Skip to main content

Part of the book series: Developments in Medical Virology ((DIMV,volume 2))

Abstract

Before the turn of the century, insulin-independent diabetes mellitus (IDDM) was shown to develop in pancreatectomized dogs (1), thus linking the pathogenesis of the syndrome to the pancreas. Later, insulin was extracted from the pancreas and proved to ameliorate most of the diabetic symptoms(2). However, it became clear that insulin was not a cure. In 1965, Gepts reported (3), that the major morphologic alteration in the pancreas at the onset of IDDM was disruption of the architecture of the islets of Langerhans and a loss of cells. The number of B cells was reduced to less than 10% of normal values and in 68% of the pancreata examined, the islets were infiltrated by mononuclear cells. Islet inflammation, insulitis, is therefore thought to be of pathogenetic importance (3–6). Infiltration of the islets of Langerhans has also been associated with experimental diabetes introduced by immunization with insulin (7–8), by multiple injections of low dose streptozotocin (9) or following infection with diabetogenic viruses (10,11).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Mering J von, Minkowski O: Diabetes Mellitus nach Pankreasextirpation: Arch. Exp. Pathol. Pharmakol. 26: 371–387, 1889.

    Google Scholar 

  2. Banting FG, Best CB, Collip JB, Cambell WR, Fletcher AA: Pancreatic extract in the treatment of diabetes mellitus: Canad. Med. Ass. J. 2: 141–146, 1922.

    Google Scholar 

  3. Gepts W: Pathologic anatomy of the pancreas in juvenile diabetes mellitus: Diabetes 14: 619–633, 1965.

    PubMed  CAS  Google Scholar 

  4. Foulis AK, Stewart JA: The pancreas in recent-onset Type 1 (insulin-dependent) diabetes mellitus: insulin content of islets, insulitis and associated changes in the exocrine acinar tissue: Diabetologia 26: 456–461, 1984.

    Article  PubMed  CAS  Google Scholar 

  5. Bottazzo GF, Dean BM, McNally JM, McKay EH, Swift PGF, Gamble DR: In situ characterization of autoimmune phenomena and expression of HLA molecules in the pancreas in diabetic insulitis: New Engl. J. Med. 313: 353–360, 1985.

    Article  PubMed  CAS  Google Scholar 

  6. Rahier J, Goebbels RM, Henquin JC: Cellular composition of the human diabetic pancreas: Diabetologia 24: 366–371, 1983.

    Article  PubMed  CAS  Google Scholar 

  7. Lacy PE, Wright PH, Silverman JL: Eosinophilic infiltration in the pancreas of rats injected with anti-insulin serum: Fed. Proc. 22: 60, 1963.

    Google Scholar 

  8. Renold AE, Soeldner JS, Steincke J: Immunologic studies with homologous and heterologous pancreatic insulin in the cow: Ciba Foundations Colloquia 15: 122, 1964.

    CAS  Google Scholar 

  9. Like AA, Rossine AA: Streptozotocin - induced pancreatic insulitis: new model of diabetes mellitus: Science 193: 415–417, 1976.

    Article  PubMed  CAS  Google Scholar 

  10. Craighead JE: The role of viruses in the pathogenesis of pancreatic disease and diabetes mellitus: Prog. Med. Virol. 19: 161–214, 1975.

    PubMed  CAS  Google Scholar 

  11. Notkins AL: Virus-induced diabetes mellitus: Brief review: Arch. Virol. 54: 1–17, 1977.

    Article  PubMed  CAS  Google Scholar 

  12. Nerup J, Andersen OO, Bendixen G, Egeberg J, Poulsen JE: Anti-pancreatic, cellular hypersensitivity in diabetes mellitus. Antigenic activity of fetal calf pancreas and correlation with clinical type of diabetes: Acta Allergol 28: 223–230, 1973.

    PubMed  CAS  Google Scholar 

  13. Bottazzo GF, Florin-Christensen A, Doniach D: Islet cell antibodies in diabetes mellitus with autoimmune polyendocrine defiencies: Lancet ii: 1279–1283, 1974.

