PMID- 38298135 OWN - NLM STAT- Publisher LR - 20240201 IS - 1945-7197 (Electronic) IS - 0021-972X (Linking) DP - 2024 Jan 31 TI - Fulminant type 1 diabetes caused by DIHS could be affected by the reactivation of HHV-6. LID - dgae058 [pii] LID - 10.1210/clinem/dgae058 [doi] AB - CONTEXT: In the previous issue of this journal, we reported that the incidence of fulminant type 1 diabetes (FT1D) due to the drug-induced hypersensitivity syndrome (DIHS) in Japan is higher than that in the general population and is associated with HLAB62. On the other hand, the reactivation of human herpesvirus 6 (HHV-6), which has been reported to be associated with DIHS, was observed at a higher frequency, but its association with the development of FT1D was unclear. OBJECTIVE: We aimed to clarify the relationship between the onset of FT1D and the reactivation of HHV-6. METHODS: We conducted a literature search for cases of DIHS-induced FT1D in addition to previously reported cases, and investigated the changes in the HHV-6 antibody titer before and after the onset of FT1D. RESULTS: The HHV-6 antibody titer was increased just before or after the onset of FT1D in all 8 cases. In one case, HHV-6 DNA was also identified shortly before the onset of FT1D. CONCLUSION: These results indicate for the first time that the reactivation of HHV-6 is associated with the onset of FT1D caused by DIHS. . CI - (c) The Author(s) 2024. Published by Oxford University Press on behalf of the Endocrine Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Makino, Hideichi AU - Makino H AD - Department of Diabetes and Molecular Genetics, Ehime University Graduate School of Medicine, Ehime, Japan. FAU - Tohyama, Mikiko AU - Tohyama M AD - Department of Dermatology, National Hospital Organization Shikoku Cancer Center, Ehime, Japan. FAU - Kawamura, Ryoichi AU - Kawamura R AD - Department of Diabetes and Molecular Genetics, Ehime University Graduate School of Medicine, Ehime, Japan. FAU - Takata, Yasunori AU - Takata Y AD - Department of Diabetes and Molecular Genetics, Ehime University Graduate School of Medicine, Ehime, Japan. FAU - Osawa, Haruhiko AU - Osawa H AUID- ORCID: 0000-0003-0289-8363 AD - Department of Diabetes and Molecular Genetics, Ehime University Graduate School of Medicine, Ehime, Japan. FAU - Onuma, Hiroshi AU - Onuma H AUID- ORCID: 0000-0002-6595-7677 AD - Department of Diabetes and Molecular Genetics, Ehime University Graduate School of Medicine, Ehime, Japan. LA - eng PT - Journal Article DEP - 20240131 PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 SB - IM OTO - NOTNLM OT - cytomegalovirus (CMV) OT - drug-induced hypersensitivity syndrome (DIHS) OT - fulminant type 1 diabetes (FT1D) OT - human herpes virus 6 (HHV-6) OT - immune reconstitution inflammatory syndrome (IRIS) EDAT- 2024/02/01 06:42 MHDA- 2024/02/01 06:42 CRDT- 2024/02/01 03:59 PHST- 2023/10/15 00:00 [received] PHST- 2023/12/29 00:00 [revised] PHST- 2024/01/26 00:00 [accepted] PHST- 2024/02/01 06:42 [medline] PHST- 2024/02/01 06:42 [pubmed] PHST- 2024/02/01 03:59 [entrez] AID - 7595532 [pii] AID - 10.1210/clinem/dgae058 [doi] PST - aheadofprint SO - J Clin Endocrinol Metab. 2024 Jan 31:dgae058. doi: 10.1210/clinem/dgae058.