An immunological and genetic study of patients with gestational diabetes mellitus View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1996-06

AUTHORS

A. Lapolla, C. Betterle, M. Sanzari, R. Zanchetta, E. Pfeifer, A. Businaro, U. Fagiolo, M. Plebani, S. Marini, E. Photiou, D. Fedele

ABSTRACT

The aim of the study was to evaluate the frequency of islet cell (ICA) and insulin (IAA) antibodies and of HLA antigen typing in a group of subjects diagnosed with gestational diabetes mellitus (GDM) in a screening-diagnostic program during pregnancy. ICA, complement-fixing (CF) ICA and other autoantibodies, absolute number and percentage of lymphocyte subpopulations, and HLA antigens were evaluated in 68 women with GDM and compared with those of matched controls. ICA were found in 2 (2.9%) and IAA in 1 (1.5%). Both ICA-positive women had CF-ICA; one of them was receiving insulin therapy. while the other was on a special diet. No correlations were found between ICA and IAA, nor between IAA and insulin treatment. As far as lymphocyte subsets were concerned, we found a significant increase in the absolute number of total and activated (CD3+HLA-DR+) T lymphocytes and a significant increase in the absolute number and percentage of suppressor/cytotoxic T lymphocytes (CD8) and NK lymphocytes (CD57) in GDM patients compared with normal pregnant controls. Concerning frequency for HLA A, B, C, DR antigens in the GDM population, only Cw7 was found to be significantly increased and A10 significantly decreased in comparison with controls. Our study suggests that GDM is a heterogeneous disorder in which few patients present with the immunologic and genetic markers of type 1 diabetes. More... »

PAGES

139-144

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf00569424

DOI

http://dx.doi.org/10.1007/bf00569424

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1000050816

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/8870816


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