Evidence map›Paper›PMID 28070615›Full record

ArticleDiabetologia2017

Detection of enteroviruses in stools precedes islet autoimmunity by several months: possible evidence for slowly operating mechanisms in virus-induced autoimmunity.

Hanna Honkanen, Sami Oikarinen, Noora Nurminen, Olli H Laitinen, Heini Huhtala, Jussi Lehtonen, Tanja Ruokoranta, Minna M Hankaniemi, Valérie Lecouturier, Jeffrey W Almond and 7 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Diabetologia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% 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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Association BetweenFrontiers in endocrinology · 2021
    Pooled it
  3. ProtectiveiScience · 2026
    Article
  4. Review
  5. Article
  6. Advances in Childhood Diabetes.Children (Basel, Switzerland) · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Breakdown and Repair of Peripheral Immune Tolerance in Type 1 Diabetes.Cold Spring Harbor perspectives in medicine · 2024
    Review
  11. Article
  12. Article
  13. International journal of molecular sciences · 2023
    Article
  14. Article
  15. Type 1 diabetes mellitus prevention.Pediatric endocrinology, diabetes, and metabolism · 2023
    Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. 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

17 authors at 8 institutions in 2 countries.

Hanna HonkanenDepartment of Virology, University of Tampere, PL100, 33014, Tampereen yliopisto, Finland. hanna.honkanen@uta.fi.
Sami OikarinenDepartment of Virology, University of Tampere, PL100, 33014, Tampereen yliopisto, Finland.
Noora NurminenDepartment of Virology, University of Tampere, PL100, 33014, Tampereen yliopisto, Finland.
Olli H LaitinenVactech Ltd, Tampere, Finland.
Heini HuhtalaSchool of Health Sciences, University of Tampere, Tampere, Finland.
Jussi LehtonenDepartment of Virology, University of Tampere, PL100, 33014, Tampereen yliopisto, Finland.
Tanja RuokorantaVactech Ltd, Tampere, Finland.
Minna M HankaniemiVactech Ltd, Tampere, Finland.
Valérie LecouturierSanofi-Pasteur, Marcy L'Etoile, France.
Jeffrey W AlmondSanofi-Pasteur, Marcy L'Etoile, France.
Sisko TauriainenDepartment of Virology, University of Turku, Turku, Finland.
Olli SimellDepartment of Pediatrics and Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.
Jorma IlonenImmunogenetics Laboratory, University of Turku and Turku University Hospital, Turku, Finland.
Riitta VeijolaDepartment of Pediatrics, PEDEGO Research Unit, Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland.
Hanna ViskariDepartment of Virology, University of Tampere, PL100, 33014, Tampereen yliopisto, Finland.
Mikael KnipChildren's Hospital, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Heikki HyötyDepartment of Virology, University of Tampere, PL100, 33014, Tampereen yliopisto, Finland.
Tampere University · FITampere University · FITurku University Hospital · FIInstitut Pasteur · FRSanofi (France) · FRTampere University Hospital · FIUniversity of Oulu · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisThis case-control study was nested in a prospective birth cohort to evaluate whether the presence of enteroviruses in stools was associated with the appearance of islet autoimmunity in the Type 1 Diabetes Prediction and Prevention study in Finland.

methodsAltogether, 1673 longitudinal stool samples from 129 case children who turned positive for multiple islet autoantibodies and 3108 stool samples from 282 matched control children were screened for the presence of enterovirus RNA using RT-PCR. Viral genotype was detected by sequencing.

resultsCase children had more enterovirus infections than control children (0.8 vs 0.6 infections per child). Time-dependent analysis indicated that this excess of infections occurred more than 1 year before the first detection of islet autoantibodies (6.3 vs 2.1 infections per 10 follow-up years). No such difference was seen in infections occurring less than 1 year before islet autoantibody seroconversion or after seroconversion. The most frequent enterovirus types included coxsackievirus A4 (28% of genotyped viruses), coxsackievirus A2 (14%) and coxsackievirus A16 (11%). CONCLUSIONS/

interpretationThe results suggest that enterovirus infections diagnosed by detecting viral RNA in stools are associated with the development of islet autoimmunity with a time lag of several months.

Indexed as

AutoimmunityCase-Control StudiesChild, PreschoolDiabetes Mellitus, Type 1EnterovirusFecesFemaleGenotypeHumansInfantIslets of LangerhansMaleProspective StudiesReverse Transcriptase Polymerase Chain ReactionEnterovirusGenotypingRT-PCRStool samplesType 1 diabetes

Identifiers

PMID28070615
OpenAlexW2569951428

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.