PMID- 22957668 OWN - NLM STAT- MEDLINE DCOM- 20130815 LR - 20211021 IS - 1399-5448 (Electronic) IS - 1399-543X (Linking) VI - 14 IP - 2 DP - 2013 Mar TI - Triple specificity of ZnT8 autoantibodies in relation to HLA and other islet autoantibodies in childhood and adolescent type 1 diabetes. PG - 97-105 LID - 10.1111/j.1399-5448.2012.00916.x [doi] AB - OBJECTIVE: To establish the diagnostic sensitivity of and the relationships between autoantibodies to all three Zinc transporter 8 (Zinc transporter 8 autoantibody to either one, two, or all three amino acid variants at position 325, ZnT8A) variants to human leukocyte antigen (HLA)-DQ and to autoantibodies to glutamic acid decarboxylase (GADA), insulinoma-associated protein 2 (IA-2A), and insulin (IAA). METHODS: We analyzed 3165 patients with type 1 diabetes (T1D) in the Better Diabetes Diagnosis study for HLA-DQ genotypes and all six autoantibodies (ZnT8RA, arginine 325 Zinc transporter 8 autoantibody; ZnT8WA, tryptophan 325 Zinc transporter 8 autoantibody; ZnT8QA, glutamine 325 Zinc transporter 8 autoantibody; GADA, IA-2A, and IAA). RESULTS: ZnT8A was found in 65% of the patients and as many as 108 of 3165 (3.4%) had 1-3 ZnT8A alone. None had ZnT8QA alone. Together with GADA (56%), IA-2A (73%), and IAA (33%), 93% of the T1D patients were autoantibody positive. All three ZnT8A were less frequent in children below 2 yr of age (p < 0.0001). All three ZnT8A were associated with DQA1-B1*X-0604 (DQ6.4) and DQA1-B1*03-0302 (DQ8). ZnT8WA and ZnT8QA were negatively associated with DQA1-B1*05-02 (DQ2). CONCLUSIONS: Analysis of ZnT8A increased the diagnostic sensitivity of islet autoantibodies for T1D as only 7% remained islet autoantibody negative. The association between DQ6.4 and all three ZnT8A may be related to ZnT8 antigen presentation by the DQ6.4 heterodimer. CI - (c) 2012 John Wiley & Sons A/S. FAU - Andersson, C AU - Andersson C AD - Department of Clinical Sciences, Lund University/CRC, Skane University Hospital SUS, Malmo, Sweden. Cecilia_K.Andersson@med.lu.se FAU - Vaziri-Sani, F AU - Vaziri-Sani F FAU - Delli, Aj AU - Delli A FAU - Lindblad, B AU - Lindblad B FAU - Carlsson, A AU - Carlsson A FAU - Forsander, G AU - Forsander G FAU - Ludvigsson, J AU - Ludvigsson J FAU - Marcus, C AU - Marcus C FAU - Samuelsson, U AU - Samuelsson U FAU - Ivarsson, Sa AU - Ivarsson S FAU - Lernmark, A AU - Lernmark A FAU - Larsson, H Elding AU - Larsson HE CN - BDD Study Group LA - eng GR - R01 DK026190/DK/NIDDK NIH HHS/United States GR - DK26190/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120910 PL - Denmark TA - Pediatr Diabetes JT - Pediatric diabetes JID - 100939345 RN - 0 (Autoantibodies) RN - 0 (Cation Transport Proteins) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ6 antigen) RN - 0 (SLC30A8 protein, human) RN - 0 (Zinc Transporter 8) RN - EC 3.1.3.48 (Receptor-Like Protein Tyrosine Phosphatases, Class 8) RN - EC 4.1.1.15 (Glutamate Decarboxylase) RN - EC 4.1.1.15 (glutamate decarboxylase 2) SB - IM MH - Adolescent MH - Autoantibodies/*immunology MH - Cation Transport Proteins/genetics/*immunology MH - Child MH - Child, Preschool MH - Diabetes Mellitus, Type 1/genetics/*immunology MH - Female MH - Glutamate Decarboxylase/*immunology MH - HLA-DQ Antigens/*immunology MH - Humans MH - Infant MH - Male MH - Receptor-Like Protein Tyrosine Phosphatases, Class 8/immunology MH - Zinc Transporter 8 FIR - Samuelsson, Bengt-Olof IR - Samuelsson BO FIR - Snellman, Kalle IR - Snellman K FIR - Olivecrona, Anna IR - Olivecrona A FIR - Stenberg, Ake IR - Stenberg A FIR - Skogsberg, Lars IR - Skogsberg L FIR - Lindblad, Bengt IR - Lindblad B FIR - Forsander, Gun IR - Forsander G FIR - Neiderud, Jan IR - Neiderud J FIR - Torbjornsdotter, Torun IR - Torbjornsdotter T FIR - Hagg, Thomas IR - Hagg T FIR - Hemmingsson, Kristina IR - Hemmingsson K FIR - Akesson, Karin IR - Akesson K FIR - Lundstrom, Goran IR - Lundstrom G FIR - Ljungcrantz, Magnus IR - Ljungcrantz M FIR - Forssberg, Maria IR - Forssberg M FIR - Larsson, Karin IR - Larsson K FIR - Gundewall, Christer IR - Gundewall C FIR - Enander, Rebecka IR - Enander R FIR - Samuelsson, Ulf IR - Samuelsson U FIR - Carlsson, Annelie IR - Carlsson A FIR - Nilsson, Anita IR - Nilsson A FIR - Larsson, Helena E IR - Larsson HE FIR - Ivarsson, Sten-A IR - Ivarsson SA FIR - Brannstrom, Agneta IR - Brannstrom A FIR - Nordwall, Maria IR - Nordwall M FIR - Hellenberg, Lennart IR - Hellenberg L FIR - Lundberg, Elena IR - Lundberg E FIR - Bjorsell, Britta IR - Bjorsell B FIR - Otqvist, Eva IR - Otqvist E FIR - Kernell, Anna IR - Kernell A FIR - Stjernstedt, Bjorn IR - Stjernstedt B FIR - Wramner, Nils IR - Wramner N FIR - Hanas, Ragnar IR - Hanas R FIR - Swenne, Ingemar IR - Swenne I FIR - Blomgren, Margareta IR - Blomgren M FIR - Thastrom, Anders IR - Thastrom A FIR - Arvidsson, C G IR - Arvidsson CG FIR - Edvardsson, Stig IR - Edvardsson S FIR - Jonsson, Bjorn IR - Jonsson B FIR - Gadd, Torsten IR - Gadd T FIR - Aman, Jan IR - Aman J FIR - Florell, Rein IR - Florell R FIR - Fureman, Anna-Lena IR - Fureman AL EDAT- 2012/09/11 06:00 MHDA- 2013/08/16 06:00 CRDT- 2012/09/11 06:00 PHST- 2012/02/14 00:00 [received] PHST- 2012/06/08 00:00 [revised] PHST- 2012/07/06 00:00 [accepted] PHST- 2012/09/11 06:00 [entrez] PHST- 2012/09/11 06:00 [pubmed] PHST- 2013/08/16 06:00 [medline] AID - 10.1111/j.1399-5448.2012.00916.x [doi] PST - ppublish SO - Pediatr Diabetes. 2013 Mar;14(2):97-105. doi: 10.1111/j.1399-5448.2012.00916.x. Epub 2012 Sep 10.