首页> 外文期刊>The Open Endocrinology Journal >Type 1 Diabetes Versus Type 2 Diabetes/Metabolic Syndrome, Opposite Extremes of an Immune Spectrum Disorder Induced by Vaccines
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Type 1 Diabetes Versus Type 2 Diabetes/Metabolic Syndrome, Opposite Extremes of an Immune Spectrum Disorder Induced by Vaccines

机译:1型糖尿病与2型糖尿病/代谢综合症,与疫苗引起的免疫谱紊乱的极端相反

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There is an epidemic in children of type 2 diabetes and metabolic syndrome including individual diseases that form the components of metabolic syndrome. The epidemic resembles the epidemic of type 1 diabetes in children which has been linked to immunization. The epidemic of obesity in US children has a statistically significant positive correlation with the number of vaccine doses recommended. There is a similar trend with both hypertension and metabolic syndrome. The incidence of type 2 diabetes in Japanese children decreased significantly following the discontinuation of the BCG vaccine, a vaccine which is associated with an increased risk of type 1 diabetes. This paper describes two aberrant responses to immunization. At one extreme immunization leads to progressive autoimmune diseases including type 1 diabetes. A second response to immunization, and an opposite extreme to autoimmunity, is for the body to suppress the immune system through increased cortisol activity and other counter measures leading to type 2 diabetes and metabolic syndrome. Some vaccine recipients may have a mixed response, falling between the extremes, such as an incomplete autoimmune disorder or an intermittent autoimmune disorder. The propensity to develop a particular response relates to race. Japanese children produce large amounts of cortisol following immunization and have lower risk of type 1 diabetes but higher risk of type 2 diabetes than White children. Analysis using Austin Bradford-Hill criteria for causation support a causal relation between immunization and metabolic syndrome. Additional studies are needed to further characterize this risk.
机译:2型糖尿病和代谢综合症的儿童中有一种流行病,包括构成代谢综合症组成部分的各种疾病。该流行病类似于儿童中与免疫接种相关的1型糖尿病的流行病。美国儿童中的肥胖病流行与推荐的疫苗剂量在统计学上具有显着正相关。高血压和代谢综合症也有类似的趋势。 BCG疫苗停用后,日本儿童中2型糖尿病的发生率显着下降,该疫苗与1型糖尿病的风险增加有关。本文描述了两种对免疫的异常反应。在一种极端情况下,免疫会导致进行性自身免疫疾病,包括1型糖尿病。免疫的第二种反应是自身免疫的另一极端,它是机体通过增加皮质醇活性和其他导致2型糖尿病和代谢综合征的对策来抑制免疫系统。一些疫苗接种者可能会有不同的反应,介于极端之间,例如不完全的自身免疫性疾病或间歇性自身免疫性疾病。做出特定反应的倾向与种族有关。与白人儿童相比,日本儿童在免疫后会产生大量皮质醇,罹患1型糖尿病的风险较低,但罹患2型糖尿病的风险较高。使用奥斯汀·布拉德福德·希尔(Austin Bradford-Hill)标准进行因果关系的分析支持免疫与代谢综合征之间的因果关系。需要进一步研究以进一步表征这种风险。

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