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THE CHANGES OF CYTOKINES ON TYPE 1 DIABETES MELLITUS AT DIFFERENT STAGES

GONG CHX, YAN CH, ZHU CH

BEIJING CHILDREN’S HOSPITAL, BEIJING, CHINA

 

Objective: To learn relations between cytokines and the course of diabetes.

Method: We determined the levels of six cytokines in sera of all subjects and calculated 2 ratios of cytokines from T help cell 1 (TH1) and T help cell 2 (TH2). Group 1, normal control 30 cases; group 2, newly-diagnosed diabetes mellitus (DM) 26 cases; group 3, long standing DM 20 cases; group 4, newly-diagnosed GD 9 cases.

Results: IL-1b elevated in group 2 patients and decreased in group 3 and 4 patients. IL-2 decreased in group 2 patients, but elevated in group 3 and 4 patients. The level of IL-4 was decreased in group 2 and 3 patients. The ratios of IL-12 / IL-4 and IFN-g /IL-4 were elevated in group 2 and 3 patients.

Conclusion: The level of IL-1b decreased with the course going on showed its decreasing followed the finishing of the death of the b cells in islet. The decreasing of IL-2 was only in early stage. IFN-g/IL-4 and IL-12/IL-4 were not recovery with course going on, it means the immune system of DM patients decline to a TH1 bias, Maybe, this bias causes the onset of diabetes. There were high levels in most kinds of cytokines we determined on GD. The ratios of IFN-g / IL-4 and IL-12 / IL-4 were not significant in GD when compared with group 1. Our research on cytokines didn’t show the TH2 bias in GD.