Viral Mechanisms Leading to Diabetes Mellitus — A Summary
The nature of the viral mechanisms leading to destruction of pancreatic beta cells or cessation of insulin production is still not fully understood. A link between the class 1 hypervariable region (HVR) and insulin-dependent diabetes mellitus (IDDM) was noted in which autoantibodies to beta cell membrane antigens are synthesized against specific HLA types (DR-3 and DR-4) and lead to destruction of the insulin-producing beta cells. Coxsackie B4 infectious hepatitis and congenital rubella viruses find receptors on the beta cells that allow for virus infection and cell destruction. Mimicry between virus antigens and beta cell membrane antigens leads to the appearance of islet cell antibodies (ICA), as in the case of mumps virus infections. Members of the herpesvirus group infect beta cells, causing cessation of insulin production and the production of antibodies to viral antigens that crossreact with insulin (insulin autoantibodies), as occurs in chickenpox.
KeywordsHepatitis Polypeptide Encephalitis Vasopressin Dermatol
Unable to display preview. Download preview PDF.
- 1.Helmke, K. Chapter 7, this volume.Google Scholar
- 8.Ginsberg-Fellner, F., Klein, E., Dobersen, M., Jenson, A.B., Rayfield, E., Notkins, A.L., Rubinstein, P. and Cooper, L.Z. Pediat. Res. 14:572, 1980.Google Scholar
- 9.Xiang, K., Sanz, N., Karam, J.H. and Bell, G.I. Chapter 1, this volume.Google Scholar
- 12.Kurata, T., Sata, T., Iwasaki, T., Onodera, T. and Toniolo, A. Chapter 8, this volume.Google Scholar
- 13.Cook, S.S. and Loria, R.M., Chapter 10, this volume.Google Scholar
- 14.Adi, F.C., Chapter 11, this volume.Google Scholar
- 15.Jenson, B. and Rosenberg, H., Chapter 9, this volume.Google Scholar
- 16.Ryder, E. and Ryder, S., Chapter 12, this volume.Google Scholar