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Publication : Recessive tolerance to preproinsulin 2 reduces but does not abolish type 1 diabetes.

First Author  Jaeckel E Year  2004
Journal  Nat Immunol Volume  5
Issue  10 Pages  1028-35
PubMed ID  15378058 Mgi Jnum  J:92693
Mgi Id  MGI:3054307 Doi  10.1038/ni1120
Citation  Jaeckel E, et al. (2004) Recessive tolerance to preproinsulin 2 reduces but does not abolish type 1 diabetes. Nat Immunol 5(10):1028-35
abstractText  Although autoimmune diseases can be initiated by immunization with a single antigen, it is not clear whether a single self antigen is essential for the initiation and, perhaps, the perpetuation of spontaneous autoimmunity. Some studies have suggested that insulin may represent an essential autoantigen in type 1 diabetes. Here we show that unlike tolerance to glutamic acid decarboxylase, tolerance to transgenically overexpressed preproinsulin 2 substantially reduced the onset and severity of type 1 diabetes in nonobese diabetic mice. However, some mice still developed type 1 diabetes, suggesting that insulin is a key, but not absolutely essential, autoantigen. The results are consistent with the idea that the human IDDM2 locus controls susceptibility to type 1 diabetes by regulating intrathymic preproinsulin expression.
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