# Hans‐Michael Dosch
Several of Hans-Michael Dosch's early papers appeared in the New England Journal of Medicine: a 1979 report of abnormal lymphocyte capping in severe combined immunodeficiency, a 1982 report of phenytoin-induced antibody deficiency, and a 1992 paper proposing a bovine albumin peptide as a possible trigger of insulin-dependent diabetes.[3](https://doi.org/10.1056/nejm197912063012301) • [4](https://doi.org/10.1056/nejm199207303270502) • [5](https://doi.org/10.1056/nejm198202183060707)
| Key facts | |
| --- | --- |
| Signature work | "A Bovine Albumin Peptide as a Possible Trigger of Insulin-Dependent Diabetes Mellitus," New England Journal of Medicine, 1992[4](https://doi.org/10.1056/nejm199207303270502) |
| Early papers | SCID lymphocyte capping, NEJM 1979; phenytoin-induced transient antibody deficiency, NEJM 1982[3](https://doi.org/10.1056/nejm197912063012301) • [5](https://doi.org/10.1056/nejm198202183060707) |
## Training and career
He is a Senior Scientist in Neurosciences & Mental Health at SickKids.[1](https://biography.omicsonline.org/canada/sickkids/hansmichael-dosch-957762)
## Representative work
According to the 1992 New England Journal of Medicine paper "A Bovine Albumin Peptide as a Possible Trigger of Insulin-Dependent Diabetes Mellitus", it is his signature work.[4](https://doi.org/10.1056/nejm199207303270502) Using immunoassays and [Western blot](https://www.edgepedia.org/western-blot) analysis, the study measured anti-bovine serum albumin (BSA) antibodies in the serum of 142 children with insulin-dependent diabetes mellitus, 79 healthy children, and 300 adult blood donors.[4](https://doi.org/10.1056/nejm199207303270502) The diabetic cohort was 142 Finnish children (83 boys and 59 girls; mean age 8.4±4.3 years) with newly diagnosed disease, studied before their first insulin injection.[4](https://doi.org/10.1056/nejm199207303270502)
## The bovine albumin hypothesis for type 1 diabetes
The 1992 paper proposed that bovine serum albumin, a cow's milk protein, is the dietary trigger of insulin-dependent diabetes, and that an albumin peptide containing 17 amino acids (ABBOS) is the reactive epitope (the specific molecular part an antibody recognizes).[4](https://doi.org/10.1056/nejm199207303270502) Diabetic children had elevated IgG antibodies specific for ABBOS, with a mean concentration of 8.5±0.2 kilofluorescence units (kfU) per microliter against 1.3±0.1 kfU per microliter in healthy children; only 2.5% of the 379 control subjects carried small amounts of ABBOS-specific IgG.[4](https://doi.org/10.1056/nejm199207303270502) The mechanism proposed was molecular mimicry: antibodies to ABBOS react with p69, a beta-cell surface protein that may be the target antigen for milk-induced beta-cell immunity, and ABBOS is immunogenic mainly in hosts with diabetes-associated HLA DR/DQ haplotypes able to bind and present the antigen.[4](https://doi.org/10.1056/nejm199207303270502) A 1991 review of milk proteins in diabetes etiology reported that anti-BSA antibodies cross-react with a beta-cell membrane protein of molecular weight 69,000 (p69), likely interferon-induced, and noted a region of BSA with distinct homology to the beta-subunits of the [MHC class II](https://www.edgepedia.org/mhc-class-ii) proteins Ia, DQ, and DR.[7](https://doi.org/10.3109/07853899109148088) According to *A Bovine Albumin Peptide as a Possible Trigger of Insulin-Dependent Diabetes Mellitus*, antibody concentrations declined to normal in most patients within one to two years of diagnosis.[4](https://doi.org/10.1056/nejm199207303270502)
Follow-up work from the [Hospital for Sick Children](https://www.edgepedia.org/hospital-for-sick-children) in 1994 detected ABBOS-sensitized T cells in 28 of 31 children with recent-onset insulin-dependent diabetes, but not in non-diabetic controls, or in children with systemic lupus erythematosus or juvenile rheumatoid arthritis, mapping the response to the ABBOS peptide at pre-BSA positions 152–168.[8](https://doi.org/10.1111/j.1365-3083.1994.tb03514.x) The same study reported that T-cell proliferative responses to ABBOS declined within the first few years after diagnosis, and that no effector role for the BSA/ABBOS-specific T lymphocytes had been demonstrated, while arguing that their presence strengthened the postulated link between a cow milk protein and the disease.[8](https://doi.org/10.1111/j.1365-3083.1994.tb03514.x)
