Studies of insulin and proinsulin in pancreas and serum support the existence of aetiopathological endotypes of type 1 diabetes associated with age at diagnosis

P Leete, RA Oram, TJ McDonald, BM Shields, C Ziller… - Diabetologia, 2020 - Springer
Aims/hypothesis It is unclear whether type 1 diabetes is a single disease or if endotypes
exist. Our aim was to use a unique collection of pancreas samples recovered soon after …

Dimorphic histopathology of long-standing childhood-onset diabetes

R Gianani, M Campbell-Thompson, SA Sarkar… - Diabetologia, 2010 - Springer
Aims/hypothesis Childhood diabetes is thought to usually result from autoimmune beta cell
destruction (type 1A) with eventual total loss of beta cells. Analysis of C-peptide in children …

[PDF][PDF] Persistence of pancreatic insulin mRNA expression and proinsulin protein in type 1 diabetes pancreata

C Wasserfall, HS Nick, M Campbell-Thompson… - Cell metabolism, 2017 - cell.com
The canonical notion that type 1 diabetes (T1D) results following a complete destruction of β
cells has recently been questioned as small amounts of C-peptide are detectable in patients …

The heterogeneity of diabetes: unraveling a dispute: is systemic inflammation related to islet autoimmunity?

M Pietropaolo, E Barinas-Mitchell, LH Kuller - Diabetes, 2007 - Am Diabetes Assoc
Diabetes is an emblematic example of a heterogeneous disease. Systemic inflammation has
emerged as a prominent factor in the type 2 diabetes pathoetiology, but it remains ill-defined …

Total immunoreactive proinsulin, immunoreactive insulin and specific insulin in relation to conversion to NIDDM: the Mexico City Diabetes Study

SM Haffner, C Gonzalez, L Mykkänen, M Stern - Diabetologia, 1997 - Springer
Although insulin resistance and decreased insulin secretion are characteristic of established
non-insulin-dependent diabetes mellitus (NIDDM), which of these metabolic abnormalities is …

Natural history of β-cell function in type 1 diabetes

NA Sherry, EB Tsai, KC Herold - Diabetes, 2005 - Am Diabetes Assoc
Despite extensive and ongoing investigations of the immune mechanisms of autoimmune
diabetes in humans and animal models, there is much less information about the natural …

Blood and islet phenotypes indicate immunological heterogeneity in type 1 diabetes

S Arif, P Leete, V Nguyen, K Marks, NM Nor… - Diabetes, 2014 - Am Diabetes Assoc
Studies in type 1 diabetes indicate potential disease heterogeneity, notably in the rate of β-
cell loss, responsiveness to immunotherapies, and, in limited studies, islet pathology. We …

Early prediction of autoimmune (type 1) diabetes

SE Regnell, Å Lernmark - Diabetologia, 2017 - Springer
Underlying type 1 diabetes is a genetic aetiology dominated by the influence of specific HLA
haplotypes involving primarily the class II DR-DQ region. In genetically predisposed children …

Autoimmunity to islet proteins in children diagnosed with new-onset diabetes

BM Brooks-Worrell, CJ Greenbaum… - The Journal of …, 2004 - academic.oup.com
Autoantibody and T cells reacting with islet proteins have been demonstrated in patients
with type 1 diabetes. In recent years an increasing number of children have been clinically …

The broad clinical phenotype of type 1 diabetes at presentation

SR Merger, RD Leslie, BO Boehm - Diabetic Medicine, 2013 - Wiley Online Library
Abstract Immune‐mediated (auto‐immune) Type 1 diabetes mellitus is not a homogenous
entity, but nonetheless has distinctive characteristics. In children, it may present with …