Author/Editor     Lorini, R; Avanzini, MA; Vitali, L; Cortona, L; d'Annunzio, G; Pignati, P; Severi, F
Title     Increased levels of antibodies to beta-lactoglobulin in children with newly diagnosed insulin-dependent diabetes and in their non-diabetic siblings
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 63, št. Suppl 1
Publication year     1994
Volume     str. I-17-I-20
Language     eng
Abstract     Background. It has been a hypothesized that cow's milk may contain a trigger factor for development of insulin-dependent diabetes mellitus (IDDM). Subjects and methods. The aim of our study was to evaluate the prevalence of anti-beta-lactoglobulin (BLG) antibodies in IDDM children, at diagnosis and during 2-5 year follow-up, and in their non-diabetic siblings. IgA and IgG antibodies to BLG, determined by ELISA, were evaluated in 45 newly diagnosed IDDM children, aged 1.2-16.6 years and 46 siblings, aged 3.2-28.2 years. Results. At diagnosis 14/45 patients (31 per cent) had elevated IgA antiBLG and 4/45 patients (8.8 per cent) elevated IgG anti-BLG. Over the 25 year follow-up in 26 patients, we observed a transient increase of IgA anti-BLG in 2 other patients. At the end of follow-up IgA antiBLG decreased to normal levels in all but 2 girls and IgG anti-BLG in all patients. No correlation was found between anti-BLG antibodies and chronologic age, breast-feeding duration, islet-cell, anti-insulin or other organ and non-organ-specific antibodies and HLA type. Among the 46 siblings increased levels of IgA and IgG anti-BLG were found in 5 (11 per cent) respectively, without difference between breast- or bottle-fed cases. Conclusion. The increase of anti-BLG antibodies at the onset of IDDM is suggested to represent only transient abnormal immunological response, probably unrelated to the beta cells' damage. The increased anti-BLG antibody levels found in healthy siblings could be associated with increased frequency of autoimmune phenomena in these subjects.
Descriptors     DIABETES MELLITUS, INSULIN-DEPENDENT
LACTOGLOBULINS
ANTIBODIES
CHILD
IGA
IGG
MILK