## Early work on immune deficiency
The 1979 NEJM paper, published December 6, 1979, reported a five-month-old infant with severe combined immunodeficiency (SCID) who, despite normal numbers and distribution of T and B lymphocytes and normal serum immunoglobulin levels, showed no evidence of T-cell or B-cell immunity, and displayed an abnormal accumulation of concanavalin A receptors in surface caps on both T and B lymphocytes, exaggerated by colchicine, an inhibitor of microtubule assembly.[3](https://doi.org/10.1056/nejm197912063012301) The paper concluded that these findings support the theory that plasma-membrane–cytoskeleton interactions have a role in the expression of specific immunity.[3](https://doi.org/10.1056/nejm197912063012301) Related SCID studies at SickKids demonstrated T- and B-cell precursor cells in the majority of patients and showed that, in most patients with normal adenosine deaminase, combined immune deficiency reflected failure of normal T-cell differentiation, and consequent failure of T-cell-dependent maturation of B lymphocytes to an antibody-secreting stage, rather than intrinsic abnormalities of the B cells themselves.[13](https://www.nature.com/articles/pr19811254)
The 1982 NEJM paper, published February 18, 1982, described a patient receiving phenytoin (diphenylhydantoin) who developed abnormal suppressor T cells and hypogammaglobulinemia; after the drug was withdrawn, the suppressor activity disappeared and immunoglobulin production resumed.[5](https://doi.org/10.1056/nejm198202183060707) The paper established that a drug could induce a reversible antibody deficiency through abnormal suppressor T-cell activity.[5](https://doi.org/10.1056/nejm198202183060707)
## Later directions
From the 1990s onward his laboratory at SickKids turned to T-cell autoreactivity in diabetes. A 1999 Journal of Immunology study measured T-cell responses in about 120 newly diabetic children and found that most (78–91%) patient and sibling responses to GAD65, ICA69, and Hsp60 involved anergic T cells that required exogenous IL-2 to proliferate; 85% of new patients had autoreactive T cells, against 7.8% of MHC-matched siblings and none of 40 healthy controls, and diabetic T-cell anergy was found to persist for decades.[14](https://doi.org/10.4049/jimmunol.163.12.6933)
His group then linked diabetes to the nervous system. A 2006 Cell paper, "TRPV1+ Sensory Neurons Control β Cell Stress and Islet Inflammation in Autoimmune Diabetes," carried this line of work to the sensory neurons themselves.[15](https://doi.org/10.1016/j.cell.2006.10.038) His stated research interests span autoimmune disease, molecular immunology, diabetes, multiple sclerosis, and genetic engineering of mice.[1](https://biography.omicsonline.org/canada/sickkids/hansmichael-dosch-957762)
## References
1. Hans-Michael Dosch biography, Omics International. https://biography.omicsonline.org/canada/sickkids/hansmichael-dosch-957762
2. Pediatrics & Pediatric Emergency Medicine conference abstract biography. https://www.longdom.org/conference-abstracts-files/2161-0665.C1.017_003.pdf
3. Abnormal Lymphocyte Capping in a Patient with Severe Combined Immunodeficiency Disease, NEJM, 1979. https://doi.org/10.1056/nejm197912063012301
4. A Bovine Albumin Peptide as a Possible Trigger of Insulin-Dependent Diabetes Mellitus, NEJM, 1992. https://doi.org/10.1056/nejm199207303270502
5. Transient Antibody Deficiency and Abnormal T Suppressor Cells Induced by Phenytoin, NEJM, 1982. https://doi.org/10.1056/nejm198202183060707
6. Sick Kids researchers pinpoint link between diabetes and nervous system autoimmunity. https://www.brightsurf.com/news/LM2XO04L/sick-kids-researchers-pinpoint-link-between-diabetes-and-nervous-system-autoimmunity.html
7. Milk Proteins in the Etiology of Insulin-Dependent Diabetes Mellitus (IDDM), 1991. https://doi.org/10.3109/07853899109148088
8. T Cells from Children with IDDM are Sensitized to Bovine Serum Albumin, Scandinavian Journal of Immunology, 1994. https://doi.org/10.1111/j.1365-3083.1994.tb03514.x
9. Lack of Immune Responsiveness to Bovine Serum Albumin in Insulin-Dependent Diabetes, NEJM, 1993. https://www.nejm.org/doi/full/10.1056/NEJM199312163292505
10. Infant diets and insulin-dependent diabetes, Journal of the American College of Nutrition, 1997. https://doi.org/10.1080/07315724.1997.10718694
11. Cow's milk and type 1 diabetes: the real debate is about mucosal immune function, Diabetes, 1999. https://doi.org/10.2337/diabetes.48.8.1501
12. Cow's milk, bovine serum albumin, and IDDM: can we settle the controversies?, Diabetes Care, 1997. https://pubmed.ncbi.nlm.nih.gov/9135963/
13. Severe Combined Immune Deficiency Disease – A T-Cell Disorder, Pediatric Research. https://www.nature.com/articles/pr19811254
14. Persistent T Cell Anergy in Human Type 1 Diabetes, Journal of Immunology, 1999. https://doi.org/10.4049/jimmunol.163.12.6933
15. TRPV1+ Sensory Neurons Control β Cell Stress and Islet Inflammation in Autoimmune Diabetes, Cell, 2006. https://doi.org/10.1016/j.cell.2006.10.038
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*Topic: Encyclopedia › Life and health › Life and health scientists › Life scientists › Researchers in immunology, microbiology, and virology › B cell and antibody biology*
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