Preview

Title in english

Advanced search

Chronobiological mechanisms in the pathophysiology of pediatric type 1 diabetes mellitus

https://doi.org/10.34680/2076-8052.2023.2(131).234-241

Abstract

A total of 70 children were studied, including 35 with type 1 diabetes mellitus (study group) and 35 conditionally healthy children (control group). Patients with type 1 diabetes mellitus were studied at two stages: upon their urgent admission to the hospital with diabetic ketoacidosis (stage one, acute period) and two months later, during planned hospitalization (stage two, recovery period). Children with type 1 diabetes mellitus were found to have elevated levels of autoantibodies against the melatonin receptor (MRA1), with the maximum concentration during the acute period reaching 5.17±1.02 U/mL and subsequent gradual decrease to a level of 2.3±0.31 U/mL two months later. Positive correlation was found between the level of anti-MRA1 AAT and chronic disease course (duration of disease, number of relapses in the patient’s history). An explanation is provided for chronobiological mechanisms involved in the pathophysiology of pediatric type 1 diabetes mellitus.

About the Authors

Yu. V. Bykov
Stavropol State Medical University of Ministry of Health of Russian Federation
Russian Federation

Bykov Yu. V.,

Stavropol.



V. A. Baturin
Stavropol State Medical University of Ministry of Health of Russian Federation
Russian Federation

Baturin V. A.,

Stavropol.



References

1. Pasi R., Ravi K. S. Type 1 diabetes mellitus in pediatric age group: A rising endemic // Journal of Family Medicine and Primary Care. 2022. 11(1). 27-31. DOI: 10.4103/jfmpc.jfmpc_975_21

2. Paschou S. A., Papadopoulou-Marketou N., Chrousos G. P., Kanaka-Gantenbein C. On type 1 diabetes mellitus pathogenesis // Endocrine Connections. 2018. 7(1). R38-R46. DOI: 1530/EC-17-0347

3. Lebailly B., Boitard C., Rogner U. C. Circadian rhythm-related genes: implication in autoimmunity and type 1 diabetes // Diabetes Obesity and Metabolism. 2015. 17(1). 134-148. DOI: 10.1111/dom.12525

4. Buxton O. M., Cain S. W., O’Connor S. P., Porter J. H., Duffy J. F., Wang W., Czeisler C. A., Shea S. A. Adverse metabolic consequences in humans of prolonged sleep restriction combined with circadian disruption // Science Translational Medicine. 2012. 4(129). 129ra43. DOI: 10.1126/scitranslmed.3003200

5. Hardeland R., Cardinali D. P., Srinivasan V., Spence D. W., Brown G. M., Pandi-Perumal S. R. Melatonin-A pleiotropic, orchestrating regulator molecule // Progress in Neurobiology. 2011. 93(3). 350-384. DOI: 10.1016/j.pneurobio.2010.12.004

6. Lardone P. J., Alvarez-Sanchez S. N., Guerrero J. M., Carrillo-Vico A. A. Melatonin and glucose metabolism: clinical relevance // Current Pharmacentical Design. 2014. 20(30). 4841-4853. DOI: 10.2174/1381612819666131119101032

7. Peschke E., Frese T., Chankiewitz E., Peschke D., Preiss U., Schneyer U., Spessert R., Mühlbauer E. Diabetic Goto Kakizaki rats as well as type 2 diabetic patients show a decreased diurnal serum melatonin level and an increased pancreatic melatonin-receptor status // Journal of Pineal Research. 2006. 40(2). 135-143. DOI: 10.1111/j.1600-079X.2005.00287.x

8. Lima F. B., Machado U. F., Bartol I., Seraphim P. M. , Sumida D. H., Moraes S. M., Hell N. S., Okamoto M. M., Saad M. J., Carvalho C. R., Cipolla-Neto J. Pinealectomy causes glucose intolerance and decreases adipose cell responsiveness to insulin in rats // American Journal of Physiology-Endocrinology and Metabolism. 1998. 275(6). 934-941. DOI: 10.1152/ajpendo.1998.275.6.E934

9. Kor Y., Geyikli I., Keskin M., Akan M. Preliminary study: Evaluation of melatonin secretion in children and adolescents with type 1 diabetes mellitus // Indian Journal of Endocrinology and Metabolism. 2014. 18(4). 565-568. DOI: 10.4103/2230-8210.137521

10. Baturin V. A., Bykov Yu. V., Mamtseva G. I., Uglova T. I., Yagudina R. I. Opredelenie urovnya antitel k receptoru melatonina 1A u detej s saharnym diabetom I tipa na razlichnyh stadiyah zabolevaniya [Determination of the level of antibodies to the melatonin 1A receptor in children with type I diabetes mellitus at various stages of the disease] // Medical News of The North Caucasus. 2018. 13(4). 671-673. DOI: 10.14300/mnnc.2018.13133

11. Nurbekova A. A. Saharnyj diabet (diagnostika, oslozhneniya, lechenie): uchebnoe posobie [Diabetes mellitus (diagnosis, complications, treatment): textbook]. Almaty, 2011. 80 p.

12. Algoritmy specializirovannoj medicinskoj pomoshchi bol'nym saharnym diabetom [Algorithms of specialized medical care for patients with diabetes mellitus]. Issue 10 (additional). Eds.: I. I. Dedov, M. V. Shestakova, A. Yu. Mayorov. Scientific Research Center of Endocrinology. Moscow, 2021. 236 p. DOI: 10.14341/DM12802. Available at: https://www.endocrincentr.ru/sites/default/files/specialists/science/clinic-recomendations/alg_book_10_final_.pdf (Accessed: 18.11.2022).


Review

For citations:


Bykov Yu.V., Baturin V.A. Chronobiological mechanisms in the pathophysiology of pediatric type 1 diabetes mellitus. Title in english. 2023;(2(131)):234-241. (In Russ.) https://doi.org/10.34680/2076-8052.2023.2(131).234-241

Views: 52


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2076-8052 (Print)