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1.
IPMJ-Iraqi Postgraduate Medical Journal. 2008; 7 (2): 112-120
in English | IMEMR | ID: emr-108449

ABSTRACT

In Type 1 Diabetes Mellitus [T1DM], numerous changes in the cellular as well humoral immune response have been identified. However, it is not known whether both the CD[4+] and CD[8+] subpopulation or only one of these or CD[19+]contains increased numbers of activated cells. The aim was to study the activated lymphocyte subpopulation by use of monoclonal antibodies to T-cell and B-cell antigens which is known to be expressed on activated cells. A total of 60 T1DM patients who had newly onset of the disease [diagnosed was from one week up to five months] were included in the present study, all the patients were treated with daily replacement doses of insulin. Fifty apparently healthy control subjects underwent the PBL phenotyping. Phenotyping of surface antigens was done by direct Immunoflurocent [IFT] technique using mouse antihuman CD[3], CD[4], CD[8], CD[45]RA, CD[19], and activated markers CD[45]RO, DR-antigen and CD[38]. T1DM patients showed a remarkable lowering in CD[3+], CD[8+], and CD[45]RA[+] cells [p<0.0001], but the decrease in CD[4+] cells percentage was not significant. In contrast, a significant elevation of activation markers includes [CD[45]RO[+], HLA-DR[+] and CD[38+] cells] were observed in patients in addition to a significant increase of CD[19+] cell percentage and CD[4+]: CD[8+] ratio in the patients. This study provides evidence that abnormalities of T-cells regulation are detectable in patients with T1DM


Subject(s)
Humans , Male , Female , Child, Preschool , Adolescent , Child , Diabetes Mellitus, Type 1/immunology , Lymphocyte Subsets , CD4-Positive T-Lymphocytes , CD8-Positive T-Lymphocytes , B-Lymphocytes
2.
Journal of the Faculty of Medicine-Baghdad. 2007; 49 (4): 414-424
in English | IMEMR | ID: emr-83855

ABSTRACT

T1DM is known to be polygenic disease that appears from the interaction of mutation in multiple genes including HLA. The autoimmune mediated destruction of pancreatic beta-cells is reflected by the presence of autoantibodies against prominent antigens in the pancreatic beta-cells. This study was designed to investigate the role of HLA-class I and class II antigens in the etiology of type 1 diabetes mellitus [T1DM] and also assessment of glutamic acid decarboxylase [GAD[65]] autoantibodies in the patients at the onset of the disease. Sixty T1DM patients who were newly onset of the disease [diagnosed less than five months] were selected. Eighty apparently healthy control subjects, matched with age, sex and ethnic backgrounds underwent the HLA-typing by lymphocytotoxicity assay. Finally 50 healthy individuals were selected randomly to undergo serological assessment of GAD[65] autoantibodies using IRMA method. At HLA-class I region, T1DM patients showed a significant increased frequency of antigen A9 [40.0 vs. 18.75%] and B8 [28.33 vs.8.75%] as compared to control subject. At HLA-class II region, DR3 and DR4 were significantly increased in patients [53.33 vs.26.25% and 50.0 vs. 12.5% respectively] as compared to controls. In addition to that, T1DM was significantly associated with DQ2 [33.33 vs.15%] and DQ3 [40.0 vs. 20%] antigens as compared to controls, suggesting that these haplotypes had a role in disease susceptibility, while the frequency of DR2 and DQ1 antigens were significantly lowered in patients compared to controls [6.66 vs. 25% and 6.66 vs. 22.5% respectively]. These molecules might had protective effect. Anti-GAD[65] autoantibodies were present in 50% of T1DM children especially in older ages and in females more than males. High proportion of GADA was found in the patients carrying HLA-DR3/DR4 heterozygous. In conclusion, susceptibility to T1DM is genetically controlled


Subject(s)
Humans , Male , Female , Diabetes Mellitus, Type 1/immunology , Autoantibodies , HLA Antigens , Glutamate Decarboxylase , Insulin-Secreting Cells/immunology
3.
Journal of the Faculty of Medicine-Baghdad. 2007; 49 (4): 477-481
in English | IMEMR | ID: emr-83864

ABSTRACT

Viruses may be involved in the pathogenesis of Type 1 Diabetes Mellitus [T1DM], either through direct beta-cell infection or as triggers of autoimmunity. To investigate the presence of specific anti- viral IgG antibodies for Coxsackie virus type B [CVB5], Poliovirus, and Adenovirus which proposed to be involved in the etiology of T1DM. A total of 60 Iraqi T1DM children were included in the present study. They were new onset of the disease [diagnosis was from one week up to five months]. For the purpose of comparisons, 50 apparently healthy control subjects were selected. Serum IgG against Coxsackie virus type B[5], Adenovirus type 3, 4, and 7, and Poliovaccin Trivalent were detected quantitatively with an indirect ELISA. High proportion of anti-CVB5 IgG [20%][p<0.05] and anti- Polio IgG [31.67%] were found in T1DM children compared to controls [8%, 26% respectively], while anti- Adeno IgG were detected in diabetic patients only [6.67%][p<1.0001]


