Evidence map›Paper›PMID 25452857›Full record

ArticleBMJ open diabetes research & care2014

Association of TCF7L2 variation with single islet autoantibody expression in children with type 1 diabetes.

Maria J Redondo, Jesse Muniz, Luisa M Rodriguez, Dinakar Iyer, Fariba Vaziri-Sani, Morey W Haymond, Christiane S Hampe, Michael L Metzker, Struan F A Grant, Ashok Balasubramanyam

Open access · goldAbstract read
In one paragraph

Article in BMJ open diabetes research & care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.9field-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

22 citing papers in PubMed, 33 citations in OpenAlex.

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  15. Transcription Factor 7-Like 2 (Diabetes care · 2018
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  16. Review
  17. Observational
  18. Genetics of type 1 diabetes.Pediatric diabetes · 2018
    Review
  19. Diabetes care · 2018
    Article
  20. 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

10 authors at 7 institutions in 2 countries.

Maria J RedondoDepartment of Pediatrics, Section of Diabetes and Endocrinology , Texas Children's Hospital , Baylor College of Medicine , Houston, Texas , USA.
Jesse MunizDepartment of Genetics , Human Genome Center, Baylor College of Medicine , Houston, Texas , USA.
Luisa M RodriguezDepartment of Pediatrics, Section of Diabetes and Endocrinology , Texas Children's Hospital , Baylor College of Medicine , Houston, Texas , USA.
Dinakar IyerDivision of Diabetes , Translational Metabolism Unit, Diabetes Research Center, Endocrinology and Metabolism, Baylor College of Medicine , Houston, Texas , USA.
Fariba Vaziri-SaniDepartment of Clinical Sciences , Diabetes and Celiac Disease, Lund University/CRC , Malmö , Sweden.
Morey W HaymondChildrens's Nutrition Research Center, Baylor College of Medicine , Houston, Texas , USA.
Christiane S HampeDepartment of Medicine , University of Washington , Seattle, Washington , USA.
Michael L MetzkerDepartment of Genetics , Human Genome Center, Baylor College of Medicine , Houston, Texas , USA.
Struan F A GrantDivision of Human Genetics and Center for Applied Genomics , The Children's Hospital of Philadelphia , Philadelphia, Pennsylvania , USA.
Ashok BalasubramanyamDivision of Diabetes , Translational Metabolism Unit, Diabetes Research Center, Endocrinology and Metabolism, Baylor College of Medicine , Houston, Texas , USA.
Baylor College of Medicine · USBaylor Genetics · USChildren's Hospital of Philadelphia · USChildren's Nutrition Research Center at Baylor College of Medicine · USLund University · SETexas Children's Hospital · USUniversity of Washington · US

Funding

Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
ISLET CELL MEMBRANE ANTIBODIES IN DIABTESR01DK026190 · NIDDK · UNIVERSITY OF WASHINGTON · PI HAMPE, CHRISTIANE S · 1986 to 2016
$4.9M
Genome Wide Association Study of Latent Autoimmune Diabetes in AdultsR01DK085212 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI GRANT, STRUAN F A · 2011 to 2016
$3.4M
Pathogenesis of Ketosis Prone DiabetesR21DK082827 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI BALASUBRAMANYAM, ASHOK · 2009 to 2010
$419k
NIDDK NIH HHS P30 DK017047NIDDK NIH HHS R01 DK026190NIDDK NIH HHS R01 DK085212NIDDK NIH HHS R21 DK082827
6 · The paper itself

Abstract

backgroundThe transcription factor 7-like 2 (TCF7L2) gene has the strongest genetic association with type 2 diabetes. TCF7L2 also associates with latent autoimmune diabetes in adults, which often presents with a single islet autoantibody, but not with classical type 1 diabetes.

methodsWe aimed to test if TCF7L2 is associated with single islet autoantibody expression in pediatric type 1 diabetes. We studied 71 prospectively recruited children who had newly diagnosed type 1 diabetes and evidence of islet autoimmunity, that is, expressed ≥1 islet autoantibody to insulin, glutamic acid decarboxylase 65, islet cell autoantigen 512, or zinc transporter 8. TCF7L2 rs7903146 alleles were identified. Data at diagnosis were cross-sectionally analyzed.

resultsWe found that 21.1% of the children with autoimmune type 1 diabetes expressed a single islet autoantibody. The distribution of TCF7L2 rs7903146 genotypes in children with a single autoantibody (n=15) was 40% CC, 26.7% CT and 33.3% TT, compared with children with ≥2 islet autoantibodies (50% CC, 42.9% CT and 7.1% TT, p=0.024). Furthermore, compared with children with ≥2 autoantibodies, single-autoantibody children had characteristics reflecting milder autoimmune destruction of β-cells. Restricting to lean children (body mass index<85th centile; n=36), 45.5% of those expressing a single autoantibody were rs7903146 TT homozygotes, compared with 0% of those with ≥2 autoantibodies (p<0.0001).

conclusionThese results suggest that, in children with only mild islet autoimmunity, mechanisms associated with TCF7L2 genetic variation contribute to diabetogenesis, and this contribution is larger in the absence of obesity.

Indexed as

AutoantibodiesLADA (Latent Autoimmune Diabetes in Adults)Pediatric Type 1 DiabetesTranscription Factor

Identifiers

PMID25452857
PMCPMC4212574
OpenAlexW2150439444

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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.