Evidence map›Paper›PMID 19401430›Full record

ArticleDiabetes2009

Majority of children with type 1 diabetes produce and deposit anti-tissue transglutaminase antibodies in the small intestine.

Mariantonia Maglio, Fiorella Florian, Monica Vecchiet, Renata Auricchio, Francesco Paparo, Raffaella Spadaro, Delia Zanzi, Luciano Rapacciuolo, Adriana Franzese, Daniele Sblattero and 2 more

Abstract read
In one paragraph

Article in Diabetes, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
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

17 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Review
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  6. Article
  7. Review
  8. Article
  9. Article
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  11. Article
  12. Review
  13. Celiac Disease: Diagnostic Standards and Dilemmas.Diseases (Basel, Switzerland) · 2015
    Review
  14. Review
  15. Article
  16. Celiac disease in type 1 diabetes mellitus.Italian journal of pediatrics · 2012
    Review
  17. Celiac disease: diagnostic criteria in progress.Cellular & molecular immunology · 2011
    Review
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

12 authors at 1 institution in 1 country.

Mariantonia MaglioDepartment of Pediatrics and European Laboratory for the Investigation of Food-Induced Diseases, University Federico II, Naples, Italy.
Fiorella Florian
Monica Vecchiet
Renata Auricchio
Francesco Paparo
Raffaella Spadaro
Delia Zanzi
Luciano Rapacciuolo
Adriana Franzese
Daniele Sblattero
Roberto Marzari
Riccardo Troncone
University of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAnti-tissue transglutaminase (TG2) antibodies are the serological marker of celiac disease. Given the close association between celiac disease and type 1 diabetes, we investigated the production and deposition of anti-TG2 antibodies in the jejunal mucosa of type 1 diabetic children. RESEARCH DESIGN AND

methodsIntestinal biopsies were performed in 33 type 1 diabetic patients with a normal mucosal architecture: 14 had high levels (potential celiac disease patients) and 19 had normal levels of serum anti-TG2 antibodies. All biopsy specimens were investigated for intestinal deposits of IgA anti-TG2 antibodies by double immunofluorescence. In addition, an antibody analysis using the phage display technique was performed on the intestinal biopsy specimens from seven type 1 diabetic patients, of whom four had elevated and three had normal levels of serum anti-TG2 antibodies.

resultsImmunofluorescence studies showed that 11 of 14 type 1 diabetic children with elevated levels and 11 of 19 with normal serum levels of anti-TG2 antibodies presented with mucosal deposits of such autoantibodies. The phage display analysis technique confirmed the intestinal production of the anti-TG2 antibodies; however, whereas the serum-positive type 1 diabetic patients showed a preferential use of the VH5 antibody gene family, in the serum-negative patients the anti-TG2 antibodies belonged to the VH1 and VH3 families, with a preferential use of the latter.

conclusionsOur findings demonstrate that there is intestinal production and deposition of anti-TG2 antibodies in the jejunal mucosa of the majority of type 1 diabetic patients. However, only those with elevated serum levels of anti-TG2 antibodies showed the VH usage that is typical of the anti-TG2 antibodies that are produced in patients with celiac disease.

Indexed as

AdolescentAutoantibodiesBiopsyCeliac DiseaseChildChild, PreschoolDiabetes Mellitus, Type 1GTP-Binding ProteinsHistocompatibility TestingHLA AntigensHumansImmunohistochemistryInterleukin-2 Receptor alpha SubunitIntestinal MucosaJejunumProtein Glutamine gamma Glutamyltransferase 2AutoantibodiesGTP-Binding ProteinsHLA AntigensInterleukin-2 Receptor alpha SubunitProtein Glutamine gamma Glutamyltransferase 2Transglutaminases

Identifiers

PMID19401430
PMCPMC2699874
OpenAlexW2160820778

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Registered trials

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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.