Sökning: onr:"swepub:oai:DiVA.org:hkr-12668" > The three ZNT8 auto...
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000 | 08159naa a2200805 4500 | |
001 | oai:DiVA.org:hkr-12668 | |
003 | SwePub | |
008 | 140821s2011 | |||||||||||000 ||eng| | |
009 | oai:lup.lub.lu.se:71508011-8911-403b-b7fb-9e2412ad797c | |
024 | 7 | a urn:nbn:se:hkr:diva-126682 urn |
024 | 7 | a https://doi.org/10.3109/08916934.2010.5406042 DOI |
024 | 7 | a https://lup.lub.lu.se/record/17773572 URI |
040 | a (SwePub)hkrd (SwePub)lu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Andersson, Cu Lund University4 aut |
245 | 1 0 | a The three ZNT8 autoantibody variants together improve the diagnostic sensitivity of childhood and adolescent type 1 diabetes |
264 | 1 | b Taylor & Francis,c 2011 |
338 | a print2 rdacarrier | |
506 | a restricted | |
520 | a Aims: We tested whether autoantibodies to all three ZnT8RWQ variants, GAD65, insulinoma-associated protein 2 (IA-2), insulin and autoantibodies to islet cell cytoplasm (ICA) in combination with human leukocyte antigen (HLA) would improve the diagnostic sensitivity of childhood type 1 diabetes by detecting the children who otherwise would have been autoantibody-negative.Methods: A total of 686 patients diagnosed in 1996–2005 in Skåne were analyzed for all the seven autoantibodies [arginin 325 zinc transporter 8 autoantibody (ZnT8RA), tryptophan 325 zinc transporter 8 autoantibody (ZnT8WA), glutamine 325 Zinc transporter 8 autoantibody (ZnT8QA), autoantibodies to glutamic acid decarboxylase (GADA), Autoantibodies to islet-antigen-2 (IA-2A), insulin autoantibodies (IAA) and ICA] in addition to HLA-DQ genotypes.Results: Zinc transporter 8 autoantibody to either one or all three amino acid variants at position 325 (ZnT8RWQA) was found in 65% (449/686) of the patients. The frequency was independent of age at diagnosis. The ZnT8RWQA reduced the frequency of autoantibody-negative patients from 7.5 to 5.4%—a reduction by 28%. Only 2 of 108 (2%) patients who are below 5 years of age had no autoantibody at diagnosis. Diagnosis without any islet autoantibody increased with increasing age at onset. DQA1-B1*X-0604 was associated with both ZnT8RA (p = 0.002) and ZnT8WA (p = 0.01) but not with ZnT8QA (p = 0.07). Kappa agreement analysis showed moderate (>0.40) to fair (>0.20) agreement between pairs of autoantibodies for all combinations of GADA, IA-2A, ZnT8RWQA and ICA but only slight ( < 0.19) agreement for any combination with IAA.Conclusions: This study revealed that (1) the ZnT8RWQA was common, independent of age; (2) multiple autoantibodies were common among the young; (3) DQA1-B1*X-0604 increased the risk for ZnT8RA and ZnT8WA; (4) agreement between autoantibody pairs was common for all combinations except IAA. These results suggest that ZnT8RWQA is a necessary complement to the classification and prediction of childhood type 1 diabetes as well as to randomize the subjects in the prevention and intervention of clinical trials. | |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Immunology in the medical area0 (SwePub)301102 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Immunologi inom det medicinska området0 (SwePub)301102 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Cell and Molecular Biology0 (SwePub)301082 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Cell- och molekylärbiologi0 (SwePub)301082 hsv//swe |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaper0 (SwePub)3012 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Basic Medicine0 (SwePub)3012 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reumatologi och inflammation0 (SwePub)302102 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Rheumatology and Autoimmunity0 (SwePub)302102 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicin0 (SwePub)3022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicine0 (SwePub)3022 hsv//eng |
