Autoantibodies to IA-2beta improve diabetes risk assessment in high-risk relatives

P Achenbach, E Bonifacio, AJK Williams, AG Ziegler, EAM Gale, PJ Bingley, Group ENDIT

Research output: Contribution to journalArticle (Academic Journal)peer-review

38 Citations (Scopus)

Abstract

Aims/hypothesis The aim of this study was to evaluate the prognostic significance of autoantibodies to IA-2β (IA2βA) in a large, well-characterised population of islet cell antibody (ICA)-positive relatives followed for 5 years in the European Nicotinamide Diabetes Intervention Trial. Methods Autoantibodies to insulin (IAA), glutamate decarboxylase (GADA) and IA-2 (IA2A) were measured in 549 participants at study entry, and IA2A-positive samples tested for IA2βA. First-phase insulin response (FPIR) and oral glucose tolerance were determined at baseline. Results Of 212 ICA/IA2A-positive participants (median age 12.1 years; 57% male), 113 developed diabetes (5 year cumulative risk 56%), and 148 were also GADA-positive and IAA-positive (4Ab-positive). IA2βA were detected in 137 (65%) ICA/IA2A-positive participants and were associated with an increased 5 year diabetes risk (IA2βA-positive 65 vs 39% in IA2βA-negative, p = 0.0002). The effect was most marked in 4Ab-positive relatives (72% vs 52%, p  = 0.003). Metabolic testing further refined risk assessment. Among 101 4Ab-positive relatives with IA2βA, the 5 year risk was 94% in those with a low FPIR (vs 50% in those with a normal FPIR, p 
Translated title of the contributionAutoantibodies to IA-2beta improve diabetes risk assessment in high-risk relatives
Original languageEnglish
Pages (from-to)488 - 492
Number of pages5
JournalDiabetologia
Volume51
Issue number3
DOIs
Publication statusPublished - Mar 2008

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