    Article  Google Scholar 

  14. Lernmark Å, Freedman ZR, Hofmann C, Rubenstein AH, Steiner DF, Jackson RL, Winter RJ, Traisman HS: Islet cell surface antibodies in juvenile diabetes mellitus: N. Engl. J. Med. 299: 375–380, 1978.

    Article  PubMed  CAS  Google Scholar 

  15. Platz P, Jackson BK, Morling M, Ryder LP, Svejgaard A, Thomsen M, Christy M, Kromann H, Benn J, Nerup J, Green A, Hauge M: HLA-D and DR-antigens in genetic analysis of insulin-dependent diabetes mellitus: Diabetologia 21: 100–115, 1981.

    Article  Google Scholar 

  16. Barbosa J, Chavers B, Dunsworth T, Michael A: Islet cell antibodies and histocompatibility antigens (HLA) in insulin-dependent diabetes and their first degree relatives: Diabetes 31: 585–588, 1982.

    PubMed  CAS  Google Scholar 

  17. Owerbach D, Lernmark Å, Platz P, Ryder LP, Rask L, Peterson PA, Ludvigson J: HLA-D region 3-chain DNA endonuclease fragments differ between HLA-DR identical healthy and insulin-dependent diabetic individuals: Nature 303: 815–817, 1983.

    Article  PubMed  CAS  Google Scholar 

  18. Andreani D, DiMario U, Federlin KF, Heding LG (eds): Immunulogy in Diabetes: Kimpton Medical Publications, London, 1984.

    Google Scholar 

  19. Todd I, Bottazzo GF: Laboratory investigation of autoimmune endocrine diseases: Clinics in Immunol, and Allergy 5: 613–638, 1985.

    Google Scholar 

  20. Rossini AA, Mordes JP, Like AA: Immunology of insulin-dependent diabetes mellitus: Ann. Rev. Immunol. 3: 289–320, 1985.

    Article  CAS  Google Scholar 

  21. Honjo T: Origin of immune diversity: genetic variation and selection: Ann. Rev. Biochem. 54: 803–830, 1985.

    Article  PubMed  CAS  Google Scholar 

  22. Jerne NK: Towards a network theory of the immune system: Ann. Immunal. (Paris) 125: 373–382, 1974.

    CAS  Google Scholar 

  23. Wasserman NH, Penn AS, Freimuth PI, Treptow N, Wentzel S, Cleveland WL and Erlanger BF: Anti-idiotypic route to anti-acetylcholine receptor antibodies and experimental myasthenia gravis: Proc. Natl. Acad. Sci. USA 79: 4810–4816, 1982.

    Article  Google Scholar 

  24. McConnell I, Munro A, Waldmann H: Autoimmune Disease in the immune system — a course on the molecular and cellular basis of immunity, 2nd ED: Blackwell Scientific Publ. London, p. 273, 1981.

    Google Scholar 

  25. Ayoub EM, Barret DJ, MacLaren NK, Krischer JP: Association of Class II Human Histocompatibility Leykocyte antigens with rheumatic fever: J. Clin. Invest. 77: 2019–2026, 1986.

    Article  PubMed  CAS  Google Scholar 

  26. Weiss M, Ingbar SH, Winblad S, Kaspar DL: Demonstration of a saturable binding site for thyrotropin in Yersinia enterocolitica: Science 219: 1331–1333, 1983.

    Article  PubMed  CAS  Google Scholar 

  27. Waldmann TA, Broder S: Polyclonal B-cell activators in the study of the regulation of immunoglobulin synthesis in the human system: Adv. Immunol. 48: 196–200, 1982.

    Google Scholar 

  28. Walls KW, Smith JW: Serology of parasite infections: Int. J. Parasitol. 10: 329–340, 1979.

    Google Scholar 

  29. Perrin LH, Mackey LJ, Lambert PH: Immunology of malaria: In: Clinical Immunal. Update (Rosse WF, ed) Elsevier, N.Y. pp. 234–264, 1985.

    Google Scholar 

  30. Owerbach D, Lernmark Å, Rask L, Peterson PA, Platz P, Svejgaard A: Detection of HLA-D/DR-related DNA polymorphism in HLA-D homozygous typing cells: Proc. Natl. Acad. Sci. USA 80: 3758–3761, 1983.

