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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1988-8-17
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pubmed:abstractText |
Protamines are cationic fish chromosomal proteins that retard absorption of isophane (NPH) insulins. Protamines are also administered in large doses for heparin neutralization in cardiac procedures. This study used a rapid enzyme-linked immunosorbent assay to examine frequency of protamine antibodies in diabetic and control populations. Antigen specificity of the IgG binding to protamine-coated plates was verified by competitive inhibition with other protamines, histone, glucagon, thyroid-stimulating hormone, arginine, and lysine. All antibodies tested cross-reacted completely with all protamines. Only 4 of 18 had any cross-reactivity with histones. None cross-reacted with the other inhibitors. In population surveys, 122 (38%) of 319 NPH insulin-treated diabetic subjects, 3 (8%) of 39 diabetic subjects treated with protamine-free lente insulins, and 5 (2.5%) of 202 normal control subjects had protamine antibody. No correlation was found between insulin and protamine antibodies. Because more than one-third of insulin-treated diabetic subjects have circulating IgG specific for protamine, they are potentially at risk for acute immunologic or anaphylactoid reactions when protamine is administered for heparin neutralization.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0012-1797
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
172-6
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:3292313-Adolescent,
pubmed-meshheading:3292313-Adult,
pubmed-meshheading:3292313-Aged,
pubmed-meshheading:3292313-Antibodies,
pubmed-meshheading:3292313-Antibody Specificity,
pubmed-meshheading:3292313-Child,
pubmed-meshheading:3292313-Child, Preschool,
pubmed-meshheading:3292313-Cross Reactions,
pubmed-meshheading:3292313-Diabetes Mellitus,
pubmed-meshheading:3292313-Enzyme-Linked Immunosorbent Assay,
pubmed-meshheading:3292313-Humans,
pubmed-meshheading:3292313-Immunoglobulin G,
pubmed-meshheading:3292313-Infant,
pubmed-meshheading:3292313-Insulin,
pubmed-meshheading:3292313-Middle Aged,
pubmed-meshheading:3292313-Protamines
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pubmed:year |
1988
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pubmed:articleTitle |
Frequency and specificity of protamine antibodies in diabetic and control subjects.
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pubmed:affiliation |
Department of Medicine, Baylor College of Medicine, Houston, Texas 77030.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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