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Exp Clin Endocrinol Diabetes 1985; 86(6): 323-334
DOI: 10.1055/s-0029-1210505
Original

© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York

Metabolic, Hormonal, and Immunological Alterations in Subjects with Antecedent Mumps Infection

K. P. Ratzmann, J. Strese, I. Rjasanowski, S. Witt, K. D. Kohnert, H. Keilacker, K. V. Richter1 , R. Giebelmann2 , B. Schulz
  • Central Institute of Diabetes “Gerhardt Katsch” (Director: OMR Prof. Dr. sc. med. H. Bibergeil), Karlsburg
  • 1Tissue Typing Laboratory, Blood Transfusion Center, Berlin/GDR
  • 2Institute of Forensic Medicine of the Ernst-Moritz-Arndt-University Greifswald/GDR
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1984

Publikationsdatum:
16. Juli 2009 (online)

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Summary

Since mumps virus seems to be one of the most likely candidates in viral etiology of insulin-dependent diabetes (IDDM) we studied the possible relationship of glucose tolerance (75 g oGTT), beta cell function, diabetes associated HLA antigens, haptoglobin phenotype, islet cell antibodies (ICA) and islet cell surface antibodies (ICSA) in 125 subjects with antecedent mumps infection” Impaired glucose tolerance (IGT) was diagnosed in 3.2% (n — 4) but onset of diabetes did not appear within 14 months after mumps infection. There was no relationship between glucose tolerance and complications of antecedent mumps infection (e.g. pancreatitis, meningitis, orchitis). The prevalence rate of ICA was 76%. ICSA were detectable in about 36% of children and 62% of the adults tested (p < 0.01). There was no relationship betwesn ICA/ICSA and diabetes-associated HLA antigens, haptoglobin phenotype or beta cell function (fasting C-peptide and insulin response to 75 g oGTT). However, adults with circulating ICA were characterized by a significantly lower insulin response to glucose. Fifty two “risk” subjects characterized by IGT, diabetes associated HLA antigene(s), ICA or ICSA either alone or combined were studied again 26 months after mumps infection. No symptomatic diabetes appeared and IGT was diagnosed in one case only. ICA and ICSA persisted in more than 50% of subjects in whom ICA or ICSA were present 14 months after mumps infection. Since the used immunological techniques do not clearly distinguish organ-specific from non-organ-specific antibodies the results must be interpreted with caution. To summarize, the preliminary results do not support a close temporal relationship between mumps infection and the onset of IDDM. The pathogenetic role of mumps virus and ICA/ICSA and their possible relation to a slow progressive beta cell destruction has still to be determined.

Key words

IDDM - Mumps infection - Metabolism - Hormones - Immunology