Subject(s)
Humans , Male , Female , Diabetes Mellitus, Type 1/immunology , Enterovirus B, Human/immunology , Enterovirus B, Human/isolation & purification , Poliovirus/immunology , Poliovirus/isolation & purification , Adenoviridae/immunology , Adenoviridae/isolation & purification , Immunoglobulin G , Child
4.
IPMJ-Iraqi Postgraduate Medical Journal. 2007; 6 (2): 102-108
in English | IMEMR | ID: emr-164980

ABSTRACT

Viruses may be involved in the pathogenesis of Type 1 Diabetes Mellitus [T1DM], either through direct beta-cell infection or as triggers of autoimmunity. To evaluate the T- cell proliferation in response to Enterovirus antigens including Coxsackicvirus B and Poliovirus in addition to Adenovirus in an HLA- matched population of children with T1DM and children who were healthy. A total of 60 Iraqi T1DM children were included in the presents study. They were new onset of the disease. For the purpose of comparisons, 50 apparently healthy control subjects were selected. HLA typing was measured by microlymphocytotoxicity, while methylthiazoltetrazolium [MTT] assay was used for lymphocyte proliferation by culturing peripheral blood lymphocytes [PBL] with Coxsackievirus B5, Adenovirus 3,4, and 7, and Poliovaccin. No significant differences were shown in the PBL proliferative percentage in response to Con-A mitogen and tested viruses [CVBs and Adenovirus] between T1DM and healthy controls, but PBL proliferative percentage of patients showed a significant decline in response to Poliovaccine. HLA class II [-DR3, DR4, DQ2 and DQ3] antigens were significantly increased in T1DM patients and they played an important role in the etiology of the disease. Strong T-cell proliferation in response to the tested viral antigens were observed to be related to HLA-DR4 and HLA-DQ3 antigens, whereas the HLA-DR3 and HLA-DQ2 alleles were associated with week responsiveness to the same antigens. However, in children with new- onset diabetes, responses were decreased and this could be caused by trapping of virus- specific T- cells in the pancreas

5.
IPMJ-Iraqi Postgraduate Medical Journal. 2007; 6 (4): 314-319
in English | IMEMR | ID: emr-93776

ABSTRACT

Hormonal agents such as tamoxifen [TAM] and medroxyprogesterone acetate [MPA] are used widely in the treatment of breast cancer. In this context, it is noteworthy to note that there is now much experimental and clinical evidence suggesting that sex hormones can influence immune mechanisms strongly Study the effect of tamoxifin on peripheral blood lymphocytes proliferation in breast cancer patients. Seventy-three patients with breast tumor were included in this study. Sixty-two with malignant breast cancer and 11 with benign breast tumor.The malignant breast tumor: Intraductal carcinoma [IDC] [8 patients], Lobular carcinoma [LC] [5], and infiltrative ductal carcinoma [49] which in turn divided into 11 with Well differentiated ductal carcinoma [WDC], 12 patients with moderately differentiated ductal carcinoma [MDC], 26 patients with Poorly differentiated ductal carcinoma [PDC]. All cases were admitted to Al-Yannouk teaching Hospital, Saddam Medical City, during Dec 1999-Jan 2001. The percentage of estrogen receptor positive patients[ER] recorded 3 7.0%, while progesterone receptor[PR] positive patients were 51.6%. Peripheral blood lymphocytes were cultured with different concentrations of tamoxifm and were assayed for proliferation using cytogenic analysis assay. Results recorded that there were a clear reduction in blastogenic index and mitotic index, P>0.05. Both concentrations [0.25 and 0.5 mg/ml] of tamoxifen showed clear reduction in BI and Ml values. TAM effect both ER[+] and ER[-] patient in slight differences and in both concentrations


Subject(s)
Humans , Female , Lymphocytes/drug effects , Breast Neoplasms/drug therapy , Cell Proliferation/drug effects , Genetic Predisposition to Disease , Lymphokines , Receptors, Estrogen , Dose-Response Relationship, Drug
6.
Iraqi Journal of Biotechnology. 2004; 3 (1): 78-97
in English, Arabic | IMEMR | ID: emr-66220

ABSTRACT

Forty three patients with acute myeloid leukemia in early stage involved in this study. Twenty nine were males and fourteen were females. The patients were subdivided according to FAB international system into three different groups. [M[1], M[2], M[3]. All patients were admitted to Baghdad Teaching Hospital during Dec. 1999- Feb.2001. Twenty two apparently healthy individuals with nearly same age of the patients, eleven male and eleven female were chosen as a control group. Study of peripheral blood lymphocytes by using monoclonal antibodies [CD marker] reveled that significant reduction in CD[3], CD[4], CD19 subset of lymphocyte, whereas CD[8], and CD[56], recorded significant increase in comparison with the control group. CD[4]/CD[8] ratio revealed significant decreases in comparison with control group


Subject(s)
Humans , Male , Female , Lymphocytes , Phenotype , CD4-Positive T-Lymphocytes , CD8-Positive T-Lymphocytes , Antibodies, Monoclonal , Antibody Formation , Leukemia, Myeloid, Acute/immunology
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