PMID- 17130552 OWN - NLM STAT- MEDLINE DCOM- 20070110 LR - 20171116 IS - 0077-8923 (Print) IS - 0077-8923 (Linking) VI - 1079 DP - 2006 Oct TI - T cell immunity to glutamic acid decarboxylase in fulminant type 1 diabetes without significant elevation of serum amylase. PG - 181-5 AB - We encountered three patients with fulminant type 1 diabetes whose serum amylase levels were not elevated and evaluated their immunological characteristics. Although all three patients had no antibodies to islet antigens including glutamic acid decarboxylase (GAD), GAD-reactive T lymphocytes were detected in two patients. Combined with the findings that human leukocyte antigen (HLA) class II haplotype associated with fulminant type 1 diabetes is the same as that of autoimmune type 1 diabetes, an immune process similar to autoimmune type 1 diabetes may be involved in at least a part of fulminant type 1 diabetes. FAU - Aoki, Kanemi AU - Aoki K AD - Department of Internal Medicine, Division of Endocrinology and Metabolism, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba, Yokohama, Kanagawa, Japan 227-8501. FAU - Taniyama, Matsuo AU - Taniyama M FAU - Nagayama, Chieko AU - Nagayama C FAU - Oikawa, Yoichi AU - Oikawa Y FAU - Shimada, Akira AU - Shimada A LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Ann N Y Acad Sci JT - Annals of the New York Academy of Sciences JID - 7506858 RN - 0 (Antibodies, Monoclonal) RN - 0 (CD28 Antigens) RN - 0 (HLA-DR4 Antigen) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Recombinant Proteins) RN - 20350-15-6 (Brefeldin A) RN - 82115-62-6 (Interferon-gamma) RN - EC 3.2.1.- (Amylases) RN - EC 4.1.1.15 (Glutamate Decarboxylase) SB - IM MH - Adult MH - Amylases/blood MH - Antibodies, Monoclonal/pharmacology MH - Brefeldin A/pharmacology MH - CD28 Antigens/metabolism MH - CD4-Positive T-Lymphocytes/enzymology/metabolism MH - Cell Count MH - Diabetes Mellitus, Type 1/blood/*enzymology/*immunology/pathology MH - Female MH - Flow Cytometry MH - Glutamate Decarboxylase/genetics/*immunology MH - HLA-DR4 Antigen/genetics MH - Haplotypes MH - Histocompatibility Antigens Class I/analysis/immunology MH - Histocompatibility Antigens Class II/analysis/immunology MH - Humans MH - Interferon-gamma/biosynthesis MH - Leukocytes, Mononuclear/drug effects/metabolism MH - Male MH - Middle Aged MH - Recombinant Proteins/immunology MH - T-Lymphocytes/*enzymology/*immunology MH - Time Factors EDAT- 2006/11/30 09:00 MHDA- 2007/01/11 09:00 CRDT- 2006/11/30 09:00 PHST- 2006/11/30 09:00 [pubmed] PHST- 2007/01/11 09:00 [medline] PHST- 2006/11/30 09:00 [entrez] AID - 1079/1/181 [pii] AID - 10.1196/annals.1375.028 [doi] PST - ppublish SO - Ann N Y Acad Sci. 2006 Oct;1079:181-5. doi: 10.1196/annals.1375.028.