Is Type 1 Diabetes a Disease of the Gut Immune System Triggered by Cow’s Milk Insulin?

Outi Vaarala

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Abstract

The role of the gut immune system in the development of autoimmune m type 1 diabetes is evaluated in this review with special emphasis in the hypothesis suggesting that dietary cow’s milk insulin could trigger betacell autoimmunity when the mechanisms of oral tolerance are disturbed.

Key words  type 1 diabetes - insulin - gut - beta-cell autoimmunity - alpha4beta7-integrin - cytokines - breast milk - microflora - enterovirus

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