[Prevalence of anti-GAD autoantibodies in Tunisian children with type 1 diabetes]

Tunis Med. 2002 May;80(5):281-5.
[Article in French]

Abstract

The prevalence of GAD antibodies and its correlation with some autoimmune markers: ICA (islet cells antibodies), antinuclear antibodies, thyroid antithymune and antimicrosomes antibodies, were studied in 84 Tunisian type 1 diabetic children. The prevalence of GAD antibodies was 51.2% and decreased as a function of increasing duration of the disease. Their frequency was 84.6% in children with newly diagnosed diabetes (within 6 months of diagnosis) and only 29.41% in those with a longer duration of the diabetes (more than 5 years). ICA were present less frequently (21.4% of the children). 10.7% of the studied samples were positive with the two antibodies (GAD ab ICA), and 40% were positive only with GAD antibodies. We conclude that the GAD antibodies seems to be more associated to the development of type 1 diabetes than ICA. They are detected more frequently in patients with long standing disease, that's make their determination very interesting as diagnostic and predictive marker.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Antibodies, Antinuclear / blood
  • Autoantibodies / blood*
  • Autoantigens / blood
  • Biomarkers / blood
  • Case-Control Studies
  • Child
  • Diabetes Mellitus, Type 1 / diagnosis
  • Diabetes Mellitus, Type 1 / epidemiology
  • Diabetes Mellitus, Type 1 / immunology*
  • Diabetes Mellitus, Type 1 / metabolism
  • Glutamate Decarboxylase / immunology*
  • Humans
  • Iodide Peroxidase*
  • Iron-Binding Proteins*
  • Predictive Value of Tests
  • Seroepidemiologic Studies
  • Time Factors
  • Tunisia / epidemiology

Substances

  • Antibodies, Antinuclear
  • Autoantibodies
  • Autoantigens
  • Biomarkers
  • Iron-Binding Proteins
  • islet cell antibody
  • TPO protein, human
  • Iodide Peroxidase
  • Glutamate Decarboxylase