Evidence map›Paper›PMID 31843946›Full record

ArticleDiabetes care2020

Genetic Discrimination Between LADA and Childhood-Onset Type 1 Diabetes Within the MHC.

Rajashree Mishra, Mikael Åkerlund, Diana L Cousminer, Emma Ahlqvist, Jonathan P Bradfield, Alessandra Chesi, Kenyaita M Hodge, Vanessa C Guy, David J Brillon, Richard E Pratley and 21 more

Abstract read
In one paragraph

Article in Diabetes care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Predictive Autoantibodies Before the Diagnosis of Type I Diabetes in Adults.medRxiv : the preprint server for health sciences · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Adult-onset autoimmune diabetes.Nature reviews. Disease primers · 2022
    Review
  16. Article
  17. Innate immunity in latent autoimmune diabetes in adults.Diabetes/metabolism research and reviews · 2022
    Review
  18. Latent autoimmune diabetes in adults in China.Frontiers in immunology · 2022
    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

31 authors.

Rajashree MishraDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA.
Mikael ÅkerlundLund University Diabetes Centre, Department of Clinical Sciences Malmö, Lund University, Skåne University Hospital, Malmö, Sweden.
Diana L CousminerDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0001-8864-7893
Emma AhlqvistLund University Diabetes Centre, Department of Clinical Sciences Malmö, Lund University, Skåne University Hospital, Malmö, Sweden.
Jonathan P BradfieldCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA.
Alessandra ChesiDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA.
Kenyaita M HodgeDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA.
Vanessa C GuyDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA.
David J BrillonWeill Cornell Medical College, New York City, NY.
Richard E PratleyTranslational Research Institute for Metabolism and Diabetes, Florida Hospital, FL.
Michael R RickelsInstitute for Diabetes, Obesity and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Adrian VellaMayo Clinic, Rochester, MN.ORCID 0000-0001-6493-7837
Fernando OvalleUniversity of Alabama at Birmingham, Birmingham, AL.
Ronald I HarrisGeisinger Health System, Danville, PA.
Olle MelanderLund University Diabetes Centre, Department of Clinical Sciences Malmö, Lund University, Skåne University Hospital, Malmö, Sweden.
Stephen VarvelHealth Diagnostic Laboratory, Inc., Richmond, VA.
Hakon HakonarsonCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0003-2814-7461
Phillippe FroguelCNRS 8199, Université Lille Nord de France, Pasteur Institute, Lille, France.ORCID 0000-0003-2972-0784
John T LonsdaleNational Disease Research Interchange, Philadelphia, PA.
Didac MauricioHospital de la Santa Creu i Sant Pau, CIBERDEM, Barcelona, Spain.ORCID 0000-0002-2868-0250
Nanette C SchlootGerman Diabetes Center, Düsseldorf, German.ORCID 0000-0003-3737-4316
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester, U.K.ORCID 0000-0003-2343-7099
Carla J GreenbaumBenaroya Research Institute, Seattle, WA.ORCID 0000-0003-4451-9800
Knud B YderstrædeOdense University Hospital, Odense, Denmark.
Tiinamaija TuomiDepartment of Endocrinology, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-8306-6202
Benjamin F VoightDepartment of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Stanley SchwartzMain Line Health System, Wynnewood, PA.
Bernhard O BoehmLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, and Imperial College London, London, U.K.
Leif GroopLund University Diabetes Centre, Department of Clinical Sciences Malmö, Lund University, Skåne University Hospital, Malmö, Sweden.
Richard David LeslieDepartment of Immunobiology, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, U.K.ORCID 0000-0002-1786-1531
Struan F A GrantDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA grants@email.chop.edu.ORCID 0000-0003-2025-5302

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI W Timothy GARVEY · 2013 to 2026
$19.5M
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
Algorithms to identify non-coding mutational burden and disease-relevant pathwaysR01DK101478 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI VOIGHT, BENJAMIN FRANKLIN · 2014 to 2018
$2.9M
Algorithms to identify non-coding mutational burden and disease-relevant pathwaysR56DK101478 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI VOIGHT, BENJAMIN FRANKLIN · 2019 to 2019
$272k
Genetic determinants of puberty and later life health outcomesK99HD099330 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI COUSMINER, DIANA · 2019 to 2019
$132k
NICHD NIH HHS K99 HD099330NIDDK NIH HHS P30 DK079626NIDDK NIH HHS R01 DK085212NIDDK NIH HHS R01 DK101478NIDDK NIH HHS R56 DK101478Wellcome Trust
6 · The paper itself

Abstract

objectiveThe MHC region harbors the strongest loci for latent autoimmune diabetes in adults (LADA); however, the strength of association is likely attenuated compared with that for childhood-onset type 1 diabetes. In this study, we recapitulate independent effects in the MHC class I region in a population with type 1 diabetes and then determine whether such conditioning in LADA yields potential genetic discriminators between the two subtypes within this region. RESEARCH DESIGN AND

methodsChromosome 6 was imputed using SNP2HLA, with conditional analysis performed in type 1 diabetes case subjects (

resultsThe strongest associations in the MHC class II region (rs3957146, β [SE] = 1.44 [0.05]), as well as the independent effect of MHC class I genes, on type 1 diabetes risk, particularly

conclusionsIn LADA, the independent effects of MHC class I observed in type 1 diabetes were not observed after conditioning on the leading MHC class II associations, suggesting that the MHC class I association may be a genetic discriminator between LADA and childhood-onset type 1 diabetes.

Indexed as

Genetic TestingAdolescentAdultAge of OnsetAllelesCase-Control StudiesChildChild, PreschoolChromosomes, Human, Pair 6Cohort StudiesDiabetes Mellitus, Type 1Diagnosis, DifferentialFemaleGenes, MHC Class IGenes, MHC Class IIGenetic Association Studies

Identifiers

PMID31843946
PMCPMC6971787

What OpenQuestion holds

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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.