1998
DOI: 10.1002/(sici)1096-9136(199805)15:5<435::aid-dia566>3.0.co;2-n
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Hyperglycaemia due to insulin resistance caused by interferon-γ

Abstract: Marked hyperglycaemia (30.9 mmol l(-1)) during interferon-gamma (IFN-gamma) therapy for asymptomatic recurrent renal cancer as multiple lung metastases in a 52-year-old man is described. Although the involvement of IFN-gamma has been reported in the development of autoimmune diabetes, in this case, antibodies against pancreatic beta-cells including anti-islet cell antibody (ICA) and anti-glutamic acid decarboxylase (GAD) antibody were negative. Moreover, serum level of immunoreactive insulin (IRI) (11 microU m… Show more

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Cited by 35 publications
(12 citation statements)
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“…Pro and anti-inflammatory cytokines play a key role in identifying patients at elevated risk for several diseases (7). Previous studies indicate that certain pro and/or anti-inflammatory cytokines are capable of interfering with insulin sensitive glucose uptake and induce insulin resistance (8).…”
Section: Introductionmentioning
confidence: 99%
“…Pro and anti-inflammatory cytokines play a key role in identifying patients at elevated risk for several diseases (7). Previous studies indicate that certain pro and/or anti-inflammatory cytokines are capable of interfering with insulin sensitive glucose uptake and induce insulin resistance (8).…”
Section: Introductionmentioning
confidence: 99%
“…This is in part due to the strong correlation between elevations in the local and circulating proinflammatory cytokines (tumor necrosis factor [TNF]-␣, interleukin [IL]-1, interferon-␥, and IL-6) and insulin resistance (1,(3)(4)(5)(6)(7). It is well known that these cytokines are elevated in cases of cancer, cachexia, and severe infection, and insulin resistance frequently accompanies these clinical conditions (8).…”
mentioning
confidence: 99%
“…Chronic production of proinflammatory cytokines is considered a major link between obesity and insulin resistance (1). Elevated local and circulating levels of proinflammatory cytokines, such as tumor necrosis factor-␣ and interleukin (IL) 3 -6, are known to be associated with obesity in both human and rodent models (2)(3)(4)(5). Although adipose-derived tumor necrosis factor-␣ may act locally in autocrine and paracrine manners, adipose-derived IL-6 is thought to enter circulation and play a systemic role in modulating insulin actions (6).…”
mentioning
confidence: 99%