Most cited article - PubMed ID 19630921
Influence of maternal hyperglycaemia on cord blood mononuclear cells in response to diabetes-associated autoantigens
Type 1 diabetic (T1D) patients suffer from insulinopenia and hyperglycaemia. Studies have shown that if a patient's hyperglycaemic environment is not compensated, it leads to complex immune dysfunctions. Similarly, T1D mothers with poor glycaemic control exert a negative impact on the immune responses of their newborns. However, questions concerning the impact of other metabolic disturbances on the immune system of T1D mothers (and their newborns) have been raised. To address these questions, we examined 28 T1D women in reproductive age for the relationship between various metabolic, clinical, and immune parameters. Our study revealed several unexpected correlations which are indicative of a much more complex relationship between glucose and lipid factors (namely, glycosylated haemoglobin Hb1Ac, the presence of one but not multiple chronic diabetic complications, and atherogenic indexes) and proinflammatory cytokines (IL-1alpha and TNF-alpha). Regulatory T cell counts correlated with HbA1c, diabetic neuropathy, lipid spectra parameters, and IL-6 levels. Total T-helper cell count was interconnected with BMI and glycaemia variability correlated with lipid spectra parameters, insulin dose, and vitamin D levels. These and other correlations revealed in this study provide broader insight into the association of various metabolic abnormalities with immune parameters that may impact T1D mothers or their developing child.
- MeSH
- Cytokines immunology MeSH
- Diabetes Mellitus, Type 1 complications drug therapy immunology metabolism MeSH
- Diabetic Neuropathies etiology immunology MeSH
- Adult MeSH
- Glycated Hemoglobin metabolism MeSH
- Cholesterol, HDL metabolism MeSH
- Hypoglycemic Agents administration & dosage MeSH
- Interleukin-1alpha immunology MeSH
- Interleukin-6 immunology MeSH
- Insulin administration & dosage MeSH
- Cholesterol, LDL metabolism MeSH
- Humans MeSH
- Young Adult MeSH
- Lymphocyte Count MeSH
- Glycation End Products, Advanced metabolism MeSH
- T-Lymphocytes, Regulatory immunology MeSH
- T-Lymphocytes, Helper-Inducer immunology MeSH
- Tumor Necrosis Factor-alpha immunology MeSH
- Triglycerides metabolism MeSH
- Vitamin D metabolism MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Names of Substances
- Cytokines MeSH
- Glycated Hemoglobin A MeSH
- Cholesterol, HDL MeSH
- hemoglobin A1c protein, human MeSH Browser
- Hypoglycemic Agents MeSH
- IL1A protein, human MeSH Browser
- IL6 protein, human MeSH Browser
- Interleukin-1alpha MeSH
- Interleukin-6 MeSH
- Insulin MeSH
- Cholesterol, LDL MeSH
- Glycation End Products, Advanced MeSH
- TNF protein, human MeSH Browser
- Tumor Necrosis Factor-alpha MeSH
- Triglycerides MeSH
- Vitamin D MeSH