    Article  PubMed  CAS  Google Scholar 

  31. Owerbach D, Hägglöff B, Lernmark Å, Holmgren G: Susceptibility to insulin-dependent diabetes defined by restriction enzyme polymorphism of HLA-D region genomic DNA: Diabetes 33: 958–965, 1984.

    Article  PubMed  CAS  Google Scholar 

  32. Cohen-Haguenauer O, Robbins E, Massart C, Busson M, Deschamps I, Hors J, Lalouel JM, Dausset J, Cohen D: A systematic study of HLA class II-β DNA restriction fragments in insulin-dependent diabetes mellitus: Proc. Natl. Acad. Sci. USA, 82: 3335–3339, 1985.

    Article  PubMed  CAS  Google Scholar 

  33. Böhme J, Carlsson B, Wallin J, Möller E, Persson B, Peterson PA, Rask L: Only one of each DR specificity is associated with insulin-dependent diabetes: J. Immunol. 137: 941–947, 1986.

    PubMed  Google Scholar 

  34. Michelsen B, Kastern W, Lernmark Å, Owerbach D: Identification of an HLA-DC β-chain related genomic sequence associated with insulin-dependent diabetes: Biomed. Biochim. Acta 44, 1: 33–36, 1985.

    PubMed  CAS  Google Scholar 

  35. Michelsen B, Lernmark Å: HLA-DQ gene polymorphism in insulin-dependent diabetes: Proc. of the Satelite Symposium Immunology in Diabetes, Edmonton, in press, 1986.

    Google Scholar 

  36. Boss JM, Stromminger JL: Cloning and sequence analysis of the human major histocompatibility complex gene DC-33: Proc. Natl. Acad. Sci. USA. 81: 5199–5203, 1985.

    Article  Google Scholar 

  37. Rotter JI, Rimoin DL: The genetics of the glucose intolerance disorders: Am. J. Med. 70: 116–126, 1981.

    Article  PubMed  CAS  Google Scholar 

  38. Barnett AH, Eff C, Leslie RDG, Pyke DA: Diabetes in identical twins: a study of 200 pairs: Diabetologia 20: 87–93, 1981.

    Article  PubMed  CAS  Google Scholar 

  39. Dahlquist G, Blom L, Holmgren G, Hägglöff B, Larson Y, Sterky G, Wall S: The epidemiology of diabetes in Swedish Children 0–14 years — A six-year prospective study. Diabetologia 28: 802–808, 1985.

    Article  PubMed  CAS  Google Scholar 

  40. Nakhooda AF, Like AA, Chappel CI, Murray FT, Marliss EB: The spontaneously diabetic Wistar rat. Metabolic and morphologic studies: Diabetes 26: 100–112, 1977.

    Article  PubMed  CAS  Google Scholar 

  41. The juvenile Diabetes Foundation workshop on the spontaneously diabetic BB rat: Its potential for insight into human juvenile diabetes: Marliss EB (ed): Metabolism, 32 suppl 1: 1–166, 1983.

    Google Scholar 

  42. Ono SJ, Colle E, Guttmann RD, Fuks A: MHC association of IDDM in the BB rat maps to permissive immune response genes. In “Immunology of diabetes”, Molnar GD, Jaworski MA, eds: Elsevier publ., New York, (in press), 1986.

    Google Scholar 

  43. Jackson RA, Buse JB, Rifai R, Pelletier D, Milford EL, Carpenter CB, Eisenbarth GS: Diabetes in BB rats: J. Exp. Med. 159: 1629–1636, 1984.

    Article  PubMed  CAS  Google Scholar 

  44. Kastern W, Dyrberg T, Schöller J, Kryspin-Sørensen I: Restriction fragment polymorphisms in the major histocompatibility complex of diabetic BB rats: Diabetes 33: 807–809, 1984.

    Article  PubMed  CAS  Google Scholar 

  45. Björck L, Kryspin-Sørensen I, Dyrberg T, Lernmark Å, Kastern W:A deletion in a rat major histocompatibility complex class I gene is linked to the absence of β2-microglobulin — containing serum molecules: Proc. Natl. Acad. Sci. USA (in press), 1986.

