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1996 Fiscal Year Final Research Report Summary

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)
Project Period (FY) 1994 – 1996
KeywordsInsulin autoantibody / HLA / HLA-DRB1^<**>0406 / Scatchard analysis / Polyclonal autoantibody / monoclonal autoantibody / T cell receptor / 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.

  • Research Products

    (13 results)

All Other

All Publications (13 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
  • [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
  • [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
  • [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
  • [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
  • [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
  • [Publications] Uchigata Y.: "Diabetes 1994" Excerpta Mcdica, 1105-1112 (1995)

    • Description
      「研究成果報告書概要(和文)」より
  • [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
  • [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
  • [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
  • [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
  • [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
  • [Publications] Diabetes 1994. Excerpta Medica, 1105-1112 (1995)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 1999-03-09  

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