AIMS/HYPOTHESIS: The search for T-cell reactions that are associated with disease in Type I (insulin-dependent) diabetes mellitus is severely hampered because control groups cannot be matched for relevant immune response genes. We therefore compared T-cell responses between identical twins discordant for Type I diabetes. METHODS: Pairs of monozygotic twins (n = 17) discordant for Type I diabetes were studied. Cultures were set up from whole blood immediately after sampling and cells were challenged with human recombinant hsp60, with the mitogen phytohaemagglutinin or with the staphylococcal superantigen. Supernatants were removed after 48 or 96 h and analysed for T-helper1 type cytokines interferon-gamma, TNFalpha and T-helper2 type cytokines IL-4, IL-10 by sandwich-ELISA. RESULTS: The height of the T-helper1 type cytokine response to hsp60, phytohaemagglutinin or staphylococcal enterotoxin B did not show disease association, i. e. it was similar between discordant twins. In contrast, the production of T-helper2 type cytokines differed between discordant twins. The IL-10 response to hsp60 was higher in twins at low disease risk (islet cell antibody-negative) than in their diabetic cotwins (p < 0.01), as was the IL-4 response to phytohaemagglutinin (p < 0.05). No difference was seen in the cytokine response between islet cell antibody-positive twins and their diabetic cotwins. CONCLUSIONS/ INTERPRETATION: The data indicate an association between T-helper2 type cytokine secretion patterns and disease or disease risk.
AIMS/HYPOTHESIS: The search for T-cell reactions that are associated with disease in Type I (insulin-dependent) diabetes mellitus is severely hampered because control groups cannot be matched for relevant immune response genes. We therefore compared T-cell responses between identical twins discordant for Type I diabetes. METHODS: Pairs of monozygotic twins (n = 17) discordant for Type I diabetes were studied. Cultures were set up from whole blood immediately after sampling and cells were challenged with human recombinant hsp60, with the mitogen phytohaemagglutinin or with the staphylococcal superantigen. Supernatants were removed after 48 or 96 h and analysed for T-helper1 type cytokines interferon-gamma, TNFalpha and T-helper2 type cytokines IL-4, IL-10 by sandwich-ELISA. RESULTS: The height of the T-helper1 type cytokine response to hsp60, phytohaemagglutinin or staphylococcal enterotoxin B did not show disease association, i. e. it was similar between discordant twins. In contrast, the production of T-helper2 type cytokines differed between discordant twins. The IL-10 response to hsp60 was higher in twins at low disease risk (islet cell antibody-negative) than in their diabetic cotwins (p < 0.01), as was the IL-4 response to phytohaemagglutinin (p < 0.05). No difference was seen in the cytokine response between islet cell antibody-positive twins and their diabetic cotwins. CONCLUSIONS/ INTERPRETATION: The data indicate an association between T-helper2 type cytokine secretion patterns and disease or disease risk.
Authors: R Rodrigues dos Santos Júnior; A Sartori; V L Deperon Bonato; A A M Coelho Castelo; C A Vilella; R L Zollner; C Lopes Silva Journal: Clin Exp Immunol Date: 2007-06-22 Impact factor: 4.330
Authors: S Hoppu; T Härkönen; M S Ronkainen; S Simell; A Hekkala; A Toivonen; J Ilonen; O Simell; M Knip Journal: Clin Exp Immunol Date: 2006-04 Impact factor: 4.330
Authors: Urs Christen; Dirk Benke; Tom Wolfe; Evelyn Rodrigo; Antje Rhode; Anna C Hughes; Michael B A Oldstone; Matthias G von Herrath Journal: J Clin Invest Date: 2004-01 Impact factor: 14.808
Authors: B Z Alizadeh; P Hanifi-Moghaddam; P Eerligh; A R van der Slik; H Kolb; A V Kharagjitsingh; A M Pereira Arias; M Ronkainen; M Knip; R Bonfanti; E Bonifacio; D Devendra; T Wilkin; M J Giphart; B P C Koeleman; R Nolsøe; T Mandrup Poulsen; N C Schloot; B O Roep Journal: Clin Exp Immunol Date: 2006-09 Impact factor: 4.330