Evidence map›Paper›PMID 34205321›Full record

ArticleJournal of clinical medicine2021

Evaluating the Prognostic Value of Islet Autoantibody Monitoring in Islet Transplant Recipients with Long-Standing Type 1 Diabetes Mellitus.

Roi Anteby, Aaron Lucander, Piotr J Bachul, Jordan Pyda, Damian Grybowski, Lindsay Basto, Gabriela S Generette, Laurencia Perea, Karolina Golab, Ling-Jia Wang and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Impact of GAD65 and IA2 autoantibodies on islet allograft survival.Frontiers in clinical diabetes and healthcare · 2023
    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

14 authors at 4 institutions in 2 countries.

Roi AntebyDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
Aaron LucanderDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
Piotr J BachulDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-7694-1793
Jordan PydaDepartment of Surgery, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.ORCID 0000-0002-2833-3953
Damian GrybowskiDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
Lindsay BastoDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
Gabriela S GeneretteDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
Laurencia PereaDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
Karolina GolabDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-2157-8763
Ling-Jia WangDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
Martin TibudanDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
Celeste ThomasDepartment of Medicine, The University of Chicago, Chicago, IL 60637, USA.
John FungDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
Piotr WitkowskiDepartment of Surgery, The University of Chicago, Chicago, IL 60637, USA.
University of Chicago · USBeth Israel Deaconess Medical Center · USHarvard University · USUniversity of Alabama at Birmingham · US

Funding

Dompe Pharmaceutical NAUniversity of Chicago Diabetes Research and Training Center US Public Health Service Grant P30DK020595
6 · The paper itself

Abstract

(1) Background: The correlation between titers of islet autoantibodies (IAbs) and the loss of transplanted islets remains controversial. We sought to evaluate the prognostic utility of monitoring IAbs in diabetic patients after islet transplantation (ITx); (2) Methods: Twelve patients with Type 1 diabetes mellitus and severe hypoglycemia underwent ITx. Serum concentration of glutamic acid decarboxylase (GAD), insulinoma antigen 2 (IA-2), and zinc transport 8 (ZnT8) autoantibodies was assessed before ITx and 0, 7, and 75 days and every 3 months post-operatively; (3) Results: IA-2A (IA-2 antibody) and ZnT8A (ZnT8 antibody) levels were not detectable before or after ITx in all patients (median follow-up of 53 months (range 24-61)). Prior to ITx, GAD antibody (GADA) was undetectable in 67% (8/12) of patients. Of those, 75% (6/8) converted to GADA+ after ITx. In 67% (4/6) of patients with GADA+ seroconversion, GADA level peaked within 3 months after ITx and subsequently declined. All patients with GADA+ seroconversion maintained long-term partial or complete islet function (insulin independence) after 1 or 2 ITx. There was no correlation between the presence of IAb-associated HLA haplotypes and the presence of IAbs before or after ITx; (4) Conclusions: There is no association between serum GADA trends and ITx outcomes. IA-2A and ZnT8A were not detectable in any of our patients before or after ITx.

Indexed as

allogenic islet cell transplantationautoantibodiesGADApancreastype 1 diabetes mellitus

Identifiers

PMID34205321
PMCPMC8233942
OpenAlexW3173343003

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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.