Volume 44, Number 12, 2115-2133, DOI: 10.1007/s001250100021

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European Association for the Study of Diabetes

A choice of death – the signal-transduction of immune-mediated beta-cell apoptosis

D. L. Eizirik and T. Mandrup-Poulsen

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Abstract

Apoptosis is likely to be the main form of beta-cell death in immune-mediated diabetes mellitus in rodents and possibly in humans. Clarification of the regulation of beta-cell death could indicate novel sites for therapeutic intervention in Type I (insulin-dependent) diabetes mellitus. We review the molecular effectors and signal transduction of immune-mediated beta-cell apoptosis.

Keywords Beta cell - apoptosis - interleukin-1 - interferon-γ - nitric oxide - diabetes mellitus.

Received: 18 June 2001 and in revised form: 6 August 2001

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