Type 1 Diabetes and Interferon Therapy A nationwide survey in Japan

نویسندگان

  • KAN NAKAMURA
  • EIJI KAWASAKI
  • AKIHISA IMAGAWA
  • TAKUYA AWATA
  • HIROSHI IKEGAMI
  • TETSURO KOBAYASHI
  • AKIRA SHIMADA
  • KOJI NAKANISHI
  • TARO MARUYAMA
  • TOSHIAKI HANAFUSA
چکیده

RESULTS—Median age at the onset of type 1 diabetes was 56 (interquartile range 48–63) years and mean 6 SD BMI was 20.8 6 2.7 kg/m. The time period from the initiation of interferon therapy to type 1 diabetes onset in patients receiving pegylated interferon and ribavirin was significantly shorter than that in patients with nonpegylated interferon single therapy (P, 0.05). Anti-islet autoantibodies were detected in 94.5% of patients at diabetes onset. Type 1 diabetes susceptibility HLA-DRs in the Japanese population, DR4 and DR9, were also associated with interferon treatment–related type 1 diabetes. Furthermore, the prevalence of HLA-DR13 was significantly higher in interferon treatment–related type 1 diabetes than in healthy control subjects (odds ratio 3.80 [95%CI 2.20–7.55]; P, 0.0001) and classical type 1 diabetes (2.15 [1.17– 3.93]; P , 0.05).

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تاریخ انتشار 2011