    Google Scholar 

  46. Christau B, Kromann H, Ortved Andersen O, Christy M, Bushard K, Armung K: Seasonal and geographical patterns of juvenile-onset insulin-dependent diabetes in Denmark: Diabetologia 13: 281–284, 1977.

    Article  PubMed  CAS  Google Scholar 

  47. Weringer EJ, Like AA: Immune attack on pancreatic islet transplant in the spontaneously diabetic Biobreeding/Worcester (BB/W) rat is not MHC restricted: J. Immunol. 134: 2383–2386, 1985.

    PubMed  CAS  Google Scholar 

  48. Bækkeskov S, Dyrberg T, Lernmark Å: Autoantibodies against a Mr 64000 islet cellprotein precede the onset of spontaneous diabetes: Science 224: 1348–1350, 1984.

    Article  PubMed  Google Scholar 

  49. Bækkeskov S, Nielsen JH, Marner B, Bilde T, Ludvigson J, Lernmark Å: Autoantibodies in newly diagnosed diabetic children immunoprecipitate human pancreatic islet cell proteins: Nature 298: 167–169, 1982.

    Article  PubMed  Google Scholar 

  50. Bækkeskov S, Bruining S, Srikanta T, Mandrup-Poulsen T, Beaufort C, Eisenbarth GS, Lernmark Å: Antibodies to a M 64000 human islet cell protein in the prediabetic period of IDDM patients: Ann. N.Y. Acad. Sci. 475: 415–417, 1986.

    Article  Google Scholar 

  51. Kanatsuna T, Bækkeskov S, Lernmark Å, Ludvigson J: Immunoglobulin from insulin-dependent diabetic children inhibits glucose-induced insulin release: Diabetes 32: 520–524, 1983.

    Article  PubMed  CAS  Google Scholar 

  52. Bækkeskov S, Kanatsuna T, Klareskog L, Nielsen DA, Peterson PA, Rubenstein AH, Steiner DF, Lernmark Å: Expression of major histocompatibility antigens on pancreatic islet cells: Proc. Natl. Acad. Sci. USA 78: 6456–6460, 1981.

    Article  PubMed  Google Scholar 

  53. Faustman D, Hauptfeld V, Davie JM, Lacy PE, Schreffler DC: Murine pancreatic-cells express H-2K and H-2D but not Ia antigens: J. Exp. Med. 151: 1563–1568, 1980.

    Article  PubMed  CAS  Google Scholar 

  54. Dean BM, Walker R, Bone AJ, Baird JD, Cooke A: Pre-diabetes in the spontaneously diabetic BB/E rat: lymphocyte subpopulations in the pancreatic infiltrate and expression of MHC class II molecules in endocrine cells: Diabetologia 28: 464–466, 1985.

    Article  PubMed  CAS  Google Scholar 

  55. Agger R, Petersen J, Dinesen B, Wiik A, Andersen A: Production and secretion of immunolobulins by in vitro activated lymphocytes: Allergy 37: 179–185, 1982.

    Article  PubMed  CAS  Google Scholar 

  56. Horita M, Suzuki H, Onodera T, Ginsberg-Fellner F, Fanci AS, Notkins AL: Abnormalities of immunoregulatory T cell subsets in patients with insulin-dependent diabetes mellitus: J. Immunol 129: 1426–1429, 1982.

    PubMed  CAS  Google Scholar 

  57. Papadopoulos G, Petersen J, Andersen V, Lernmark Å, Marner B, Nerup J, Binder C: Spontaneous in vitro immunoglobulin secretion at the diagnosis of insulin-dependent diabetes: Acta endocrinol. 105: 521–527, 1984.

    PubMed  CAS  Google Scholar 

  58. Madsen OD, Landin-Olsson M, Bille G, Sundkvist G, Lernmark Å, Dahlquist G, Ludvigson J: A two-colour immunofluorescence test with 1 monoclonal human proinsulin antibody improves the assay for islet cell antibodies: Diabetologia 29: 115–118, 1986.

    Article  PubMed  CAS  Google Scholar 

  59. Gorsuch AN, Spencer KM, Lister J, McNally JM, Dean BM, Bottazzo GF, Cudworth AG: The natural history of type 1 (insulin-dependent) diabetes mellitus: Evidence for a prolonged prediabetic period: Lancet ii: 1363–1365, 1981.

