2008
DOI: 10.1590/s0004-27302008000200003
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Mediators and mechanisms of pancreatic beta-cell death in type 1 diabetes

Abstract: type 1 diabetes mellitus (t1d) is characterized by severe insulin deficiency resulting from chronic and progressive destruction of pancreatic beta-cells by the immune system. the triggering of autoimmunity against the beta-cells is probably caused by environmental agent(s) acting in the context of a predisposing genetic background. once activated, the immune cells invade the islets and mediate their deleterious effects on beta-cells via mechanisms such as Fas/Fasl, perforin/granzyme, reactive oxygen and nitrog… Show more

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Cited by 132 publications
(123 citation statements)
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“…These cytokines activate the transcription factors nuclear factor kappa-light-chain enhancer of activated B-cells (NF-κB) and signal transducers and activators of transcription-1 (STAT-1), respectively [3]. By promoting the production of chemo/cytokines and chemo/cytokine receptors, these factors play a crucial role in the innate as well as the specific immune system [4]. This means that NF-κB and STAT-1, by controlling inflammation and immunity, are possible key factors in the destruction of -cells [5].…”
Section: Introductionmentioning
confidence: 99%
“…These cytokines activate the transcription factors nuclear factor kappa-light-chain enhancer of activated B-cells (NF-κB) and signal transducers and activators of transcription-1 (STAT-1), respectively [3]. By promoting the production of chemo/cytokines and chemo/cytokine receptors, these factors play a crucial role in the innate as well as the specific immune system [4]. This means that NF-κB and STAT-1, by controlling inflammation and immunity, are possible key factors in the destruction of -cells [5].…”
Section: Introductionmentioning
confidence: 99%
“…Susceptibility to this destructive process is a result of a complex interaction between genetic and environmental factors. 1,2 Numerous adoptive transfer studies in animal models (NOD mice and BB rat) indicate that both CD4 þ and CD8 þ T cells are involved in the pathogenesis of T1D. [3][4][5][6][7][8] In the pancreatic infiltrate (insulitis), both autoaggressive T cells (CD4 þ and CD8 þ ) and regulatory T cells (CD4 þ CD25 þ high T-cell or Tregs) with suppressive function are present.…”
Section: Introductionmentioning
confidence: 99%
“…Consequently, subjects with T1DM are usually dependent on insulin injections for life (1)(2)(3). Markers of autoimmune beta-cell destruction include autoantibodies to insulin, to the islets of Langerhans, to glutamic acid decarbo xylase (GAD65), to beta-cell-specific zinc transporter ZnT8, and to tyrosine phosphatases IA-2 and IA-2b.…”
Section: Introductionmentioning
confidence: 99%