新发1型糖尿病儿童及健康兄弟姐妹的胰岛自身抗体诊断能力

IF 1.1 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Sovremennye Tehnologii v Medicine Pub Date : 2021-01-01 Epub Date: 2020-12-28 DOI:10.17691/stm2020.12.6.04
K G Korneva, L G Strongin, E V Kolbasina, M V Budylina, N V Makeeva, V E Zagainov
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引用次数: 2

摘要

本研究的目的是确定几种胰岛自身抗体及其组合的诊断效用,以便在筛查计划的发展范围内确定儿童健康兄弟姐妹中易患1型糖尿病(T1DM)的个体。材料与方法:共纳入424例儿童,其中260例为新发T1DM儿童,164例为兄弟姐妹均患有T1DM的健康儿童。采用酶免疫分析法对所有受试者进行胰岛素(IAA)、酪氨酸磷酸酶(IA-2A)、锌转运蛋白8 (ZnT8A)、胰腺β细胞(ICA)和谷氨酸脱羧酶(GADA)自身抗体复合体的血液检测。结果:发现个体自身抗体的诊断效用不相等,且随年龄而变化。确定了对健康兄弟姐妹发生1型糖尿病风险进行免疫控制的最佳年龄组。GADA、ZnT8A和IA-2A联合用药的风险最高。结论:胰岛自身抗体可作为健康兄弟姐妹患1型糖尿病风险的预后指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Diagnostic Capabilities of Islet Autoantibodies in Children with New-Onset Type 1 Diabetes Mellitus and Healthy Siblings.

The aim of the study is to determine the diagnostic utility of several islet autoantibodies and their combinations in order to identify individuals susceptible to type 1 diabetes mellitus (T1DM) among healthy siblings in the pediatric population within the scope of the development of a screening program.

Materials and methods: A total of 424 children were evaluated, 260 children with new-onset T1DM and 164 healthy children with brothers and/or sisters with T1DM.Blood tests for a complex of autoantibodies to insulin (IAA), tyrosine phosphatase (IA-2A), zinc transporter 8 (ZnT8A), pancreatic β-cells (ICA), and glutamate decarboxylase (GADA) were conducted in all the subjects with the enzyme immunoassay method.

Results: It was found that the diagnostic utility of individual autoantibodies is not equal and varies with age. The optimal age groups for the immunological control of the risks of developing type 1 diabetes in healthy siblings were determined. The highest risks were noted with the combination of GADA, ZnT8A, and IA-2A.

Conclusion: Islet autoantibodies may serve as prognostic markers of the risk of developing type 1 diabetes in healthy siblings.

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来源期刊
Sovremennye Tehnologii v Medicine
Sovremennye Tehnologii v Medicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
1.80
自引率
0.00%
发文量
38
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