Profound Reduction in T-helper (Th) 1 lymphocytes in Peripheral Blood from Patients with Concurrent Type 1 Diabetes and Graves' Disease
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- ASO Yoshimasa
- Department of Internal Medicine, Koshigaya Hospital, Dokkyo Medical University
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- MATSUURA Hiromi
- Mitsubishi Kagaku Bio-Clinical Laboratories, Inc.
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- MOMOBAYASHI Atsushi
- Mitsubishi Kagaku Bio-Clinical Laboratories, Inc.
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- INUKAI Yoshihisa
- Department of Internal Medicine, Koshigaya Hospital, Dokkyo Medical University
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- SUGAWARA Naoto
- Mitsubishi Kagaku Bio-Clinical Laboratories, Inc.
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- NAKANO Tomoki
- Department of Internal Medicine, Koshigaya Hospital, Dokkyo Medical University
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- YAMAMOTO Ruriko
- Department of Internal Medicine, Koshigaya Hospital, Dokkyo Medical University
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- WAKABAYASHI Sadao
- Department of Internal Medicine, Koshigaya Hospital, Dokkyo Medical University
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- TAKEBAYASHI Kohzo
- Department of Internal Medicine, Koshigaya Hospital, Dokkyo Medical University
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- INUKAI Toshihiko
- Department of Internal Medicine, Koshigaya Hospital, Dokkyo Medical University
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Abstract
Type 1 diabetes likely is mediated by T-helper (Th) 1 lymphocytes, while Graves' disease may involve Th2 predominance. We investigated the balance between Th1 and Th2 cells and between Th1- and Th2-associated chemokine receptor expression on peripheral lymphocytes in subjects including patients with coexisting type 1 diabetes and Graves' disease. Peripheral blood mononuclear cells of all subjects were examined by flow cytometry for intracellular cytokines (IFN-γ for Th1; IL-4 for Th2) and expression of the chemokine receptors CXCR3 (Th1-associated) and CCR4 (Th2-associated). Plasma concentrations of interferon-inducible protein (IP)-10, a CXCR3 ligand, and thymus and activation-regulated chemokine (TARC), a CCR4 ligand, were measured by enzyme-linked immunosorbent assays. IFN-γ producing-T lymphocytes were significantly fewer in patients with coexisting type 1 diabetes and Graves' disease (12.4 ± 6.8%, n = 6) than in healthy control subjects (19.9 ± 4.1%, n = 6; P<0.01) or patients with type 2 diabetes (19.1 ± 4.5%, n = 5; P<0.05). We found no significant difference in IFN-γ-producing T lymphocytes between healthy controls and patients with only type 1 diabetes (n = 8) or Graves' disease (n = 5). Plasma IP-10 concentrations were significantly higher in patients with coexisting type 1 diabetes and Graves' disease than in control subjects (106.3 ± 30.48 vs. 66.7 ± 25.3 pg/ml, P = 0.0343). Considering only patients with type 1 diabetes alone, duration of diabetes correlated positively with IFN-γ-producing T lymphocytes (r = 0.773, P = 0.0242) and the ratio of CXCR3 to CCR4 receptor expression (r = 0.947, P = 0.0004). In conclusion, Th1-associated T lymphocytes were fewer in peripheral blood from patients having both type 1 diabetes and Graves' disease than in those with either disease alone. Numbers of peripheral Th1 lymphocytes increased with increasing time from onset of type 1 diabetes in patients with type 1 diabetes alone.<br>
Journal
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- Endocrine Journal
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Endocrine Journal 53 (3), 377-385, 2006
The Japan Endocrine Society
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Details 詳細情報について
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- CRID
- 1390282681274076032
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- NII Article ID
- 10018178114
- 130004443234
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- NII Book ID
- AA10901436
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- ISSN
- 13484540
- 09188959
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed