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  4. Islet cell and 64K autoantibodies are associated with plasma IGG in newly diagnosed insulin-dependant diabetic children
 
research article

Islet cell and 64K autoantibodies are associated with plasma IGG in newly diagnosed insulin-dependant diabetic children

Gerling, I
•
Baekkeskov, S
•
Lernmark, A
1986
The Journal of Immunology

There is a high prevalence of islet cell antibodies (ICA) and autoantibodies detected against an islet cell protein of Mr 64,000 at the time of clinical diagnosis of insulin-dependent diabetes (IDDM). In view of the biphasic immune response after antigen presentation, the purpose of this study was to determine the presence of ICA and antibodies against the 64,000 islet antigen after separation of IgM from IgG to prevent interference between the two antibody classes. Plasma samples from 10 newly diagnosed IDDM children and 10 healthy controls were precipitated with polyethylene glycol (PEG), and the crude Ig was subjected to Sephacryl S-300 chromatography to separate IgM and IgG. ICA determined by indirect immunofluorescence on frozen sections of human pancreas showed reduced background immunofluorescence intensity in the purified fractions compared with crude plasma. The number of ICA-positive samples among the IDDM patients increased from 7/10 in plasma to 9/10 in the IgG fraction. There was an increase in the ICA titer in 6/9 of the positive samples. All purified IgM samples were ICA negative. Immunoprecipitation experiments by using Nonidet P-40 detergent lysates of [35S]methionine-labeled neonatal rat islets demonstrated that the 64,000 autoantibodies were in the IgG fraction. We found 7/10 IDDM samples to be positive, whereas all controls were negative. The background in the autoradiographic analysis was markedly reduced in the IgG fractions compared with immunoprecipitates with crude or PEG-purified plasma and the IgM fraction. ICA titers did not correlate to the ability of the IgG fraction to precipitate the 64,000 autoantigen. It is concluded that both the ICA and 64,000 autoantibodies are primarily of the IgG class at the time of clinical onset of IDDM, and that purification of IgG from human IDDM plasma facilitates the detection of the rat islet cell 64,000 antigen.

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Type
research article
Author(s)
Gerling, I
Baekkeskov, S
Lernmark, A
Date Issued

1986

Publisher

American Association of Immunologists ; Oxford University Press

Published in
The Journal of Immunology
Volume

137

Issue

12

Start page

3782

End page

3785

URL

URL

http://www.jimmunol.org/content/137/12/3782.full.pdf+html
Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
GR-STBA  
Available on Infoscience
December 3, 2015
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/121417
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