Evidence map›Paper›PMID 15030523›Full record

ArticleClinical and experimental immunology2004

GAD65 antibody isotypes and epitope recognition during the prediabetic process in siblings of children with type I diabetes.

S Hoppu, M S Ronkainen, P Kulmala, H K Akerblom, M Knip, Childhood Diabetes in Finland Study Group

Abstract read
In one paragraph

Article in Clinical and experimental immunology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Review
  2. Altered IgGBiomedicines · 2025
    Article
  3. Observational
  4. Article
  5. Article
  6. ELISA Test for Analyzing of Incidence of Type 1 Diabetes Autoantibodies (GAD and IA2) in Children and Adolescents.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2016
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Epitope analysis of insulin autoantibodies using recombinant Fab.Clinical and experimental immunology · 2005
    Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

S HoppuPaediatric Research Center, University of Tampere Medical School, and Department of Paediatrics, Tampere University Hospital, Tampere, Finland.
M S Ronkainen
P Kulmala
H K Akerblom
M Knip
Childhood Diabetes in Finland Study Group

Funding

EPIDEMIOLOGY OF IDDM AND ITS DETERMINANTS IN FINLANDR01DK037957 · NIDDK · NATIONAL PUBLIC HEALTH INSTITUTE · PI TUOMILEHTO, JAAKKO O · 1987 to 1997
–
NIDDK NIH HHS DK-37957
6 · The paper itself

Abstract

We observed 42 initially non-diabetic siblings of affected children to characterize the humoral immune response to the 65 kDa isoform of glutamic acid decarboxylase (GAD65) in preclinical type I diabetes. During the observation period with a mean duration of 9.6 years 21 siblings progressed to type I diabetes. The humoral immune response to GAD65 was observed initially as a simultaneous response to the middle (M) and carboxy (C)-terminal regions of the GAD65 molecule in most cases, and if the response was restricted initially to the middle region, it spread rapidly to the C-terminal domain and in a few cases later to the amino (N)-terminal domain. There was some heterogeneity in the GAD65 isotype response, but it was composed mainly of antibodies of immunoglobulin (Ig) G1 subclass. Responses of IgG2-, IgG4-, IgM- and IgA-GAD65Ab were observed frequently, whereas IgE- and IgG3-GAD65Ab responses were seen more rarely. Initially, the non-progressors tended more often to have IgG2- and IgG4-GAD65Ab than the progressors. As a sign of a dynamic process a significant isotype spreading was seen for IgG2-GAD65Ab (P < 0.05) and close to significant for IgM (P = 0.06) among progressors and for IgM-GAD65Ab (P < 0.05) among non-progressors during the observation period. This study failed to identify any GAD65 epitope- or isotype-specific antibody reactivity that could be used as a marker for progression to disease, as such progression was not associated with any specific changes in reactivity over time. Our findings indicate that epitope- and isotype-specific GAD65 antibodies are hardly capable of separating progressors from non-progressors among GAD65Ab-positive first-degree relatives of children with type I diabetes.

Indexed as

AdolescentAutoantibodiesBiomarkersChildChild, PreschoolDiabetes Mellitus, Type 1Disease ProgressionEpitopesFemaleFollow-Up StudiesGlutamate DecarboxylaseHumansImmunoglobulin GImmunoglobulin IsotypesMalePrediabetic StateAutoantibodiesBiomarkersEpitopesGlutamate DecarboxylaseImmunoglobulin GImmunoglobulin Isotypes

Identifiers

PMID15030523
PMCPMC1809002

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.