A comparison of the prevalence of islet autoantibodies in children from two countries with differing incidence of diabetes
Open accessAbstract
Aims/hypothesis To examine the prevalence of sub-: clinical islet autoimmunity in children from two countries with a twofold to threefold difference in incidence of childhood Type I (insulin-dependent) diabetes mellitus.Methods Sera were collected from 2,860 English and 3,053 Lithuanian non-diabetic schoolchildren according to the same protocol. Occult diabetes was excluded by blood glucose measurement. Antibodies to GAD and the protein tyrosine phosphatase IA-2 were measured with standardised radiobinding assays in a single laboratory. Islet cell antibodies and insulin autoantibodies were additionally measured in all samples with GAD and/or IA-2 antibody levels above the 97.5th centile of the English schoolchildren.Results Of Lithuanian schoolchildren 2.7 % had GAD antibodies above the 97.5th centile of the English schoolchildren but only 0.2 % had antibodies to IA-2 above this threshold (p < 0.001). Islet cell and/ or insulin autoantibodies above the 97.5th centile were found in 22 Lithuanian and 16 English schoolchildren and the overall prevalence of two or more antibodies on or above the 97.5th centile was similar [0.7 % (0.5-1.1) vs 0.6 % (0.4-1.0)] in the two cohorts.Conclusion/interpretation The prevalence of multiple antibody markers was similar in the cohorts from the two populations, despite the two to three-fold difference in incidence of diabetes. The unexpectedly high prevalence of subclinical islet autoimmunity suggests that the incidence of diabetes in Lithuania is likely to increase in the near future.
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Previously found IA-2A prevalence was 10-fold lower (0.2 versus 2.4%) in 3053 Lithuanian schoolchildren compared with 2860 English schoolchildren of similar age.
“We found previously that the prevalence of autoantibodies to islet antigen‐2 (IA‐2A) was 10‐fold lower (0·2 versus 2·4%) in 3053 schoolchildren from Lithuania, with a diabetes incidence of 7·1 cases per 100 000/year, compared with 2860 schoolchildren of a similar age from the United Kingdom, which at that time had an incidence of 17 cases per 100 000/year [ 2 ].”
From Islet autoantibody profiles associated with higher diabetes risk in Lithuanian compared with English schoolchildren (2020) · cites this paper as [2]
The frequency of IAA, GADA and multiple autoantibodies (mAab, including ICA) was similar in the two groups.
“The frequency of autoantibodies to insulin (IAA), glutamate decarboxylase (GADA) and multiple autoantibodies [mAab, which included islet cell antibodies (ICA)] was similar in the two groups.”
From Islet autoantibody profiles associated with higher diabetes risk in Lithuanian compared with English schoolchildren (2020) · cites this paper as [2]
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- Authors
- Marčiulionytė, D., Williams, A. J. K., Bingley, P. J., Urbonaitė, B., & Gale, E. A. M.
- Affiliations
- University of Bristol (GB)
- ORCID
- Williams, A. J. K.
- Venue
- Diabetologia
- Published
- 2001-01-10
- Volume
- 44
- Issue
- 1
- Pages
- 16-21
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- OpenAlex
- W2158349258
- Cited by
- 27
- References
- 21
- Citations by year
- 2020: 1 · 2018: 1 · 2014: 1 · 2012: 2
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Diabetologia (publishedVersion)
- PubMed (publishedVersion)
- Bristol Research (University of Bristol) (publishedVersion)
- Lithuanian University of Health Sciences (submittedVersion)
- Explore Bristol Research (submittedVersion)
- 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 › Surgery › Pancreatic function and diabetes
- Keywords
- islet autoantibodies, type 1 diabetes, pediatric diabetes, glutamic acid decarboxylase antibodies, IA-2 autoantibodies, islet cell antibodies, insulin autoantibodies, prevalence, diabetes incidence, cross-population comparison, Lithuanian children, English children
- MeSH terms
- Adolescent, Autoantibodies, Child, Child, Preschool, Diabetes Mellitus, Type 1, Female, Glutamate Decarboxylase, United Kingdom, Humans, Islets of Langerhans, Lithuania, Male
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