Evidence map›Paper›PMID 8063033›Full record

ArticleDiabetologia1994

A novel radioligand binding assay to determine diagnostic accuracy of isoform-specific glutamic acid decarboxylase antibodies in childhood IDDM.

C E Grubin, T Daniels, B Toivola, M Landin-Olsson, W A Hagopian, L Li, A E Karlsen, E Boel, B Michelsen, A Lernmark

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Diabetologia, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
23.7field-weighted citation impact, top 1% 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

95 citing papers in PubMed, 1 synthesis or guideline pooled it, 404 citations in OpenAlex.

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  9. Quantitative temporal analysis of pancreatic islet T lymphocyte and macrophage infiltration heralded by serum IgE in congenic BioBreeding (BB) Gimap5Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
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35 more citing papers are in PubMed but not listed here.

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 3 institutions in 3 countries.

C E GrubinDepartment of Medicine, University of Washington, Seattle.
T Daniels
B Toivola
M Landin-Olsson
W A Hagopian
L Li
A E Karlsen
E Boel
B Michelsen
A Lernmark
University of Washington · USLund University · SENovo Nordisk (Denmark) · DK

Funding

ISLET CELL MEMBRANE ANTIBODIES IN DIABTESR01DK026190 · NIDDK · UNIVERSITY OF WASHINGTON · PI HAMPE, CHRISTIANE S · 1986 to 2016
$4.9M
IMMUNE RESPONSE IN INSULIN-DEPENDENT DIABETESP01DK041801 · NIDDK · UNIVERSITY OF WASHINGTON · PI PIOUS, DONALD A · 1990 to 1994
–
ISOLATION OF ISLET CELL AUTOANTIGENSR01DK033873 · NIDDK · UNIVERSITY OF WASHINGTON · PI LERNMARK, AKE · 1986 to 1992
–
NIDDK NIH HHS DK26190NIDDK NIH HHS DK33873NIDDK NIH HHS DK41801NIDDK NIH HHS R01 DK026190
6 · The paper itself

Abstract

Insulin-dependent diabetes mellitus (IDDM) is associated with autoreactivity against GAD but the diagnostic sensitivity (positivity in disease) and specificity (negativity in health) of isoform-specific GAD antibodies have yet to be defined in assay systems suitable for screening large number of samples. One set of IDDM patient (n = 10) and control (n = 50) standard sera were used to develop quantitative antibody assays with in vitro synthesized recombinant 35S-methionine-labelled GAD65 and GAD67, respectively, and protein A-Sepharose to separate free from antibody-bound ligand. Binding levels were not normally distributed (p < 0.0001) and therefore, the diagnostic accuracy of GAD antibodies was analysed by the ROC plots in population-based, consecutively-diagnosed, recent onset, 0-14 year-old patients (n = 105), and matched, healthy control subjects (n = 157). The ROC plots showed that the diagnostic sensitivity of GAD65 antibodies was 77% and the specificity 92% compared with 8% and 98%, respectively for GAD67 antibodies. In the IDDM sera, GAD65 and GAD67 antibodies were concordant in 7% (6 of 81) and GAD65 antibodies and ICA in 89% (72 of 81) without a correlation between the autoantibody levels. Autoantibodies to recombinant human islet GAD65 are specific and sensitive markers for childhood IDDM in this immunoassay with in vitro synthesized 35S-methionine-labelled recombinant GAD.

Indexed as

AdolescentAdultAutoantibodiesAutoimmunityChildDiabetes Mellitus, Type 1False Positive ReactionsFemaleGlutamate DecarboxylaseHumansIslets of LangerhansIsoenzymesMaleMiddle AgedPredictive Value of TestsRadioligand AssayAutoantibodiesGlutamate DecarboxylaseIsoenzymesRecombinant Proteins

Identifiers

PMID8063033
OpenAlexW2059144476

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.