Sardinian Type 1 diabetes patients, Transthyretin and Mycobacterium avium subspecies paratuberculosis infection 英文参考文献.docVIP
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Sardinian Type 1 diabetes patients, Transthyretin and Mycobacterium avium subspecies paratuberculosis infection 英文参考文献
Masalaetal.GutPathogens2012,4:24
/content/4/1/24
SHORT REPORT
OpenAccess
SardinianType1diabetespatients,Transthyretin
andMycobacteriumaviumsubspecies
paratuberculosisinfection
SperanzaMasala1,DavideCossu1,AdolfoPacifico2,PaolaMolicotti1andLeonardoASechi1*
Abstract
Background:Mycobacteriumaviumsubsp.paratuberculosis(MAP)isthecauseofJohne’sdisease,anenteric
granulomatousdisease.Recently,MAPhasbeenassociatedwithdifferentautoimmunediseasessuchasCrohn’s
disease,type1diabetes(T1D)andmultiplesclerosis.Transthyretin(TTR)isaplasmatransportproteinforthyroid
hormoneandformsacomplexwithretinol-bindingprotein.ReducedTTRplasmalevelsinMAPinfectedovines
havebeenreported.
TTRexertsalsoafunctionalroleinthepancreaspromotinginsulinreleaseandprotectingβ-cellsfromdeath.
OurobjectivewastoidentifyaproteinthatcouldbeusedasadiagnosticmarkerofT1Dfordeterminingdisease
progressionandmonitoringat-riskpatients.WepostulatethatserologicalTTRlevelswouldbereducedinT1DMAP
exposedpatients.OurhypothesisisbasedontheobservationofcasesofT1DpatientswithdecreasedTTRlevels
besidethereducedTTRplasmalevelsinovineswithJohne’ sdisease.
WequantifiedtheplasmaproteinlevelsofTTRin50peoplewithT1Dand51age-matchedhealthycontrols(HCs)
bymeansofenzyme-linkedimmunosorbentassays(ELISA).
Findings:OurpilotstudyshowedthatplasmaTTRlevelswerenotsignificantlylower/higherinT1DSardiniancases
comparedtotheHCs.
Conclusion:ThesepreliminarydataindicatethatplasmaTTRmaynotbeagoodcandidatebiomarkerforT1D
diagnosisandfurtherstudiestoelucidatethepossiblelinkareneeded.
Keywords:Mycobacteriumaviumsubsp.paratuberculosis,Type1diabetes,Transthyretin,Biomarker,Sardinia
Background
arestillimperfectandnewerbiomarkersneedtobefound.
T1D is a chronic autoimmune disease characterized by Transthyretin(TTR)isa 55kDa homotetrameranditis
progressiveTcell mediated β-cell destruction. The pres- the major carrier of serum thyroxine, tri-iodothyronine,
ence of autoantibodies (aAbs) against islet antigens is a and vitamin A (retinol) through association wi
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