Life-table analysis of progression to diabetes of anti-insulin autoantibody-positive relatives of individuals with type I diabetes.

Abstract:

:Cytoplasmic islet cell antibody-negative (ICA-; less than 20 Juvenile Diabetes Foundation units, n = 1670) and ICA+ (n = 42) first-degree relatives of type I (insulin-dependent) diabetic individuals were studied for competitive insulin autoantibodies (CIAAs) with a radioassay. Overall, 3.7% of first-degree relatives (64 of 1712) were CIAA+. Of ICA- relatives, 2.7% (45 of 1670) exceeded the upper limit of our normal CIAA range (greater than 39 nU/ml), and 45% (19 of 42) of ICA+ relatives exceeded this normal range. Follow-up serums for repeat CIAA determination have been obtained from 16 of the nondiabetic CIAA+/ICA- individuals (time between samples, 0.4-5.8 yr). Fourteen of these 16 (87%) CIAA+/ICA- relatives were found to still be positive on follow-up, and 2 of the relatives who were positive on the first determination were negative on their follow-up test. With a mean follow-up of approximately 2 yr, 4 of 45 (9%) of the CIAA+/ICA- relatives, 5 of 23 (22%) of the ICA+/CIAA- relatives, and 12 of 19 (63%) of the CIAA+/ICA+ relatives developed diabetes. Life-table analysis indicated that, overall, 53% of CIAA+ relatives become diabetic after 5 yr of follow-up versus 65% of ICA+ relatives. Also by life-table analysis, the predicted risk after 5 yr of follow-up for progression to diabetes is 17% for CIAA+/ICA- relatives, 42% for ICA+/CIAA- relatives, and 77% for CIAA+/ICA+ relatives. The highest rate of progression to diabetes was found in ICA+ relatives with CIAA levels greater than 150 nU/ml (100% projected to be diabetic within 5 yr, P less than .008 vs. ICA+/CIAA- relatives).

journal_name

Diabetes

journal_title

Diabetes

authors

Ziegler AG,Ziegler R,Vardi P,Jackson RA,Soeldner JS,Eisenbarth GS

doi

10.2337/diab.38.10.1320

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

1320-5

issue

10

eissn

0012-1797

issn

1939-327X

journal_volume

38

pub_type

杂志文章

相关文献

DIABETES文献大全
  • Decreased catecholamine secretion from the adrenal medullae of chronically diabetic BB-Wistar rats.

    abstract::Many humans with IDDM eventually lose the capacity to secrete epinephrine from their adrenal medullae. The mechanism for this pathological change is unknown. We hypothesized that this abnormality is attributable to neuropathic changes in the greater splanchnic nerves or in the chromaffin cells that they innervate. To ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.42.6.862

    authors: Wilke RA,Riley DA,Lelkes PI,Hillard CJ

    更新日期:1993-06-01 00:00:00

  • Rac1 is a novel regulator of contraction-stimulated glucose uptake in skeletal muscle.

    abstract::In skeletal muscle, the actin cytoskeleton-regulating GTPase, Rac1, is necessary for insulin-dependent GLUT4 translocation. Muscle contraction increases glucose transport and represents an alternative signaling pathway to insulin. Whether Rac1 is activated by muscle contraction and regulates contraction-induced glucos...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db12-0491

    authors: Sylow L,Jensen TE,Kleinert M,Mouatt JR,Maarbjerg SJ,Jeppesen J,Prats C,Chiu TT,Boguslavsky S,Klip A,Schjerling P,Richter EA

    更新日期:2013-04-01 00:00:00

  • Studies on the regulation of insulin binding by liver plasma membranes from Zucker fatty rats.

    abstract::The hyperinsulinemia of obese rodents has been associated with a reduced number of hepatic insulin receptors except in hepatocytes from fatty Zucker rats. We isolated liver plasma membranes from 10-11-wk-old lean and fatty Zucker rats, some of which were injected with streptozotocin 2--4 wk earlier. We have determined...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.31.10.867

    authors: Clark JB,Keen S,Clark CM Jr

    更新日期:1982-10-01 00:00:00

  • Absolute requirement of macrophages for the development and activation of beta-cell cytotoxic CD8+ T-cells in T-cell receptor transgenic NOD mice.

