Abstract | OBJECTIVE: RESEARCH DESIGN AND METHODS: Children were up to 10 years of age and screened more than once for insulin autoantibody, GAD antibody, and insulinoma antigen-2 antibodies. Persistent autoantibody was defined as an autoantibody present on two or more consecutive visits and confirmed in two reference laboratories. Reversion was defined as two or more consecutive negative visits after persistence. Time-dependent Cox regression was used to examine how reversion modified the risk of development of multiple autoantibodies and type 1 diabetes. RESULTS: Reversion was relatively frequent for autoantibodies to GAD65 (19%) and insulin (29%), but was largely restricted to children who had single autoantibodies (24%) and rare in children who had developed multiple autoantibodies (<1%). Most (85%) reversion of single autoantibodies occurred within 2 years of seroconversion. Reversion was associated with HLA genotype, age, and decreasing titer. Children who reverted from single autoantibodies to autoantibody negative had, from birth, a risk for type 1 diabetes of 0.14 per 100 person-years; children who never developed autoantibodies, 0.06 per 100 person-years; and, children who remained single- autoantibody positive, 1.8 per 100 person-years. CONCLUSIONS:
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Authors | Kendra Vehik, Kristian F Lynch, Desmond A Schatz, Beena Akolkar, William Hagopian, Marian Rewers, Jin-Xiong She, Olli Simell, Jorma Toppari, Anette-G Ziegler, Åke Lernmark, Ezio Bonifacio, Jeffrey P Krischer, TEDDY Study Group |
Journal | Diabetes care
(Diabetes Care)
Vol. 39
Issue 9
Pg. 1535-42
(Sep 2016)
ISSN: 1935-5548 [Electronic] United States |
PMID | 27311490
(Publication Type: Journal Article)
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Copyright | © 2016 by the American Diabetes Association. |
Chemical References |
- Autoantibodies
- Insulin
- Insulin Antibodies
- PTPRN protein, human
- Receptor-Like Protein Tyrosine Phosphatases, Class 8
- Glutamate Decarboxylase
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Topics |
- Autoantibodies
(blood, immunology)
- Autoimmunity
(immunology)
- Child
- Child, Preschool
- Diabetes Mellitus, Type 1
(immunology)
- Female
- Genotype
- Glutamate Decarboxylase
(immunology)
- Humans
- Insulin
(immunology)
- Insulin Antibodies
(blood, immunology)
- Insulin-Secreting Cells
(immunology)
- Male
- Prospective Studies
- Receptor-Like Protein Tyrosine Phosphatases, Class 8
(immunology)
- Risk Assessment
(methods)
- Risk Factors
- Seroconversion
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