    Article  Google Scholar 

  60. Srikanta S, Gimda O, Eisenbarth G, Soeldner JS: Islet cell antibodies and beta cell function in monozygotic triplets and twins initially discordant for type 1 diabetes mellitus: N. Engl. J. Med. 308: 322–325, 1983.

    Article  PubMed  CAS  Google Scholar 

  61. Marner B, Agner T, Binder C, Lernmark Å, Nerup J, Mandrup-Poulsen T, Walldorf S: Increased reduction in fasting C-peptide is associated with islet cell antibodies in Type 1 (insulin-dependent) diabetic patients: Diabetologia 28: 875–880, 1985.

    Article  PubMed  CAS  Google Scholar 

  62. Mandrup-Poulsen T, Nerup J, Stiller CR, Marner B, Bille G, Heinrichs D, Marstell R, Dupse J, Keown PA, Jenner MR, Rodger NW, Wolfe B, Graffenried BV, Binder C: Disappearance and reappearance of islet cell cytoplasmic antibodies in cyclosporin — treated insulin-dependent diabetics: Lancet i: 599–602, 1985.

    Article  Google Scholar 

  63. Winkel van de M, Smets G, Gepts W, Pipeleers DG: Islet cell surface antibodies from insulin-dependent diabetics bind specifically to pancreatic B-cells: J. Clin. Invest. 70: 41–49, 1982.

    Article  Google Scholar 

  64. Huen A, Haneda M, Freedman Z, Lernmark Å, Rubenstein AH: Quantitative determinations of islet cell surface antibodies using 125I-protein A: Diabetes 32: 460–465, 1983.

    Article  PubMed  CAS  Google Scholar 

  65. Dyrberg T, Poussier P, Nakhooda F, Marliss EB, Lernmark Å: Islet cell surface and lymphocyte antibodies often precede the spontaneous diabetes in the BB rat: Diabetologia 26: 159–165, 1984.

    Article  PubMed  CAS  Google Scholar 

  66. Pipeleers D, Winkel van de M, Dyrberg T, Lernmark Å: The spontaneously diabetic BB rats have age-dependent B cell specific surface antibodies at the time of onset: (Submitted for publication), 1986.

    Google Scholar 

  67. Martin DR, Logothetopoulos J: Complement-fixing islet cell antibodies in the spontaneously diabetic BB rat: Diabetes 33: 93–96, 1984.

    Article  PubMed  CAS  Google Scholar 

  68. Dobersen MJ, Scharff JE, Ginsberg-Fellner FBS, Notkins AL: Cytotoxic autoantibodies to beta cells in the serum of patients with insulin-dependent diabetes mellitus: N. Engl. J. Med. 303: 1493–1498, 1980.

    Article  PubMed  CAS  Google Scholar 

  69. Hartling SG, Lindgren F, Dahlquist G, Thalme B, Möller E, Efendic S, Persson B, Binder C: Proinsulin — a possible subclinical indicator for B-cell dysfunction: Diabetologie 29: 202 A, 1986.

    Google Scholar 

  70. Lernmark Å, Kanatsuna T, Rubenstein AH, Steiner DF: Detection and possible functional influence of antibodies directed against pancreatic islet cell surface: Adv. Exp. Med. Biol. 119: 157–163, 1979.

    PubMed  CAS  Google Scholar 

  71. Like AA, Appel MC, Rossini AA: Autoantibodies in the BB/W rat: Diabetes 31: 313–318, 1982.

    Article  Google Scholar 

  72. Elders M, MacLaren NK: Identification of profound peripheral T lymphocyte immunodeficiencies in the spontaneously diabetic BB rat: J. Immunol. 130: 1723–1731, 1983.

    Google Scholar 

  73. Contreas G, Lernmark Å, Mathiasen ER, Deckert T: Immune complexes in insulin-dependent diabetes: Biomed. Acta 44, 1: 129–132, 1985.

    CAS  Google Scholar 

  74. Boitard C, Debray-Sachs M, Pouplard A, Assan R, Hamburger J: Lymphocytes from diabetics suppress insulin release in vitro: Diabetologia 21: 41–46, 1981.

