Neuropeptide Y autoantibodies in patients with long-term type 1 and type 2 diabetes and neuropathy. Link to publication Citation for published version (APA): Skärstrand, H., Dahlin, L. B., Lernmark, Å., & Vaziri Sani, F. (2013). Neuropeptide Y autoantibodies in patients with long-term type 1 and type 2 diabetes and neuropathy. Journal of Diabetes and its Complications, 27(6), 609-617. DOI: 10.1016/j.jdiacomp.2013 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal
Presented at meetingPresented in part as a poster at the 12 th Immunology of Diabetes Society (IDS) conference June [15][16][17][18][19] 2012 in Victoria, BC, Canada. Printed in the meeting abstract book on page 140.
AbstractAims: The neurotransmitter Neuropeptide Y (NPY) was previously reported as a minor autoantigen in newly diagnosed type 1 diabetes (T1D) patients. The single nucleotide polymorphism at rs16139 (T1128C, L7P) in the NPY gene was associated with an increased risk for the development of type 2 diabetes (T2D). We aimed to develop a radiobinding assay for NPY-L (Leucine) and NPY-P (Proline) autoantibodies (A) to study the levels and the association with other islet autoantibodies and neuropathy. Methods: Autoantibodies against NPY-L, NPY-P, ZnT8, GAD65 and IA-2 were studied in T1D (n=48) and T2D (n=26) patients with duration up to 42 and 31 years. A subgroup of T1D (n=32) patients re-examined, 5-8 years after first visit, were tested for peripheral (Z-score) and autonomic neuropathy (E/I ratio). Results: NPY-LA and NPY-PA were detected in 23% and 19% in T1D (p<0.001), and 12% and 23% in T2D patients (p<0.001) compared to 2.5% controls (n=398). The levels of NPYA declined during follow-up in the T1D patients (p<0.001). The neuropathy was not related to the NPYA or the other islet autoantibodies. Conclusions: Regardless of the absence of an association between NPYA and neuropathy, NPY may contribute to the pathogenesis of T1D and T2D as a minor autoantigen.