Insulin autoantibodies as determined by competitive radiobinding assay are positively correlated with impaired beta-cell function — The Ulm-Frankfurt population study

Out of a random population of 4208 non-diabetic pupils without a family history of Type I diabetes 44 (1.05%) individuals had islet cell antibody (ICA) levels greater or equal to 5 Juvenile Diabetes Foundation (JDF) units. 39 of these ICA-positives could be repeatedly tested for circulating insulin autoantibodies (CIAA) using a competitive radiobinding assay. The results were compared with the insulin responses in the intravenous glucose tolerance tests (IVGTT) and with HLA types. Six pupils were positive for CIAA. All of them had complement-fixing ICA, and 5 of them were HLA-DR4 positive. Three of the 6 showed a first-phase insulin response below the first percentile of normal controls. Our data indicate that in population-based studies CIAA can be considered as a high risk marker for impaired beta-cell function in non-diabetic ICA-positive individuals

Antibodies to the Mr 64,000 (64K) protein in islet cell antibody positive non-diabetic individuals indicate high risk for impaired Beta-cell function

A prospective study of a normal childhood population identified 44 islet cell antibody positive individuals. These subjects were typed for HLA DR and DQ alleles and investigated for the presence of antibodies to the Mr 64,000 (64K) islet cell antigen, complement-fixing islet cell antibodies and radiobinding insulin autoantibodies to determine their potency in detecting subjects with impaired Beta-cell function. At initial testing 64K antibodies were found in six of 44 islet cell antibody positive subjects (13.6%). The same sera were also positive for complement-fixing islet cell antibodies and five of them had insulin autoantibodies. During the follow-up at 18 months, islet cell antibodies remained detectable in 50% of the subjects studied. In all six cases who were originally positive, 64K antibodies were persistently detectable, whereas complement-fixing islet cell antibodies became negative in two of six and insulin autoantibodies in one of five individuals. HLA DR4 (p < 0.005) and absence of asparic acid (Asp) at position 57 of the HLA DQ chain (p < 0.05) were significantly increased in subjects with 64K antibodies compared with control subjects. Of 40 individuals tested in the intravenous glucose tolerance test, three had a first phase insulin response below the first percentile of normal control subjects. Two children developed Type 1 (insulin-dependent) diabetes mellitus after 18 and 26 months, respectively. Each of these subjects was non-Asp homozygous and had persistent islet cell and 64K antibodies. We conclude that 64K antibodies, complement-fixing islet cell antibodies and insulin autoantibodies represent sensitive serological markers in assessing high risk for a progression to Type 1 diabetes in islet cell antibody positive non-diabetic individuals

Prevalence and correlates of depressive disorders in people with Type 2 diabetes: results from the International Prevalence and Treatment of Diabetes and Depression (INTERPRET‐DD) study, a collaborative study carried out in 14 countries

Aims To assess the prevalence and management of depressive disorders in people with Type 2 diabetes in different countries. Methods People with diabetes aged 18–65 years and treated in outpatient settings were recruited in 14 countries and underwent a psychiatric interview. Participants completed the Patient Health Questionnaire and the Problem Areas in Diabetes scale. Demographic and medical record data were collected. Results A total of 2783 people with Type 2 diabetes (45.3% men, mean duration of diabetes 8.8 years) participated. Overall, 10.6% were diagnosed with current major depressive disorder and 17.0% reported moderate to severe levels of depressive symptomatology (Patient Health Questionnaire scores >9). Multivariable analyses showed that, after controlling for country, current major depressive disorder was significantly associated with gender (women) (PPPPP<0.0001). The proportion of those with either current major depressive disorder or moderate to severe levels of depressive symptomatology who had a diagnosis or any treatment for their depression recorded in their medical records was extremely low and non-existent in many countries (0–29.6%). Conclusions Our international study, the largest of this type ever undertaken, shows that people with diabetes frequently have depressive disorders and also significant levels of depressive symptoms. Our findings indicate that the identification and appropriate care for psychological and psychiatric problems is not the norm and suggest a lack of the comprehensive approach to diabetes management that is needed to improve clinical outcomes

Effect of skewed cybotactic structure on the dielectric constants and conductivities of some binary mixtures exhibiting the nematic phase