    abstract::The development of autoimmune diabetes in NOD mice results from selective destruction of beta-cells by a T-cell-dependent autoimmune process. However, the mechanisms that control the generation of beta-cell cytotoxic T-cells in vivo are poorly understood. We recently established 8.3-T-cell receptor (TCR)-beta transgen...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.48.1.34

    authors: Jun HS,Santamaria P,Lim HW,Zhang ML,Yoon JW

    更新日期:1999-01-01 00:00:00

  • Genome-wide search for type 2 diabetes/impaired glucose homeostasis susceptibility genes in the Chinese: significant linkage to chromosome 6q21-q23 and chromosome 1q21-q24.

    abstract::This genome-wide search for susceptibility genes to type 2 diabetes/impaired glucose homeostasis (IGH) was performed on a relatively homogeneous Chinese sample with a total number of 257 pedigrees and 385 affected sibpairs. Two regions showed significant linkage to type 2 diabetes/IGH in the Chinese. The region showin...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.53.1.228

    authors: Xiang K,Wang Y,Zheng T,Jia W,Li J,Chen L,Shen K,Wu S,Lin X,Zhang G,Wang C,Wang S,Lu H,Fang Q,Shi Y,Zhang R,Xu J,Weng Q

    更新日期:2004-01-01 00:00:00

  • Anti-CD154 (CD40L) prevents recurrence of diabetes in islet isografts in the DR-BB rat.

    abstract::Islet transplantation for the treatment of autoimmune diabetes is more difficult because of the additional barrier presented by the autoimmunity. We tested the ability of hamster anti-rat CD154 to prevent recurrence of diabetes in renal subcapsular islet isografts in DR-BB (RT1uu) rats with established autoimmune diab...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.49.10.1666

    authors: Kover KL,Geng Z,Hess DM,Benjamin CD,Moore WV

    更新日期:2000-10-01 00:00:00

  • Gamma-aminobutyric acid (GABA) is an autocrine excitatory transmitter in human pancreatic beta-cells.

    abstract:OBJECTIVE:Paracrine signaling via gamma-aminobutyric acid (GABA) and GABA(A) receptors (GABA(A)Rs) has been documented in rodent islets. Here we have studied the importance of GABAergic signaling in human pancreatic islets. RESEARCH DESIGN AND METHODS:Expression of GABA(A)Rs in islet cells was investigated by quantita...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db09-0797

    authors: Braun M,Ramracheya R,Bengtsson M,Clark A,Walker JN,Johnson PR,Rorsman P

    更新日期:2010-07-01 00:00:00

  • Driving decrements in type I diabetes during moderate hypoglycemia.

    abstract::Diabetic hypoglycemia produces cognitive-motor slowing, which is assumed to increase risk of automobile crashes. This study investigated driving decrements during and after hypoglycemia, and the patients' awareness of driving decrements. We used a randomized, single-blind, crossover design and conducted the study at t...

    journal_title:Diabetes

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diab.42.2.239

    authors: Cox DJ,Gonder-Frederick L,Clarke W

    更新日期:1993-02-01 00:00:00

  • Suppression of gluconeogenesis after a 3-day fast does not deplete liver glycogen in patients with NIDDM.

    abstract::To determine the effect of inhibition of gluconeogenesis on liver glycogen stores in patients with non-insulin-dependent diabetes mellitus (NIDDM) after a 3-day fast, 10% ethanol (EtOH) was administered intravenously to nine obese patients with NIDDM and six obese nondiabetic subjects. Rates of glucose appearance (3-[...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.43.2.256

    authors: Clore JN,Blackard WG

    更新日期:1994-02-01 00:00:00

  • Alterations in immunoreactive proinsulin and insulin clearance induced by weight loss in NIDDM.

    abstract::Subjects with overt non-insulin-dependent diabetes mellitus (NIDDM) were studied in comparison to obese nondiabetic control subjects and patients with subclinical diabetes. Pancreatic insulin secretion rates were measured by deconvolution of peripheral C-peptide over a 24-h period while subjects consumed an isocaloric...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.43.7.871

    authors: Polonsky KS,Gumbiner B,Ostrega D,Griver K,Tager H,Henry RR

    更新日期:1994-07-01 00:00:00

  • NOD Idd5 locus controls insulitis and diabetes and overlaps the orthologous CTLA4/IDDM12 and NRAMP1 loci in humans.