    PubMed  CAS  Google Scholar 

  75. Sensi M, Pozzilli P, Gorsuch AN, Bottazzo GF, Cudworth AG: Increased killer cell activity in insulin-dependent (Type 1) diabetes mellitus: Diabetologia 20: 106–109, 1981.

    Article  PubMed  CAS  Google Scholar 

  76. Wilson RG, Anderson J, Shenton BK, White MD, Taylor RMR, Proud G: Natural killer cells in insulin-dependent diabetes mellitus: Br. Med. J. 293: 244, 1986.

    Article  CAS  Google Scholar 

  77. MacKay P, Boulton A, Rabinovitch A: Lymphoid cells of BB/W diabetic rats are cytotoxic to islet beta cells in vitro: Diabetes 34: 706–709, 1985.

    Article  PubMed  CAS  Google Scholar 

  78. Koevary S, Rossini AA, Stollen W, Chick WL: Passive transfer of diabetes in the BB/W rat: Science 220: 727–728, 1983.

    Article  PubMed  CAS  Google Scholar 

  79. Handler ES, Mordes JP, Seals J, Koevary S, Like AA, Nakano K, Rossini AA: Diabetes in the Biobreeding/Worcester rat. Induction and acceleration by spleen cell-conditioned media: J. Clin. Invest. 76: 1692–1694, 1985.

    Article  PubMed  CAS  Google Scholar 

  80. Mordes JP, Handler ES, Like AA, Nakano K, Rossini AA: Irradiated lymphocytes do not adoptively transfer diabetes or prevent spontaneous disease in the BB/W rat: Metabolism 35: 552–554, 1986.

    Article  PubMed  CAS  Google Scholar 

  81. Feutren G, Assan R, Karsenty G, Du Rostu H, Sirmai J, Papoz L, Vialettes B, Vexiau P, Rodier M, Lallemand A, Bach J-F: Cyclosporin increases the rate and length of remissions in insulin-dependent diabetes of recent onset: Lancet ii: 119–123, 1986.

    Article  Google Scholar 

  82. Jaworski MA, Honore L, Jewell LD, Metha JG, McGuire-Clark P, Schouls JJ, Yap WY: Cyclosporin prophylaxis induces long-term prevention of diabetes, and inhibits lymphocytic infiltration in multiple target tissues in the high-risk BB rat: Diabetes Research 3: 1–6, 1986.

    PubMed  CAS  Google Scholar 

  83. Stiller CR, Laupacis A, Keown PA, Gardell C, Dupre J, Thibert P, Wall W: Cyclosporin: Action, pharmacokinetics and effect in the BB rat model: Metabolism 32 suppl. 1: 69–72, 1983.

    Article  Google Scholar 

  84. Like AA, Kislauskis E, Williams RM, Rossini AA: Neonatal thymectomy prevents diabetes mellitus in the BB/W rat: Science 216: 644–646, 1982.

    Article  PubMed  CAS  Google Scholar 

  85. Naji A, Silvers WK, Bellgrau D, Anderson AO, Plotkin S, Barker CF: Prevention of diabetes in rats by bone marrow transplantation: Ann. Surg. 194: 328–338, 1981.

    Google Scholar 

  86. Brayman KL, Markmann J, Silvers WK, Barker CF, Naji A: Neonatal bone marrow transplantation and the prevention of diabetes in BB rats: Immunology of Diabetes, Edmonton, Canada: S39, 1986.

    Google Scholar 

  87. Rossini AA, Faustman D, Woda BA, Like AA, Szymanski I, Mordes J: Lymphocyte transfusions prevent diabetes in the Bio-Breeding/Worcester rat J. Clin. Invest. 74: 39–46, 1984.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Martinus Nijhoff Publishing, Boston

About this chapter

Cite this chapter

Markholst, H., Lernmark, Å. (1987). Autoimmunity in Diabetes. In: Becker, Y. (eds) Virus Infections and Diabetes Mellitus. Developments in Medical Virology, vol 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2085-2_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2085-2_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9236-4

  • Online ISBN: 978-1-4613-2085-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics