Evidence map›Paper›PMID 8423231›Full record

ArticleThe Journal of clinical investigation1993

Islet cell cytoplasmic autoantibody reactivity to glutamate decarboxylase in insulin-dependent diabetes.

M A Atkinson, D L Kaufman, D Newman, A J Tobin, N K Maclaren

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–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

30 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Immunogenetics of type 1 diabetes mellitus.Molecular aspects of medicine · 2015
    Review
  9. Review
  10. Islet autoantigens: structure, function, localization, and regulation.Cold Spring Harbor perspectives in medicine · 2012
    Review
  11. Antigen-specific therapeutic approaches in Type 1 diabetes.Cold Spring Harbor perspectives in medicine · 2012
    Review
  12. The pancreas in human type 1 diabetes.Seminars in immunopathology · 2011
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

5 authors.

M A AtkinsonDepartment of Pathology and Laboratory Medicine, College of Medicine, University of Florida, Gainesville 32610.
D L Kaufman
D Newman
A J Tobin
N K Maclaren

Funding

GENETICS &PATHOGENESIS OF INSULIN DEPENDENT DIABETESP01DK039079 · NIDDK · UNIVERSITY OF FLORIDA · PI MACLAREN, NOEL K · 1987 to 1991
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ISLET CELL AUTOANTIBODIES &THE NATURAL HISTORY OF IDDMR01HD019469 · NICHD · UNIVERSITY OF FLORIDA · PI MACLAREN, NOEL K · 1985 to 1996
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CELLULAR IMMUNITY TO GLUTAMATE DECARBOXYLASE IN IDDR29DK045342 · NIDDK · UNIVERSITY OF FLORIDA · PI ATKINSON, MARK A · 1992 to 1996
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NICHD NIH HHS R01HD19469NIDDK NIH HHS P01DK39079NIDDK NIH HHS R29DK45342
6 · The paper itself

Abstract

Individuals with or at risk for insulin-dependent diabetes (IDD) frequently have autoantibodies against an islet cell cytoplasmic (ICA) antigen thought to be a sialoglycolipid. However, we now report that preabsorption of ICA-positive sera with recombinant glutamate decarboxylase (human GAD 65 and/or GAD 67) reduced or blocked the ICA reactivity of 5/18 (27%) new-onset IDD patients and 7/18 (39%) prediabetics. Interestingly, nondiabetic subjects with ICA of > or = 5 yr in duration had GAD-reactive ICA significantly more often (16/24, 67%, P < 0.04) than the diabetic groups. ICA reactivity to GAD was not related to serum ICA titer nor the age of the individual, and in all cases tested was blocked by GAD 65 or GAD 67 with equivalent efficiency. The ICA observed in 21/25 (84%) IDD patients with ICA long after clinical onset of disease (9-42 yr) was reactive to GAD. A natural history analysis of three individuals showed conversions from ICA which was reactive to GAD to a non-GAD-reactive ICA nearer to their clinical onsets of IDD. This study further defines the autoantigens reactive to ICA, and suggests that, whereas ICA that are not reactive to GAD may identify an advanced and more prognostic lesion, GAD-reactive ICA may typify the early or inductive lesion that may or may not progress to clinically significant beta cell injury.

Indexed as

AdolescentAntibodies, MonoclonalAutoantibodiesCloning, MolecularDiabetes Mellitus, Type 1FemaleGlutamate DecarboxylaseHLA AntigensHumansIslets of LangerhansMaleOpen Reading FramesRecombinant ProteinsAntibodies, MonoclonalAutoantibodiesGlutamate DecarboxylaseHLA Antigensislet cell antibodyRecombinant Proteins

Identifiers

PMID8423231
PMCPMC330033

What OpenQuestion holds

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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.