2-cyano-4-heptylphenyl-4'-pentyl-4-biphenyl carboxylate (7P(2CN)5BC), a nematogen with a cyano group making a large angle (~60°) with the long axis of the molecule, has a moderately strong negative dielectric anisotropy (Δε). A mixture of 85 mole per cent of 7P(2CN)5BC with 15% of 4-n-heptyl-4'-cyanobiphenyl (7CB) exhibits a reversal of the dielectric anisotropy Δε as the temperature is varied, becoming negative at higher temperatures. Δε of mixtures with higher concentrations of 7CB is positive throughout the nematic range. The conductivity anisotropy ΔS' of these systems has been investigated for a range of frequencies from 300 Hz to 30 kHz. In 7P(2CN)5BC, ΔS' changes sign becoming negative at higher temperatures for all frequencies investigated. The results are discussed in terms of the temperature variation of the tilt angle of the skewed cybotactic structure of 7P(2CN)5BC

Studies on binary mixtures of systems which exhibit a maximum as well as a minimum in the A-N transition boundary

We have studied the binary phase diagrams of (I) p'-nitrophenyl-p-n-octyloxybenzoate with (2-hydroxy)-p-ethoxybenzylidene-p'-butylaniline, and (II) p'-n-octyloxy-p-cyanobiphenyl with p-butoxyphenyl-(p'-pentyloxy)benzoate. Both of them show a strong maximum in the A-N boundary, indicative of an induced A phase, and further, a well defined minimum for a composition rich in the highly polar component. The interactions responsible for the induced phase are much stronger for the system II than for the system I. We have investigated the temperature variations of the layer spacings for various compositions of both the systems. In system I, there is a considerable thermal expansion of the spacing, the expansion coefficient attaining a maximum value for the composition corresponding to the minimum in the A-N boundary. We have given a physical interpretation of this observation. The dielectric anisotropies of various compositions of system I have also been investigated and their temperature dependences interpreted in terms of the physical model mentioned above. The conductivity anisotropy changes sign for all compositions exhibiting the A phase. The temperature of crossover in relation to TAN is the highest for the mixture which exhibits the minimum value of TAN, since the A-N transition is almost of a second order character for this composition

Experimental determination of the curvature-induced reduction in the smectic A-nematic transition poin

On the basis of an analogy between smectic A-nematic and superconductor-normal metal transitions, de Gennes has predicted that a twist or bend distortion should reduce TAN with respect to that of a curvature-free sample. We report measurements of the reduction of TAN on samples prepared in two different geometries. In the first, a magnetically induced twist distortion has been used to obtain preliminary data on 8 OCB and CBOOA samples. In the second, a wedge-shaped twisted nematic cell has been used to get quantitative data on the reduction of TAN of CBOOA as a function of twist distortion

Dielectric relaxation studies on two systems exhibiting the induced smectic A phase

Recently we reported some physical studies (layer spacings using X-ray scattering, low frequency dielectric constants) on two systems exhibiting a maximum (indicating an induced smectic A) as well as a minimum in the A-N transition boundary. In this paper we report measurements of the dielectric relaxation of &#949;|| (up to 13 MHz) for a few compositions of the two systems. The activation energy in the A phase of the mixtures corresponding to the maximum in the A-N boundary is higher than that of the pure polar component. The results are discussed in relation to the molecular interactions giving rise to the induced smectic A phase

Paramagnetic nematic liquid crystals

Five nematogenic complexes, bis[1-(p-n-decyl-biphenyl) 3-(p-substituted phenyl) propane-1, 3-dionato]-copper (II), have been prepared. The mesophase, which occurs monotropically in all of them, is of the usual nematic type, but has paramagnetic properties. Magnetic, dielectric and electron paramagnetic resonance measurements are presented. A preliminary analysis of the data indicates the existence of antiparallel correlations in the nematic phase

No association between islet cell antibodies and coxsackie B, mumps, rubella and cytomegalovirus antibodies in non-diabetic individuals aged 7–19 years

Viral antibodies were tested in a cohort of 44 isletcell antibody-positive individuals age 7–19 years, and 44 of their islet cell antibody-negative age and sex-matched classmates selected from a population study of 4208 pupils who had been screened for islet cell antibodies. Anti-coxsackie B1-5 IgM responses were detected in 14 of 44 (32%) of the islet cell antibody-positive subjects and in 7 of 44 (16%) control subjects. This difference did not reach the level of statistical significance. None of the islet cell antibody-positive subjects had specific IgM antibodies to mumps, rubella, or cytomegalovirus. There was also no increase in the prevalence or the mean titres of anti-mumps-IgG or IgA and anti-cytomegalovirus-IgG in islet cell antibody-positive subjects compared to control subjects. These results do not suggest any association between islet cell antibodies, and possibly insulitis, with recent mumps, rubella or cytomegalo virus infection. Further studies are required to clarify the relationship between islet cell antibodies and coxsackie B virus infections