1999
DOI: 10.1289/ehp.99107s5777
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The role of environmental factors in insulin-dependent diabetes mellitus: an unresolved issue.

Abstract: Insulin-dependent diabetes mellitus (IDDM) is an autoimmune disease characterized by the destruction of the insulin-secreting P cells found in the islets of Langerhans. Reduced P-cell mass results in overt diabetes, requiring lifelong exogenous insulin administration and the possibility of numerous sequelae. Incidence and development of IDDM depend upon a variety of genetic and nongenetic factors. Environmental factors such as chemicals, diet, and infection are suspected to influence the development of disease… Show more

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Cited by 16 publications
(4 citation statements)
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“…Diabetes-induced impairment of lymphocyte function has also been suggested previously [ 16 ]. Consequently, these results can explain the impaired immune system and enhanced susceptibility to infections in a poorly controlled diabetic state [ 11 ].…”
Section: Discussionmentioning
confidence: 99%
“…Diabetes-induced impairment of lymphocyte function has also been suggested previously [ 16 ]. Consequently, these results can explain the impaired immune system and enhanced susceptibility to infections in a poorly controlled diabetic state [ 11 ].…”
Section: Discussionmentioning
confidence: 99%
“…When the pathogenesis of type 2 diabetes is classified into two stages, insulin resistance and insulin secretory defects, the latter part seems to be more important among elderly people ( 10 ). Indeed, it is well known that many chemicals, including streptozotocin, alloxan, and vacor, can induce β-cell destruction ( 19 ). Although there has been no experimental study on the effects of POPs on pancreatic β-cells, one experimental study ( 9 ) observed alterations in mitochondrial function and oxidative capacity in the liver of rats exposed to a mixture of POPs.…”
Section: Discussionmentioning
confidence: 99%
“…They require glucose as a primary fuel source and strict regulation of glucose is required to maintain immune homeostasis. Impairment of glucose transport in splenocytes and thymocytes and its regulation by insulin is a common feature of human diabetes, enhancing susceptibility to infections [ 9 ]. Although the reason for increased susceptibility of diabetic patients to persistent infections is not fully understood, the administration of insulin restores some of the altered functions of diabetic lymphocytes [ 11 ].…”
Section: Discussionmentioning
confidence: 99%
“…In this way many factors such as metabolic requirements, hormones and external signals modify their glucose consumption [ 8 ]. The study of glucose transport in lymphocytes and its regulation by insulin is important in the MS, since the exacerbated immune response participates in physiological and pathological conditions of diabetes mellitus type II (T2DM), which is an important component of this syndrome [ 9 ]. The reason for the increased susceptibility of diabetic patients to persistent infections is not fully understood, but it is known that sepsis or infection, as in diabetic ulcers, raises cytokine secretion, which exacerbates damage, produces insulin resistance and diminishes lymphocyte proliferation.…”
Section: Introductionmentioning
confidence: 99%