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Autoimmunity in diabetics induced by hormonal contaminants of insulin

Abstract

Several commercial insulin preparations were found to contain significant quantities of pancreatic glucagon, pancreatic polypeptide (P.P.), vasoactive intestinal peptide (V.I.P.), and somatostatin, though these substances were effectively absent from the new highly purified or monocomponent insulins. Of 448 insulin-dependent diabetics receiving conventional insulins, 63% had circulating antibodies to human P.P., 6% antibodies to V.I.P., 6% to glucagon, and 0.5% to somatostatin. The antibodies were of high affinity and were commonest in the younger diabetics. No antibodies were detected in 167 maturity-onset diabetics, in 125 healthy controls, or in 22 patients treated only with monocomponent insulin. Immuno-cytochemical testing showed that antibody-positive diabetic plasmas reacted specifically against the corresponding hormone-producing pancreatic endocrine cells, against enteroglucagon and somatostatin cells outside the pancreas, and against V.I.P.-containing autonomic nerves throughout the body. The finding of iatrogenic autoimmunity to naturally occurring hormones in large numbers of insulin-dependent diabetics raises important questions about long-term treatment.
Authors:
Bloom, S R; Barnes, A J; Adrian, T E; Polak, J M [1] 
  1. Royal Postgraduate Medical School, London (UK)
Publication Date:
Jan 06, 1979
Product Type:
Journal Article
Reference Number:
AIX-10-463457; EDB-80-024207
Resource Relation:
Journal Name: Lancet; (United Kingdom); Journal Volume: 1:8106
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; INSULIN; IMPURITIES; RADIOIMMUNOASSAY; PATIENTS; ANTIBODIES; DIABETES MELLITUS; EXPERIMENTAL DATA; GLUCAGON; GRAPHS; IMMUNITY; IODINE 125; POLYPEPTIDES; SIDE EFFECTS; TABLES; TRACE AMOUNTS; BETA DECAY RADIOISOTOPES; DATA; DATA FORMS; DAYS LIVING RADIOISOTOPES; DISEASES; ELECTRON CAPTURE RADIOISOTOPES; ENDOCRINE DISEASES; HORMONES; INFORMATION; INTERMEDIATE MASS NUCLEI; IODINE ISOTOPES; ISOTOPE APPLICATIONS; ISOTOPES; NUCLEI; NUMERICAL DATA; ODD-EVEN NUCLEI; ORGANIC COMPOUNDS; PEPTIDE HORMONES; PEPTIDES; PROTEINS; RADIOASSAY; RADIOISOTOPES; TRACER TECHNIQUES; 550601* - Medicine- Unsealed Radionuclides in Diagnostics
OSTI ID:
5678928
Country of Origin:
United Kingdom
Language:
English
Other Identifying Numbers:
Journal ID: CODEN: LANCA
Submitting Site:
INIS
Size:
Pages: 14-16
Announcement Date:
Jul 01, 1979

Citation Formats

Bloom, S R, Barnes, A J, Adrian, T E, and Polak, J M. Autoimmunity in diabetics induced by hormonal contaminants of insulin. United Kingdom: N. p., 1979. Web.
Bloom, S R, Barnes, A J, Adrian, T E, & Polak, J M. Autoimmunity in diabetics induced by hormonal contaminants of insulin. United Kingdom.
Bloom, S R, Barnes, A J, Adrian, T E, and Polak, J M. 1979. "Autoimmunity in diabetics induced by hormonal contaminants of insulin." United Kingdom.
@misc{etde_5678928,
title = {Autoimmunity in diabetics induced by hormonal contaminants of insulin}
author = {Bloom, S R, Barnes, A J, Adrian, T E, and Polak, J M}
abstractNote = {Several commercial insulin preparations were found to contain significant quantities of pancreatic glucagon, pancreatic polypeptide (P.P.), vasoactive intestinal peptide (V.I.P.), and somatostatin, though these substances were effectively absent from the new highly purified or monocomponent insulins. Of 448 insulin-dependent diabetics receiving conventional insulins, 63% had circulating antibodies to human P.P., 6% antibodies to V.I.P., 6% to glucagon, and 0.5% to somatostatin. The antibodies were of high affinity and were commonest in the younger diabetics. No antibodies were detected in 167 maturity-onset diabetics, in 125 healthy controls, or in 22 patients treated only with monocomponent insulin. Immuno-cytochemical testing showed that antibody-positive diabetic plasmas reacted specifically against the corresponding hormone-producing pancreatic endocrine cells, against enteroglucagon and somatostatin cells outside the pancreas, and against V.I.P.-containing autonomic nerves throughout the body. The finding of iatrogenic autoimmunity to naturally occurring hormones in large numbers of insulin-dependent diabetics raises important questions about long-term treatment.}
journal = []
volume = {1:8106}
journal type = {AC}
place = {United Kingdom}
year = {1979}
month = {Jan}
}