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Problems of Endocrinology

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T-activin in combined therapy of type I diabetes mellitus

https://doi.org/10.14341/probl10390

Abstract

The effects of t-activin on the time course of immunohormonal, metabolic, and clinical parameters were studied in patients with newly diagnosed type I diabetes (n = 50, aged 17 to 35, followed up for 2 years; controls: 20 patients with type 1 disease treated traditionally). An appreciable decrease of basal and stimulated levels of C-peptide, shifted T-helper to T-supprcssor ratio caused by a decrease of T-suppressor level, and an increase of the immunoregulatory index were observed at the debut of type 1 diabetes; these shifts gave grounds sufficient to prescribe t-activin. Tactivin therapy for 2 years led to a decrease of the T-helper/T-suppressor imbalance due to an increase of the T-suppressor content, normalization of IRI, increase of the basal and stimulated C-peptidc levels, normalization of HbAlc at a daily insulin dose of 0.4 U/kg, and a stable course of the disease. In the controls the immune parameters and hormones did not normalize, daily insulin dose was 0.6 U/kg, and the disease course unstable. Hence, t-activin not only corrected the immunity, but metabolism as well, which resulted in stimulation of repair regeneration of pancreatic p-cells.

About the Authors

V. I. Novikov

Smolensk State Medical Academy 


Russian Federation

Department of Endocrinology



V. A. Shostak

Smolensk State Medical Academy


Russian Federation

Department of Endocrinology



References

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2. Хаитов Р. М., Дедов И. И., Брыкова С. В. и др. // Пробл. эндокринол. — 1992. — № 2. — С. 8—12.

3. Eisenbarth G. S. // N. Engl. J. Med. — 1986. — Vol. 314. — P. 1360-1368.

4. Immunotherapy of Type I Diabetes / Ed. D. Andreani. — Chichester, 1989.


Review

For citations:


Novikov V.I., Shostak V.A. T-activin in combined therapy of type I diabetes mellitus. Problems of Endocrinology. 1997;43(3):23-25. (In Russ.) https://doi.org/10.14341/probl10390

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ISSN 0375-9660 (Print)
ISSN 2308-1430 (Online)