    abstract::A genome scan for B10-derived loci that reduce the frequency of diabetes and insulitis in NOD mice demonstrated a large region (34 cM) of linkage on the proximal end of chromosome 1. This locus was designated Idd5 and encompassed candidate genes including Il1r1, Il1r2, Stat1, Stat4, Nramp1, and Bcl2. In the current st...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.49.10.1744

    authors: Hill NJ,Lyons PA,Armitage N,Todd JA,Wicker LS,Peterson LB

    更新日期:2000-10-01 00:00:00

  • A choline-deficient diet exacerbates fatty liver but attenuates insulin resistance and glucose intolerance in mice fed a high-fat diet.

    abstract::Liver fat accumulation is proposed to link obesity and insulin resistance. To dissect the role of liver fat in the insulin resistance of diet-induced obesity, we altered liver fat using a choline-deficient diet. C57Bl/6 mice were fed a low-fat (10% of calories) or high-fat (45% of calories) diet for 8 weeks; during th...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db06-0097

    authors: Raubenheimer PJ,Nyirenda MJ,Walker BR

    更新日期:2006-07-01 00:00:00

  • Contribution of partial pancreatectomy, systemic hormone delivery, and duct obliteration to glucose regulation in canine pancreas. Importance in pancreas transplantation.

    abstract::Our aim was to isolate and determine the contribution of partial pancreatectomy, systemic delivery of pancreatic hormones, and duct obliteration to glucose regulation after segmental pancreas transplantation in dogs. Fasting, postprandial, and intravenous glucose-stimulated glucose, insulin, glucagon, pancreatic polyp...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:

    authors: van der Burg MP,Gooszen HG,Guicherit OR,Jansen JB,Frölich M,van Haastert FA,Lamers CB

    更新日期:1989-09-01 00:00:00

  • Stimulatory effect of glucose on macrophage lipoprotein lipase expression and production.

    abstract::Cardiovascular diseases are the leading cause of morbidity and mortality in diabetes. Lipoprotein lipase (LPL), a major secretory product of macrophages, has been suggested to play a key role in the development of atherosclerosis. In the present study, we evaluated the effect of high glucose on macrophage LPL mRNA exp...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.47.3.431

    authors: Sartippour MR,Lambert A,Laframboise M,St-Jacques P,Renier G

    更新日期:1998-03-01 00:00:00

  • Caveolin-1 and altered neuregulin signaling contribute to the pathophysiological progression of diabetic peripheral neuropathy.

    abstract:OBJECTIVE:Evaluate if Erb B2 activation and the loss of caveolin-1 (Cav1) contribute to the pathophysiological progression of diabetic peripheral neuropathy (DPN). RESEARCH DESIGN AND METHODS:Cav1 knockout and wild-type C57BL/6 mice were rendered diabetic with streptozotocin, and changes in motor nerve conduction velo...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db09-0594

    authors: McGuire JF,Rouen S,Siegfreid E,Wright DE,Dobrowsky RT

    更新日期:2009-11-01 00:00:00

  • Noninvasive Monitoring of Glycemia-Induced Regulation of GLP-1R Expression in Murine and Human Islets of Langerhans.

    abstract::Glucagon-like peptide 1 receptor (GLP-1R) imaging with radiolabeled exendin has proven to be a powerful tool to quantify β-cell mass (BCM) in vivo. As GLP-1R expression is thought to be influenced by glycemic control, we examined the effect of blood glucose (BG) levels on GLP-1R-mediated exendin uptake in both murine ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db20-0616

    authors: Buitinga M,Cohrs CM,Eter WA,Claessens-Joosten L,Frielink C,Bos D,Sandker G,Brom M,Speier S,Gotthardt M

    更新日期:2020-11-01 00:00:00

  • Insulin stimulates mitochondrial fusion and function in cardiomyocytes via the Akt-mTOR-NFκB-Opa-1 signaling pathway.

    abstract::Insulin regulates heart metabolism through the regulation of insulin-stimulated glucose uptake. Studies have indicated that insulin can also regulate mitochondrial function. Relevant to this idea, mitochondrial function is impaired in diabetic individuals. Furthermore, the expression of Opa-1 and mitofusins, proteins ...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db13-0340

    authors: Parra V,Verdejo HE,Iglewski M,Del Campo A,Troncoso R,Jones D,Zhu Y,Kuzmicic J,Pennanen C,Lopez-Crisosto C,Jaña F,Ferreira J,Noguera E,Chiong M,Bernlohr DA,Klip A,Hill JA,Rothermel BA,Abel ED,Zorzano A,Lavandero S

