Cited by 50Diabetes and associated disordersDiabetes Management and ResearchAdrenal Hormones and Disorders

Past, present and future of latent autoimmune diabetes in adults

Liu, Bingwen, Xiang, Yufei, Liu, Zhenqi, Zhou, Zhiguang·2020·Diabetes/Metabolism Research and Reviews

Abstract

Summary: Latent autoimmune diabetes in adults (LADA) is the most common form of autoimmune diabetes diagnosed in adults. Similar to type 1 diabetes, the prevalence of LADA is impacted by ethnicity and geography. LADA is characterized by β cell loss due to autoimmunity and insulin resistance and has highly heterogeneous clinical features, autoimmunity, and genetics in a glutamic acid decarboxylase antibody (GADA) titre‐dependent manner, suggesting LADA is part of a continuum spectrum between type 1 and type 2 diabetes. Although LADA is the most frequent form of autoimmune diabetes diagnosed in adults, clinical trials involving LADA are scarce. Here we review the recent advancements in LADA epidemiology, clinical features, pathogenesis, and interventions. We also highlight the environmental factors that are thought to play an important role in addition to genetics in the pathogenesis of LADA. In the future, high‐throughput molecular profiles might shed light on the nature of LADA among the wide spectrum of diabetes and offer new opportunities to identify novel LADA‐specific biomarkers.

Integrity signals

Registry

Crossref · 10.1002/dmrr.3205

Cites

216 of 216 references verified0 citation errors · 0 not checkable

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  • Diabetes is linked to impaired insulin secretion, impaired insulin action, or both.

    “In the case of diabetes, it may be linked to impaired insulin secretion (insulin deficiency), impaired insulin action (insulin resistance), or both (71).”

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Authors
Liu, B., Xiang, Y., Liu, Z., & Zhou, Z.
Affiliations
  • Ministry of Education of the People's Republic of China (CN)
  • University of Virginia Health System (US)
Corresponding author
Zhou, Zhiguang
Venue
Diabetes/Metabolism Research and Reviews
Publisher
Wiley
Published
2019-07-31
Volume
36
Issue
1
Pages
e3205-e3205
ISSN
  • 1520-7552 (ISSN-L)
  • 1520-7560
OpenAlex
W2961279790
Cited by
50
References
220
Citations by year
2026: 7 · 2025: 5 · 2024: 5 · 2023: 4 · 2022: 13 · 2021: 8 · 2020: 7 · 2019: 1
FWCI
0.96
Type
journal article
Language
en
Open access
closed
Locations
  • Diabetes/Metabolism Research and Reviews (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Innovative Research Group Project of the National Natural Science Foundation of China (81461168031)
  • National Science and Technology Infrastructure Program (2015BAI12B13)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Keywords
latent autoimmune diabetes in adults, autoimmune diabetes, islet autoimmunity, glutamic acid decarboxylase antibodies, type 1 diabetes, type 2 diabetes, insulin resistance, environmental risk factors
MeSH terms
Adult, Autoantibodies, Diabetes Mellitus, Type 1, Humans, Autoimmunity, Age of Onset

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