ISSN:
1432-0428
Keywords:
Insulin receptor
;
tyrosine kinase
;
insulin-like activity
;
antibodies to insulin receptor
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Severe hypoglycaemia developed seven months after a bone marrow transplantation in a child with severe combined immunodeficiency. His serum exerted potent insulin-like activity: (a) it stimulated insulin receptor autophosphorylation and kinase activity in cell-free systems, this effect being additive to insulin; (b) it increased glucose transport in isolated soleus muscle. These insulin-like effects were due to immunoglobulins against the insulin receptor. Indeed, the patient serum immunoprecipitated human or murine insulin receptors from different tissues and inhibited insulin binding to receptor on human IM-9 lymphocytes. After corticoids and immunosuppressive therapy by azathioprine, the patient hypoglycaemic episodes disappeared, and concomitantly, the antibodies to insulin receptor were no longer detected, as judged by both immunoprecipitation of insulin receptor and stimulation of glucose transport.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00265089
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