    更新日期:2014-01-01 00:00:00

  • Targeted overexpression of Cu/Zn superoxide dismutase protects pancreatic beta-cells against oxidative stress.

    abstract::Current evidence suggests that reactive oxygen species (ROS) may participate in the destruction of pancreatic beta-cells leading to type 1 diabetes. Genetic factors pre-disposing individual susceptibility to type 1 diabetes might therefore include those affecting the efficacy of ROS metabolism. In a direct in vivo tes...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.46.10.1563

    authors: Kubisch HM,Wang J,Bray TM,Phillips JP

    更新日期:1997-10-01 00:00:00

  • Distinguishing the type I and type II isozymes of hexokinase: the need for a reexamination of past practice.

    abstract::The type I and type II isozymes of hexokinase coexist in insulin-sensitive tissues, such as cardiac and skeletal muscle and adipose tissue. Based on an early report that the purified type I isozyme was stable at 45 degrees C whereas the purified type II isozyme was not, investigators in a number of studies have used h...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.47.10.1544

    authors: Wilson JE

    更新日期:1998-10-01 00:00:00

  • The ATP-binding cassette transporter A1 R230C variant affects HDL cholesterol levels and BMI in the Mexican population: association with obesity and obesity-related comorbidities.

    abstract::Although ATP-binding cassette transporter A1 (ABCA1) is well known for its role in cholesterol efflux and HDL formation, it is expressed in various tissues, where it may have different functions. Because hypoalphalipoproteinemia is highly prevalent in Mexico, we screened the ABCA1 coding sequence in Mexican individual...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db06-0905

    authors: Villarreal-Molina MT,Aguilar-Salinas CA,Rodríguez-Cruz M,Riaño D,Villalobos-Comparan M,Coral-Vazquez R,Menjivar M,Yescas-Gomez P,Königsoerg-Fainstein M,Romero-Hidalgo S,Tusie-Luna MT,Canizales-Quinteros S,Metabolic Study Group.

    更新日期:2007-07-01 00:00:00

  • Munc13-1 deficiency reduces insulin secretion and causes abnormal glucose tolerance.

    abstract::Munc13-1 is a diacylglycerol (DAG) receptor that is essential for synaptic vesicle priming. We recently showed that Munc13-1 is expressed in rodent and human islet beta-cells and that its levels are reduced in islets of type 2 diabetic humans and rat models, suggesting that Munc13-1 deficiency contributes to the abnor...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db05-1263

    authors: Kwan EP,Xie L,Sheu L,Nolan CJ,Prentki M,Betz A,Brose N,Gaisano HY

    更新日期:2006-05-01 00:00:00

  • Recovery from overt type 1 diabetes ensues when immune tolerance and β-cell formation are coupled with regeneration of endothelial cells in the pancreatic islets.

    abstract::Immune modulation of pancreatic inflammation induces recovery from type 1 diabetes (T1D), but remission was not durable, perhaps because of an inability to sustain the formation and function of new pancreatic β-cells. We have previously shown that Ig-GAD2, carrying GAD 206-220 peptide, induced in hyperglycemic mice im...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db12-1281

    authors: Wan X,Guloglu FB,Vanmorlan AM,Rowland LM,Zaghouani S,Cascio JA,Dhakal M,Hoeman CM,Zaghouani H

    更新日期:2013-08-01 00:00:00

  • Glucose-mediated glucose disposal in insulin-resistant normoglycemic relatives of type 2 diabetic patients.

    abstract::With the aim of investigating glucose-mediated glucose disposal (glucose effectiveness [GE]) in 15 (3 female and 12 male subjects) insulin-resistant normoglycemic relatives of patients with type 2 diabetes (DM2), and 15 age-, sex-, and BMI-matched control subjects without a family history of DM2, we performed 2 studie...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diabetes.49.7.1209

    authors: Henriksen JE,Levin K,Thye-Rønn P,Alford F,Hother-Nielsen O,Holst JJ,Beck-Nielsen H

    更新日期:2000-07-01 00:00:00

  • Induction of hyperinsulinemia combined with hyperglycemia and hypertriglyceridemia increases plasminogen activator inhibitor 1 in blood in normal human subjects.

