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Molecular biological analysis for patheogenesis of Insulin Autoimmune Syndrome

Research Project

Project/Area Number 06454251
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field 内科学一般
Research InstitutionTOKYO WOMEN'S MEDICAL COLLEGE

Principal Investigator

UCHIGATA Yasuko  Tokyo Women's, Medical College, Faculty of MEDICINE,Assistant professor, 医学部, 助教授 (50193884)

Co-Investigator(Kenkyū-buntansha) OMORI Yasue  Tokyo Women's, Medical College, Faculty of MEDICINE,Professor, 医学部, 教授 (00075227)
MUTOH Kazuko  Tokyo Women's, Medical College, Faculty of MEDICINE,Assistant, 医学部, 助手 (50277109)
桑田 昇治  東京大学, 医学部, 助手 (00241993)
Project Period (FY) 1994 – 1996
Project Status Completed (Fiscal Year 1996)
Budget Amount *help
¥6,700,000 (Direct Cost: ¥6,700,000)
Fiscal Year 1996: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 1995: ¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 1994: ¥3,500,000 (Direct Cost: ¥3,500,000)
KeywordsInsulin autoantibody / HLA / HLA-DRB1^<**>0406 / Scatchard analysis / Polyclonal autoantibody / monoclonal autoantibody / T cell receptor / Mixed Lymphocyte Reaction / Scatchrd解析 / Mixed lymphocyte reaction
Research Abstract

There have been 212 reported cases of insulin autoimmune syndrome (IAS) during the past 20 years in Japan, compared with only about 20 cases in Caucasians since Hirata et al, first described the disease in 1970. The following headings were what we found from the serial studies of IAS in the couples of years.
1) Insulin autoantibodies in the insulin autoimmune syndrome were divided into polyclonal and monoclonal ; the incidence of polyclonal responders was relatively high among East Asians, whereas the monoclonal responders were more prevalent in Caucasians.
2) Glutamate at position 74 in the HLA-DRB1-chain was presumed to be essential to the production of polyclonal insulin autoantibodies in IAS,whereas alanine at the same position of the HLA-DRB1-chain might be important in the production of monoclonal insulin autoantibodies.
3) From the findings described above, T cell reccptor Vbeta usage was investigated in order to know whether the usage was uniform or not and whether the T cell had a restricted CDR3 region on not. So for, the insulin-reacted T cell receptor had a dominant Vbeta8 usage.

Report

(4 results)
  • 1996 Annual Research Report   Final Research Report Summary
  • 1995 Annual Research Report
  • 1994 Annual Research Report
  • Research Products

    (33 results)

All Other

All Publications (33 results)

