Clinical and genetic characteristics of people with type 1 diabetes who have discrepancies in titers of anti‐glutamic acid decarboxylase antibody measured by radioimmunoassay and enzyme‐linked immunosorbent assay Article Swipe
Satoshi Takagi
,
Junnosuke Miura
,
Sari Hoshina
,
Yasuko Uchigata
,
Tetsuya Babazono
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1111/jdi.13111
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1111/jdi.13111
Aims/Introduction The aim of the present study was to compare the clinical and genetic characteristics between people with type 1 diabetes who were positive and negative for autoantibodies against glutamic acid decarboxylase ( GADA ) measured by enzyme‐linked immunosorbent assay ( ELISA ) with low‐titer GADA measured by radioimmunoassay. Materials and Methods Among Japanese people with type 1 diabetes in whom GADA were measured by both ELISA and radioimmunoassay, those who had low titers of GADA measured by radioimmunoassay (1.5–10 U/ mL ), regardless of positivity for GADA measured by ELISA , were studied. There were 65 participants with acute‐onset type 1 diabetes and 30 participants with slowly progressive insulin‐dependent diabetes mellitus. Clinical characteristics and human leukocyte antigen types were compared in ELISA ‐positive (≥5 U/ mL ) and ELISA ‐negative participants. Endogenous insulin secretion was evaluated by C‐peptide index. Results Among participants with slowly progressive insulin‐dependent diabetes mellitus, postprandial C‐peptide index was significantly higher in ELISA ‐negative participants than in ELISA ‐positive participants ( r = 0.619, P = 0.002). Among 52 participants whose human leukocyte antigen typing was carried out, all of the participants with slowly progressive insulin‐dependent diabetes mellitus who had DRB 1*09:01 were positive by GADA ‐ ELISA ( P = 0.021). In acute‐onset type 1 diabetes participants, there were no significant differences for the C‐peptide index and human leukocyte antigen genotypes. Conclusions The difference in the positivity for GADA ‐ ELISA might reflect cytotoxicity toward pancreatic β‐cells and preservation of endogenous insulin secretion in people with slowly progressive insulin‐dependent diabetes mellitus. We also suggest that the difference in the GADA ‐ ELISA ‐specific epitope depends on the human leukocyte antigen genotype.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/jdi.13111
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jdi.13111
- OA Status
- gold
- Cited By
- 5
- References
- 21
- Related Works
- 10
- OpenAlex ID
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- OpenAlex ID
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https://openalex.org/W2953676289Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/jdi.13111Digital Object Identifier
- Title
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Clinical and genetic characteristics of people with type 1 diabetes who have discrepancies in titers of anti‐glutamic acid decarboxylase antibody measured by radioimmunoassay and enzyme‐linked immunosorbent assayWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-07-03Full publication date if available
- Authors
-
Satoshi Takagi, Junnosuke Miura, Sari Hoshina, Yasuko Uchigata, Tetsuya BabazonoList of authors in order
- Landing page
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https://doi.org/10.1111/jdi.13111Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jdi.13111Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jdi.13111Direct OA link when available
- Concepts
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Medicine, Radioimmunoassay, Diabetes mellitus, Internal medicine, Type 1 diabetes, Insulin, Titer, Autoantibody, Endocrinology, Glutamate decarboxylase, Antibody, C-peptide, Antigen, Immunology, Enzyme, Biology, BiochemistryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
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2023: 1, 2022: 2, 2021: 1, 2019: 1Per-year citation counts (last 5 years)
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21Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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