首页> 外文期刊>Clinical immunology: The official journal of the Clinical Immunology Society >Relation of circulating concentrations of chemokine receptor CCR5 ligands to C-peptide, proinsulin and HbA1c and disease progression in type 1 diabetes.
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Relation of circulating concentrations of chemokine receptor CCR5 ligands to C-peptide, proinsulin and HbA1c and disease progression in type 1 diabetes.

机译:1型糖尿病患者趋化因子受体CCR5配体的循环浓度与C肽,胰岛素原和HbA1c的关系以及疾病进展。

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摘要

Th1 related chemokines CCL3 and CCL5 and Th2 related CCL4 as ligands of the receptor CCR5 contribute to disease development in animal models of type 1 diabetes. In humans, no data are available addressing the role of these chemokines regarding disease progression and remission. We investigated longitudinally circulating concentrations of CCR5 ligands of 256 newly diagnosed patients with type 1 diabetes. CCR5 ligands were differentially associated with beta-cell function and clinical remission. CCL5 was decreased in remitters and positively associated with HbA1c suggestive of a Th1 associated progression of the disease. Likewise, CCL3 was negatively related to C-peptide and positively associated with the beta-cell stress marker proinsulin but increased in remitters. CCL4 associated with decreased beta-cell stress shown by negative association with proinsulin. Blockage of chemokines or antagonism of CCR5 by therapeutic agents such as maraviroc may provide a new therapeutic target to ameliorate disease progression in type 1 diabetes.
机译:Th1相关趋化因子CCL3和CCL5和Th2相关CCL4作为受体CCR5的配体有助于1型糖尿病动物模型中的疾病发展。在人类中,尚无数据可解决这些趋化因子在疾病进展和缓解方面的作用。我们调查了256位新诊断的1型糖尿病患者的CCR5配体的纵向循环浓度。 CCR5配体与β细胞功能和临床缓解差异相关。 CCL5在汇款者中减少,并与HbA1c正相关,提示该疾病与Th1相关。同样,CCL3与C肽负相关,与β细胞应激标志物胰岛素原正相关,但在缓解时增加。 CCL4与胰岛素原呈负相关,表明β细胞应激降低。诸如maraviroc之类的治疗剂对趋化因子的阻断或CCR5的拮抗作用可能为改善1型糖尿病的疾病发展提供新的治疗靶点。

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