Evidence map›Paper›PMID 21138544›Full record

ArticleJournal of diabetes2011

Analysis of pathogenesis of juvenile new-onset diabetes.

Jian Wang, Dongmei Miao, Yangtian Wang, Bin Lu, Sunanda Babu, Georgeanna Klingensmith, Marian Rewers, George S Eisenbarth, Liping Yu

Abstract read
In one paragraph

Article in Journal of diabetes, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Jian WangDepartment of Endocrinology, Nanjing Jinling Hospital, Nanjing, Jiangsu, China.
Dongmei Miao
Yangtian Wang
Bin Lu
Sunanda Babu
Georgeanna Klingensmith
Marian Rewers
George S Eisenbarth
Liping Yu
University of Colorado Health · USJinling Institute of Technology · CNNanjing General Hospital of Nanjing Military Command · CN

Funding

Virginia Mason/UCHSC Autoimmune Prevention CenterU19AI050864 · NIAID · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2001 to 2011
$29.2M
Multiple Autoantigens/Multiple Epitopes of Type 1DMR01DK032083 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MICHELS, AARON W · 1986 to 2025
$6.9M
IMMUNE TOLERANCE NETWORK-266015416-266015416N01AI015416 · NIAID · REGENTS OF THE UNIVERSITY OF C · PI BLUESTONE, JEFFREY A · 2002 to 2006
–
MULTIPLE AUTOANTIGENS OF PRETYPE I DMR37DK032083 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI EISENBARTH, GEORGE S · 1992 to 1999
–
NIAID NIH HHS N01 AI015416NIAID NIH HHS U19 AI050864NIAID NIH HHS U19AI050864NIDDK NIH HHS DK32083NIDDK NIH HHS R01 DK032083NIDDK NIH HHS R37 DK032083
6 · The paper itself

Abstract

backgroundMeasurement of anti-islet autoantibodies at the time of disease onset contributes greatly to the differentiation of Type 1A diabetes with HLA Class II subtyping also contributing.

methodsBlood samples were obtained from 900 patients with age from 1 month to 25 years (median age 11.1 years) within 2 weeks of diabetes onset to test anti-islet autoantibodies to insulin (IAA), glutamic acid decarboxylase (GADA), insulinoma antigen (IA-2AA), the zinc transporter-8 (ZnT8AA), and islet-cell antibodies (ICA). Polymorphisms of the HLA Class II gene were typed in 547 randomly selected patients.

resultsOf the 900 subjects analyzed, 145 (16.1%) were negative for all five anti-islet autoantibodies, and autoantibody negativity significantly increased with age: 10.2% (38/372) among children <10 years of age, 14.2% (46/325) in those 10-14 years of age, and 30.1% (61/203) in those >14 years of age (P < 0.001). The prevalence of IA-2AA was the highest among young children. The prevalence of GADA increased with age while the prevalence of IAA was inversely correlated with age. At diagnosis, the subjects with negative antibodies had a higher body mass index (P < 0.001) and less high risk HLA genotype DR3-DQ2/DR4-DQ8 (P < 0.01).

conclusionA large percentage of children and youths negative for all anti-islet autoantibodies at the onset of diabetes are likely to have the non-immune form, especially those without DR3/DR4 and obese patients. Among autoantibody-positive Type 1A patients, IAA and GADA showed a reciprocal prevalence, suggesting differential disease pathogenesis.

Indexed as

AdolescentAdultAutoantibodiesCation Transport ProteinsChildChild, PreschoolCohort StudiesDiabetes Mellitus, Type 1DNAFemaleGlutamate DecarboxylaseHistocompatibility Antigens Class IIHumansInfantInsulinInsulinomaAutoantibodiesCation Transport ProteinsDNAGlutamate DecarboxylaseHistocompatibility Antigens Class IIInsulinislet cell antibodySLC30A8 protein, humanZinc Transporter 8

Identifiers

PMID21138544
PMCPMC4948857
OpenAlexW1953632907

What OpenQuestion holds

Textmetadata
LicenceTDM
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.