Evidence map›Paper›PMID 8877294›Full record

ArticleDiabetologia1996

Diagnostic sensitivity of immunodominant epitopes of glutamic acid decarboxylase (GAD65) autoantibodies in childhood IDDM.

A Falorni, M Ackefors, C Carlberg, T Daniels, B Persson, J Robertson, A Lernmark

Abstract read
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In one paragraph

Article in Diabetologia, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 77 citations in OpenAlex.

  1. Article
  2. DPD epitope-specific glutamic acid decarboxylase (GAD)65 autoantibodies in children with Type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2017
    Article
  3. Article
  4. Article
  5. Article
  6. Multiplicity of the antibody response to GAD65 in Type I diabetes.Clinical and experimental immunology · 2004
    Article
  7. Article
  8. Autoimmune diabetes: more than just one flavor?Journal of endocrinological investigation · 2004
    Review
  9. Article
  10. Latent autoimmune diabetes in adults (LADA).Reviews in endocrine & metabolic disorders · 2003
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

7 authors at 2 institutions in 2 countries.

A FalorniDepartment of Molecular Medicine, Karolinska Institute, Stockholm, Sweden.
M Ackefors
C Carlberg
T Daniels
B Persson
J Robertson
A Lernmark
Karolinska Institutet · SESeattle University · US

Funding

DIABETES IN THE 15-34 YEAR OLDR01DK042654 · NIDDK · UNIVERSITY OF WASHINGTON · PI LERNMARK, AKE · 1991 to 1999
–
NIDDK NIH HHS DK 42654
6 · The paper itself

Abstract

The prevalence and titre of epitope-specific autoantibodies to glutamic acid decarboxylase (GAD65) in 155 insulin-dependent diabetic (IDDM) and 9 GAD65 antibody (Ab)-positive healthy children were determined using four GAD65/67 chimaeric molecules which discriminate among the N-terminal (N), middle (M) and C-terminal (C) epitopes of GAD65. Radioligand binding assays for IgGAb used immunoprecipitation of in vitro translated 35S-GAD. We found autoantibodies to GAD65 in 116 of 155 (75%), to GAD67 in 19 of 155 (12%) (p < 0.0001) and to the GAD65-N-67 chimaera in 25 of 155 (16%) (p < 0.0001) IDDM sera. GAD67Ab were found almost exclusively (17 of 19, 89%) in GAD65Ab-positive sera and the levels of GAD67Ab correlated with those of GAD65Ab (r2 = 0.5913; p = 0.009). GAD65Ab directed to GAD65-M were found in 104 of 155 (67%), to GAD65-C in 104 of 155 (67%) and to GAD65-M + C in 116 of 155 (75%) of IDDM sera, and indicated reactivity to at least two distinct epitopes. Among the nine GAD65Ab-positive healthy children, two (22%) were also positive with GAD67, nine (100%) with GAD65-M + C, seven (78%) with GAD65-M, eight (89%) with GAD65-C and two (22%) with GAD65-N-67. Titres of GAD65Ab (p = 0.007), GAD65-C-Ab (p = 0.002) and GAD65-C + M-Ab (p = 0.003), but not of GAD65-M-Ab (p = 0.101) were significantly higher in IDDM than in healthy children. We conclude that GAD65Ab in IDDM and healthy children are directed to middle and C-terminal epitopes, and propose that levels of antibodies specifically directed to the carboxy-terminal end of GAD65 may distinguish IDDM from healthy children.

Indexed as

AdolescentAnimalsAutoantibodiesBiomarkersChildChild, PreschoolDiabetes Mellitus, Type 1DNA PrimersEpitopesFemaleGlutamate DecarboxylaseHumansImmunoglobulin GInfantIsoenzymesMaleAutoantibodiesBiomarkersDNA PrimersEpitopesGlutamate DecarboxylaseImmunoglobulin GIsoenzymesRecombinant Fusion Proteins

Identifiers

PMID8877294
OpenAlexW1982544710

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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.