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Are Thyrogastric Autoantibodies Associated with an Increased Susceptibility to Developing Type 1 (Insulin-Dependent) Diabetes? A Study in Identical Twins

 

作者: JohnstonC.,   MillwardB. A.,   LeslieR. D. G.,   PykeD. A.,   BottazzoG. F.,  

 

期刊: Autoimmunity  (Taylor Available online 1990)
卷期: Volume 6, issue 3  

页码: 195-201

 

ISSN:0891-6934

 

年代: 1990

 

DOI:10.3109/08916939009041039

 

出版商: Taylor&Francis

 

关键词: Identical twins;thyroid antibodies;gastric-parietal cell antibodies;type I diabetes

 

数据来源: Taylor

 

摘要:

To examine whether the presence of thyrogastric autoantibodies is associated with an increased susceptibility towards developing type 1 diabetes we have tested for thyroid (microsomal and thyroglobulin) and gastric-parietal cell antibodies in 86 pairs of identical twins, 47 discordant and 39 concordant for type 1 diabetes. Autoantibodies were detected in both twins of a pair in 35 and in neither twin in 45 pairs. In only 6 pairs (3 discordant) was there a discrepancy in the antibody results between co-twins. The frequency of antibodies was similar in twin pairs discordant, (21/44,48%), and concordant, (14/36, 39%), for diabetes. Thyrogastric antibodies were not more frequent in pairs that were female, diagnosed above the age of 20, or had HLA DR3 as opposed to DR4. We conclude that thyrogastric autoantibodies are common in both type 1 diabetic patients and their non-diabetic identical twins. Their presence appears to be genetically determined but does not increase the susceptibility of developing diabetes. The presence of autoantibodies does not appear to indicate a separate aetiological type of diabetes.

 

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