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成人迟发型自身免疫性糖尿病发病机制研究进展 被引量:2

Advances of pathogenesis of latent autoimmune diabetes in adults
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摘要 成人迟发型自身免疫性糖尿病(LADA)是成人发病的缓慢进展的自身免疫性糖尿病,其起病特点与2型糖尿病(T2DM)相似,占我国新诊断T2DM患者的5.9%~9.2%。LADA的发病机制是近年来研究热点之一,在遗传易感基因、自身免疫反应以及环境因素等方面的研究取得了一定进展,发现非人类白细胞抗原基因(HLA)、细胞免疫和非特异性免疫反应等与LADA有关。深人研究LADA的发病机制有助于阐明LADA发病和临床特点,对疾病的早期预防和诊断、合理治疗以及探索新的治疗方法等均有积极作用。 Latent autoimmune diabetes in adults (LADA) is a form of adult-onset autoimmune diabetes that resembles type 2 diabetes. However, it shows a later onset and slowly progression towards insulin requirement. LADA accounts for 5.9% to 9.2% in newly diagnosed patients with phenotypic type 2 diabetes in China. The pathogenesis of LADA has become one of the hot research topics in recent years. Progresses have been made in aspects such as genetic susceptibility, autoimmune reaction, and environmental factors and so on. Studies show that non-HLA gene, celluIar immunity, and nonspecific immune reaction etc. are relevant to LADA. Thorough research on the pathogenesis of LADA is helpful for understanding it's clinical characteristics, early prevention and diagnosis, proper treatment, and even exploring new therapeutic methods.
出处 《上海交通大学学报(医学版)》 CAS CSCD 北大核心 2014年第4期546-550,共5页 Journal of Shanghai Jiao tong University:Medical Science
关键词 迟发型自身免疫性糖尿病 易感基因 体液免疫 细胞免疫 环境因素 latent autoimmune diabetes in adults susceptibility gene humoral immunity cellular immunity environmental factors
作者简介 鲁郡(1981-),男,博士生;电子信箱:lujundoctor@163.com。 贾伟平,电子信箱:WPjia@sjtu.edu.ca。
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参考文献33

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同被引文献13

  • 1Bimota Nambam,Shakti Aggarwal,Anju Jain.Latent autoimmune diabetes in adults:A distinct but heterogeneous clinical entity[J].World Journal of Diabetes,2010,1(4):111-115. 被引量:2
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  • 3宋晓国,张贺秋,王国华,等.人重组谷氨酸脱羧酶65基因的克隆表达及其在1型糖尿病诊断中的初步应用[J].中华糖尿病杂志,2010,2(1):24-28.
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  • 6Huang G,Xiang YF,Pan LL,et al. Zinc transporter 8 autoantibody(ZnTSA) could help differentiate latent autoimmune diabetes in adults (LADA) from pheno- typic type 2 diabetes mellitus[-J]. Diabetes Metab Res Rev,2013,29(5) .. 363-368.
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