    abstract::Hypofibrinolysis caused by increased plasminogen activator inhibitor 1 (PAI-1) has been implicated in the vasculopathy of type 2 diabetes, typified by increased insulin, glucose, and triglycerides. However, short-term infusions of insulin have not increased PAI-1 in normal subjects. We hypothesized that induction of i...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.47.2.290

    authors: Calles-Escandon J,Mirza SA,Sobel BE,Schneider DJ

    更新日期:1998-02-01 00:00:00

  • Common variation in the LMNA gene (encoding lamin A/C) and type 2 diabetes: association analyses in 9,518 subjects.

    abstract::Mutations in the LMNA gene (encoding lamin A/C) underlie familial partial lipodystrophy, a syndrome of monogenic insulin resistance and diabetes. LMNA maps to the well-replicated diabetes-linkage region on chromosome 1q, and there are reported associations between LMNA single nucleotide polymorphisms (SNPs) (particula...

    journal_title:Diabetes

    pub_type: 杂志文章,meta分析

    doi:10.2337/db06-0930

    authors: Owen KR,Groves CJ,Hanson RL,Knowler WC,Shuldiner AR,Elbein SC,Mitchell BD,Froguel P,Ng MC,Chan JC,Jia W,Deloukas P,Hitman GA,Walker M,Frayling TM,Hattersley AT,Zeggini E,McCarthy MI

    更新日期:2007-03-01 00:00:00

  • T-Cell Epitopes and Neo-epitopes in Type 1 Diabetes: A Comprehensive Update and Reappraisal.

    abstract::The autoimmune disease type 1 diabetes is characterized by effector T-cell responses to pancreatic β-cell-derived peptides presented by HLA class I and class II molecules, leading ultimately to β-cell demise and insulin insufficiency. Although a given HLA molecule presents a vast array of peptides, only those recogniz...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/dbi19-0022

    authors: James EA,Mallone R,Kent SC,DiLorenzo TP

    更新日期:2020-07-01 00:00:00

  • A High-Fat Diet Attenuates AMPK α1 in Adipocytes to Induce Exosome Shedding and Nonalcoholic Fatty Liver Development In Vivo.

    abstract::Exosomes are important for intercellular communication, but the role of exosomes in the communication between adipose tissue (AT) and the liver remains unknown. The aim of this study is to determine the contribution of AT-derived exosomes in nonalcoholic fatty liver disease (NAFLD). Exosome components, liver fat conte...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db20-0146

    authors: Yan C,Tian X,Li J,Liu D,Ye D,Xie Z,Han Y,Zou MH

    更新日期:2021-02-01 00:00:00

  • Production of inhibitor of insulin-receptor tyrosine kinase in fibroblasts from patient with insulin resistance and NIDDM.

    abstract::Although non-insulin-dependent diabetes mellitus (NIDDM) is associated with defects in insulin action, the molecular basis of this resistance is unknown. We studied fibroblasts from a markedly insulin-resistant patient with NIDDM but without acanthosis nigricans. Her fibroblasts were resistant to insulin when alpha-am...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/diab.40.2.295

    authors: Sbraccia P,Goodman PA,Maddux BA,Wong KY,Chen YD,Reaven GM,Goldfine ID

    更新日期:1991-02-01 00:00:00

  • TBC1D4 Is Necessary for Enhancing Muscle Insulin Sensitivity in Response to AICAR and Contraction.

    abstract::Muscle insulin sensitivity for stimulating glucose uptake is enhanced in the period after a single bout of exercise. We recently demonstrated that AMPK is necessary for AICAR, contraction, and exercise to enhance muscle and whole-body insulin sensitivity in mice. Correlative observations from both human and rodent ske...

    journal_title:Diabetes

    pub_type: 杂志文章

    doi:10.2337/db18-0769

    authors: Kjøbsted R,Chadt A,Jørgensen NO,Kido K,Larsen JK,de Wendt C,Al-Hasani H,Wojtaszewski JFP

    更新日期:2019-09-01 00:00:00

  • Central nervous insulin administration does not potentiate the acute glucoregulatory impact of concurrent mild hyperinsulinemia.

    abstract::Experiments in rodents suggest that hypothalamic insulin signaling essentially contributes to the acute control of peripheral glucose homeostasis. Against this background, we investigated in healthy humans whether intranasal (IN) insulin, which is known to effectively reach the brain compartment, impacts systemic gluc...

    journal_title:Diabetes

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/db14-0931

    authors: Ott V,Lehnert H,Staub J,Wönne K,Born J,Hallschmid M

    更新日期:2015-03-01 00:00:00