology of this disease remain unclear. Methods. A total of 22 patients with FT1D and 10 healthy subjects were recruited. Serum antibodies to GAD, IA2, and ZnT8 in patients were tested. And peripheral T cell responses to GAD65, insulin B9–23 peptide, or C peptide were determined in 10 FT1D patients and 10 healthy controls. The mRNA levels of several related cytokines and molecules, such as IFN-γ, IL-4, RORC, and IL-17 in PBMCs from FT1D patients were analyzed by qRT-PCR. Result. We found that a certain proportion of Chinese FT1D patients actually have developed islet-related autoantibodies after onset of the disease. The GAD, insulin, or C peptide-reactive T cells were found in some FT1D patients. We also detected a significant increase for IFN-γ expression in FT1D PBMCs as compared with that of healthy controls. Conclusion. Autoimmune responses might be involved in the pathogenesis of Chinese FT1D.
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series Journal of Immunology Research
spelling doaj-art-b6f0fc7d46fd49a7a197c365d3c353882025-02-03T01:08:54ZengWileyJournal of Immunology Research2314-88612314-71562016-01-01201610.1155/2016/18582021858202Immunological Aspects of Fulminant Type 1 Diabetes in ChineseZhen Wang0Ying Zheng1Yiting Tu2Zhijie Dai3Jian Lin4Zhiguang Zhou5Diabetes Center, 2nd Xiangya Hospital and Institute of Metabolism and Endocrinology, Key Laboratory of Diabetes Immunology, Ministry of Education, Central South University, 139 Renmin Middle Road, Changsha, Hunan 410011, ChinaThe Center for Medical Research, 2nd Xiangya Hospital, Central South University, 139 Renmin Middle Road, Changsha, Hunan 410011, ChinaDiabetes Center, 2nd Xiangya Hospital and Institute of Metabolism and Endocrinology, Key Laboratory of Diabetes Immunology, Ministry of Education, Central South University, 139 Renmin Middle Road, Changsha, Hunan 410011, ChinaDiabetes Center, 2nd Xiangya Hospital and Institute of Metabolism and Endocrinology, Key Laboratory of Diabetes Immunology, Ministry of Education, Central South University, 139 Renmin Middle Road, Changsha, Hunan 410011, ChinaDiabetes Center, 2nd Xiangya Hospital and Institute of Metabolism and Endocrinology, Key Laboratory of Diabetes Immunology, Ministry of Education, Central South University, 139 Renmin Middle Road, Changsha, Hunan 410011, ChinaDiabetes Center, 2nd Xiangya Hospital and Institute of Metabolism and Endocrinology, Key Laboratory of Diabetes Immunology, Ministry of Education, Central South University, 139 Renmin Middle Road, Changsha, Hunan 410011, ChinaBackground. Fulminant type 1 diabetes (FT1D) is a novel subtype of type 1 diabetes characterized by extremely rapid onset and complete deficiency of insulin due to the destruction of pancreatic β cells. However, the precise mechanisms underlying the etiology of this disease remain unclear. Methods. A total of 22 patients with FT1D and 10 healthy subjects were recruited. Serum antibodies to GAD, IA2, and ZnT8 in patients were tested. And peripheral T cell responses to GAD65, insulin B9–23 peptide, or C peptide were determined in 10 FT1D patients and 10 healthy controls. The mRNA levels of several related cytokines and molecules, such as IFN-γ, IL-4, RORC, and IL-17 in PBMCs from FT1D patients were analyzed by qRT-PCR. Result. We found that a certain proportion of Chinese FT1D patients actually have developed islet-related autoantibodies after onset of the disease. The GAD, insulin, or C peptide-reactive T cells were found in some FT1D patients. We also detected a significant increase for IFN-γ expression in FT1D PBMCs as compared with that of healthy controls. Conclusion. Autoimmune responses might be involved in the pathogenesis of Chinese FT1D.http://dx.doi.org/10.1155/2016/1858202
spellingShingle Zhen Wang
Ying Zheng
Yiting Tu
Zhijie Dai
Jian Lin
Zhiguang Zhou
Immunological Aspects of Fulminant Type 1 Diabetes in Chinese
Journal of Immunology Research
title Immunological Aspects of Fulminant Type 1 Diabetes in Chinese
title_full Immunological Aspects of Fulminant Type 1 Diabetes in Chinese
title_fullStr Immunological Aspects of Fulminant Type 1 Diabetes in Chinese
title_full_unstemmed Immunological Aspects of Fulminant Type 1 Diabetes in Chinese
title_short Immunological Aspects of Fulminant Type 1 Diabetes in Chinese
title_sort immunological aspects of fulminant type 1 diabetes in chinese
url http://dx.doi.org/10.1155/2016/1858202
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AT jianlin immunologicalaspectsoffulminanttype1diabetesinchinese
AT zhiguangzhou immunologicalaspectsoffulminanttype1diabetesinchinese