Immunology and genetics of type 1 diabetes

被引:41
作者
Morran, Michael P. [1 ]
Omenn, Gilbert S. [2 ,3 ]
Pietropaolo, Massimo [1 ]
机构
[1] Univ Michigan, Sch Med, Dept Internal Med, Lab Immunogenet,Brehm Ctr Type Diabet Res & Anal, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Dept Internal Med, Ctr Computat Med & Biol, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Dept Human Genet, Ann Arbor, MI 48109 USA
来源
MOUNT SINAI JOURNAL OF MEDICINE | 2008年 / 75卷 / 04期
基金
美国国家卫生研究院;
关键词
adaptive immunity; autoimmunity; genetics in type 1 diabetes; innate immunity; type; 1; diabetes;
D O I
10.1002/msj.20052
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Type 1 diabetes is one of the most well-characterized autoimmune diseases. Type 1 diabetes compromises an individual's insulin production through the autoimmune destruction of pancreatic,B-cells. Although much is understood about the mechanisms of this disease, multiple potential contributing factors are thought to play distinct harts in triggering type 1 diabetes. The immunological diagnosis of type 1 diabetes relies primarily on the detection of autoantibodies against islet antigens in the serum of type 1 diabetes mellitus patients. Genetic analyses of type 1 diabetes have linkecl human leukocyte antigen; specifically class II alleles, to susceptibility to disease onset. Environmental catalysts include various possible factors, such as viral infections. although the evidence linking infections with type 1 diabetes remains inconclusive. Imbalances within the immune system's system of checks and balances many promote immune activation, while unndermining immune regulation. A lack of proper regulation and overactive pathogenic responses provide a framework for the development of autoimmune abnormalities. Type 1 diabetes is a predictable and potentially. treatable disease that still requires much research to fully understand and pinpoint the exact triggering events leading to autoimmune activation. In silico research can aid the comprehension of the etiology of complex disease pathways, including Type 1 diabetes, in order to and help predict the outcome of therapeutic strategies aimed at preserving beta-cell function.
引用
收藏
页码:314 / 327
页数:14
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