RT Journal Article SR Electronic T1 Genetically Programmed Selective Islet β-Cell Loss in Diabetic Subjects With Wolfram's Syndrome JF Diabetes Care JO Diabetes Care FD American Diabetes Association SP 135 OP 138 DO 10.2337/diacare.12.2.135 VO 12 IS 2 A1 Karasik, Avraham A1 O'Hara, Carl A1 Srikanta, S A1 Swift, Michael A1 Soeldner, J Stuart A1 Kahn, C Ronald A1 Herskowitz, Raymonde D YR 1989 UL http://care.diabetesjournals.org/content/12/2/135.abstract AB Insulin-producing (5-cells were selectively absent from the islets of Langerhans in postmortem specimens from two patients with Wolfram's syndrome. In families with multiple cases of this syndrome, we found a very high concordance rate (r = .910, P < .001) among siblings for age at onset of diabetes mellitus. Taken together with the lack of markers for an autoimmune process, these findings suggest that diabetes mellitus in this syndrome results from genetically programmed selective p-cell death.