  • [Publications] Uchigata Y.: "Insulin autoimmune syndrome (Hirata Disease) : clinical features and epidemiology in Japan" Diabetes Research and Clinical Practice. 24. 89-94 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "Longitudinal changes of serum insulin concentration and insulin antibody fatures in persistant insulin autommne svndrome" Autoimmunity. 19. 279-284 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 内潟安子: "DRB1^*0403/DQA1^*0301/DQB1^*0301を持ったインスリン自己免疫症候群の1例" 糖尿病. 37. 845-849 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "A novel concept of type VII hypersensitivity induced by insulin autoimmune syndrome (Hirata's disease)" Autoimmunity. 44. 207-208 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "Differential immunologenic determinants of polyclonal insulin autoimmune syndrome (Hirata's Disease) and monoclonal insulin autoimmune syndrome" Diabetes. 44. 1227-1232 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "Rerurrent hypoglycemia caused by the insulin autoimmune syndrome ; the first dutch case" Netherlands Med. 48. 188-192 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "Diabetes 1994" Excerpta Mcdica, 1105-1112 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "Insulin autoimmune syndrome (Hirata Disease) : clinical features and epidemiology in Japan" Diabetes Research and Clinical Practice. 24. 89-94 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "Longitudinal changes of serum insulin concentrations and insulin antibody fatures in persistant insulin autoimmne syndrome" Autoimmunity. 19. 279-284 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "A novel concept of type VII hypersensitivity induced by insulin autoimmune syndrome (Hirata's disease)" Autoimmunity. 44. 207-208 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "A novel concept of type VII hypersensitivity induced by insulin autoimmune syndrome (Hirata's disease)" Diabetes. 44. 1227-1232 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y.: "Rerurrent hypoglycemia caused by the insulin autoimmune syndrome ; the first dutch case" Netherlands J Med. 48. 188-192 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Diabetes 1994. Excerpta Medica, 1105-1112 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Uchigata Y et al.: "Large-scale study of Au A-to-G transition ato position 3243 of the mitochondrial gene and IDDM in Japanese" Diabetologia. 39. 245-246 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Uchigata Y et al.: "Age-dependent association of HLA-A24 in Japanese IDDM patients" Diabetologia. 39. 371-372 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Uchigata Y et al.: "Recurrent hypoglycemia caused by insulin autoimmune syndrome:the first dutch case" Metherlands J Med. 48. 188-192 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 内潟安子: "インスリン自己免疫症候群(抗GAD抗体)" 内分泌・糖尿病科. 3. 232-238 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 内潟安子: "抗インスリン抗体" 診断と治療. 84. 1887-1890 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 内潟安子: "抗グルタミン酸脱炭素酵素抗体" 感染、炎症、免疫. 26. 60-64 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 内潟安子: "内科学" 医学書院(in press), (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 内潟安子: "活性酸素と医食同源" 共立出版, 85-89 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Uchigata Y et al.: "Differential immunogenetic determinants of polyclonal insulin autoimmunesyndrome(Hirata's disease) and mnoclonal insulin autoimmune syndrome" Diabetes. 44. 1227-1232 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Uchigata Y et al.: "A novel concept of type VII hypersensitivity introduced by insulin autoimmune syndrome (Hirata's disease)" Autoimmunity. 20. 207-208 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 内潟 安子: "インスリン自己免疫症候群(平田病)とHLA" 日常治療と血液. 5. 1287-1293 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 平田 幸正,内潟 安子: "インスリン自己免疫症候群の免役機序" 臨床免役. 27. 755-759 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 山田 ひとみ,内潟 安子ら: "グルタミン免役脱炭酸酵素(GAD)抗体とヒトインスリン自己抗体(IAA)のIDDM発症年齢別陽性率" ホルモンと臨床. 43. 53-56 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Uchigata Y, et al.: "Diabetes 1994(Excerpta Medica)" HGlu inHLA-DR4B1 chain isanessential aminoacid residue for polydonal insulin autoantibody production in insulin autoimmune syndrome., 1105-1112 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Uchigata Y.et al: "Differential immunoqenetic determinants of polyclonal IAS(Hirata'Disease)and monoclonal IAS" Diabetes. (in press).

    • Related Report
      1994 Annual Research Report
  • [Publications] Eguchi Y,Uchigata Y,et al: "Longitudial changes of serum insulin concentretion and insulin antibody features in persistant insulin autoimmine syndroue(Hirata'Disease)" Autoimmunity. (in press).

    • Related Report
      1994 Annual Research Report
  • [Publications] 赤井 裕輝 ら: "腎細胞癌に対するインターフェロンの療法中に発症したインスリン自己免疫症候群の1例" Diabetes Journal. 22. 17-20 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 北室 文昭 ら: "DRB1^*0403/DQA1^*0301/DQB1^*0302を持ったインスリン自己免疫症候群の1例" 糖尿病. 37. 845-849 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Hirata Y,Uchigata Y: "Insulin autoimmune syndroue in Japan" Diabetes Res Clin Prac. 24(Suppl). 153-157 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Uchigata Y.et al: "Insulin autsimue syndroue(Hirata Disease): Clinical features and epidemilogy in Japan" Diabetes Res Clin Prac. 22. 89-94 (1994)

    • Related Report
      1994 Annual Research Report

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Published: 1994-04-01   Modified: 2016-04-21  

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