Evidence map›Paper›PMID 23160529›Full record

ArticleDiabetes2013

HLA-A*24 is an independent predictor of 5-year progression to diabetes in autoantibody-positive first-degree relatives of type 1 diabetic patients.

Eric Mbunwe, Bart J Van der Auwera, Ilse Vermeulen, Simke Demeester, Annelien Van Dalem, Eric V Balti, Sara Van Aken, Luc Derdelinckx, Harry Dorchy, Jean De Schepper and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Circulating β cell-specific CD8Clinical and experimental immunology · 2020
    Article
  8. Article
  9. Article
  10. Immunogenetics of type 1 diabetes mellitus.Molecular aspects of medicine · 2015
    Review
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 2 countries.

Eric MbunweDiabetes Research Center, Brussels Free University-VUB, Brussels, Belgium. ilse.weets@uzbrussel.be
Bart J Van der Auwera
Ilse Vermeulen
Simke Demeester
Annelien Van Dalem
Eric V Balti
Sara Van Aken
Luc Derdelinckx
Harry Dorchy
Jean De Schepper
Chris van Schravendijk
Janet M Wenzlau
John C Hutton
Daniël Pipeleers
Ilse Weets
Frans K Gorus
Belgian Diabetes Registry
Center for Beta Cell Therapy in Diabetes · BEUniversity of Colorado Denver · USGhent University Hospital · BEQueen Fabiola Children's University Hospital · BE

Funding

UCHSC DIABETES ENDOCRINOLOGY RESEARCH CENTERP30DK057516 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HUTTON, JOHN C · 2000 to 2010
$14.0M
MOLECULAR TARGETS OF CMI IN TYPE I DIABETESR01DK052068 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI DAVIDSON, HOWARD W · 1997 to 2014
$3.1M
NIDDK NIH HHS P30 DK057516NIDDK NIH HHS P30-DK57516NIDDK NIH HHS R01 DK052068NIDDK NIH HHS R01-DK052068
6 · The paper itself

Abstract

We investigated whether HLA-A*24 typing complements screening for HLA-DQ and for antibodies (Abs) against insulin, GAD, IA-2 (IA-2A), and zinc transporter-8 (ZnT8A) for prediction of rapid progression to type 1 diabetes (T1D). Persistently Ab(+) siblings/offspring (n = 288; aged 0-39 years) of T1D patients were genotyped for HLA-DQA1-DQB1 and HLA-A*24 and monitored for development of diabetes within 5 years of first Ab(+). HLA-A*24 (P = 0.009), HLA-DQ2/DQ8 (P = 0.001), and positivity for IA-2A ± ZnT8A (P < 0.001) were associated with development of T1D in multivariate analysis. The 5-year risk increased with the number of the above three markers present (n = 0: 6%; n = 1: 18%; n = 2: 46%; n = 3: 100%). Positivity for one or more markers identified a subgroup of 171 (59%) containing 88% of rapid progressors. The combined presence of HLA-A*24 and IA-2A(+) ± ZnT8A(+) defined a subgroup of 18 (6%) with an 82% diabetes risk. Among IA-2A(+) ± ZnT8A(+) relatives, identification of HLA-A*24 carriers in addition to HLA-DQ2/DQ8 carriers increased screening sensitivity for relatives at high Ab- and HLA-inferred risk (64% progression; P = 0.002). In conclusion, HLA-A*24 independently predicts rapid progression to T1D in Ab(+) relatives and complements IA-2A, ZnT8A, and HLA-DQ2/DQ8 for identifying participants in immunointervention trials.

Indexed as

Genetic Predisposition to DiseaseAdolescentAutoantibodiesChildDiabetes Mellitus, Type 1FemaleHLA-A24 AntigenHumansMaleRisk FactorsYoung AdultAutoantibodiesHLA-A24 Antigen

Identifiers

PMID23160529
PMCPMC3609594
OpenAlexW2145473674

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.