653 | a Diabetes mellitus | |
653 | a GAD65 autoantibodies | |
653 | a human leukocyte antigen genotype | |
653 | a IA-2 autoantibodies | |
653 | a islet cell cytoplasm | |
653 | a insulin autoantibodies | |
700 | 1 | a Larsson, Ku Deparment of Paediatrics, Kristianstad hospital4 aut |
700 | 1 | a Vaziri-Sani, Faribau Lund University4 aut0 (Swepub:hkr)vazfar |
700 | 1 | a Lynch, Ku Lund University4 aut |
700 | 1 | a Carlsson, Au Lund University4 aut |
700 | 1 | a Cedervall, Eu Ängelholm hospital4 aut |
700 | 1 | a Jönsson, Bu Ystad hospital4 aut |
700 | 1 | a Neiderud, Ju Helsingborg hospital4 aut |
700 | 1 | a Månsson, Mu Lund University4 aut |
700 | 1 | a Nilsson, Au Lund University4 aut |
700 | 1 | a Lernmark, Åu Lund University4 aut |
700 | 1 | a Elding Larsson, Hu Lund Univeristy4 aut |
700 | 1 | a Ivarsson, SAu Lund University4 aut |
700 | 1 | a Nilsson, Anna-Lenau Lund University,Lunds universitet,Diabetes och celiaki,Forskargrupper vid Lunds universitet,Diabetes and Celiac Unit,Lund University Research Groups4 aut0 (Swepub:lu)med-a-n |
700 | 1 | a Vaziri Sani, Faribau Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Diabetes och celiaki,Forskargrupper vid Lunds universitet,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Diabetes and Celiac Unit,Lund University Research Groups4 aut0 (Swepub:lu)fa3255va |
700 | 1 | a Larsson, Helenau Lund University,Lunds universitet,Pediatrisk endokrinologi,Forskargrupper vid Lunds universitet,Paediatric Endocrinology,Lund University Research Groups4 aut0 (Swepub:lu)pedi-hla |
700 | 1 | a Lynch, Kristianu Lund University,Lunds universitet,Diabetes och celiaki,Forskargrupper vid Lunds universitet,Diabetes and Celiac Unit,Lund University Research Groups4 aut0 (Swepub:lu)endo-kly |
700 | 1 | a Andersson, Cecilia Ku Lund University,Lunds universitet,Pediatrisk endokrinologi,Forskargrupper vid Lunds universitet,Paediatric Endocrinology,Lund University Research Groups4 aut0 (Swepub:lu)med-cao |
700 | 1 | a Larsson, Karinu Lund University,Lunds universitet,Pediatrisk endokrinologi,Forskargrupper vid Lunds universitet,Paediatric Endocrinology,Lund University Research Groups4 aut0 (Swepub:lu)med-kil |
700 | 1 | a Carlsson, Annelieu Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)med-acs |
700 | 1 | a Lernmark, Åkeu Lund University,Lunds universitet,Diabetes och celiaki,Forskargrupper vid Lunds universitet,Diabetes and Celiac Unit,Lund University Research Groups4 aut0 (Swepub:lu)endo-ale |
700 | 1 | a Ivarsson, Stenu Lund University,Lunds universitet,Pediatrisk endokrinologi,Forskargrupper vid Lunds universitet,Paediatric Endocrinology,Lund University Research Groups4 aut0 (Swepub:lu)pedi-siv |
700 | 1 | a Månsson, Majviu Lund University,Lunds universitet,Pediatrisk endokrinologi,Forskargrupper vid Lunds universitet,Paediatric Endocrinology,Lund University Research Groups4 aut0 (Swepub:lu)pedi-mma |
710 | 2 | a Lund Universityb Deparment of Paediatrics, Kristianstad hospital4 org |
773 | 0 | t Autoimmunityd : Taylor & Francisg 44:5, s. 394-405q 44:5<394-405x 0891-6934x 1607-842X |
856 | 4 | u https://lup.lub.lu.se/search/ws/files/3718384/1810908.pdf |
856 | 4 | u https://portal.research.lu.se/files/3718384/1810908.pdfx primaryx freey FULLTEXT |
856 | 4 | u http://www.ncbi.nlm.nih.gov/pubmed/21244337?dopt=Abstracty FULLTEXT |
856 | 4 | u http://dx.doi.org/10.3109/08916934.2010.540604y FULLTEXT |
856 | 4 8 | u http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-12668x lärosäteslänky Till lärosätets (hkr) databas |
856 | 4 8 | u https://doi.org/10.3109/08916934.2010.540604 |
856 | 4 8 | u https://lup.lub.lu.se/record/1777357 |
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