PMID- 25131687 OWN - NLM STAT- MEDLINE DCOM- 20160720 LR - 20220321 IS - 1399-5448 (Electronic) IS - 1399-543X (Linking) VI - 16 IP - 7 DP - 2015 Nov TI - Prevalence of celiac disease autoimmunity in children with type 1 diabetes: regional variations across the Oresund strait between Denmark and southernmost Sweden. PG - 504-9 LID - 10.1111/pedi.12200 [doi] AB - OBJECTIVES: The aim was to determine the prevalence of celiac disease autoimmunity in children with type 1 diabetes (T1D) diagnosed in Denmark and Sweden. METHODS: A total of 662 Swedish children with T1D were matched with 1080 Danish children with T1D and 309 healthy children from Sweden and 283 from Denmark served as controls. Sera were analyzed for the presence of IgA and IgG (IgAG) autoantibodies against deamidated gliadin peptide (DGP) and tissue transglutaminase (tTG) with enzyme-linked immunosorbent assay (ELISA) and IgG-tTG separately in a radioligand binding assay (RBA). Human leukocyte antigen (HLA)-DQB1 and DQA1 genotyping were determined in the T1D cohorts. RESULTS: In the Swedish T1D cohort, 17.2% (114/662) were IgAG-DGP/tTG positive compared with 11.7% (126/1080) in the Danish T1D cohort (p = 0.001) and with 9.4% (29/309) Swedish (p = 0.001) and 5.7% (16/283) Danish (p = 0.003) controls. In the Swedish T1D cohort, both levels of IgAG-DGP/tTG and IgG-tTG were higher compared with the levels in the Danish T1D (p < 0.001). In the control group, 2.8% of the Danish children were positive for both IgAG-DGP/tTG and IgG-tTG, compared to 0.3% of the Swedish. Presence of HLA-DQ2 was equally distributed among 89 children with T1D positive for both IgAG-DGP/tTG and IgG-tTG. CONCLUSION: The discrepancy in levels of IgAG-DGP/tTG and IgG-tTG between Swedish and Danish T1D cohorts was independent of HLA and suggests that regional variations in comorbidity of celiac disease in T1D is caused by difference in exposure to environmental factors. CI - (c) 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Adlercreutz, Emma H AU - Adlercreutz EH AD - Department of Clinical Sciences, Skane University Hospital SUS, Lund University/CRC, Malmo, Sweden. FAU - Svensson, Jannet AU - Svensson J AD - Department of Paediatrics, Herlev Hospital, Herlev, Denmark. AD - Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. FAU - Hansen, Dorthe AU - Hansen D AD - Department of Paediatrics, Odense University Hospital, Odense, Denmark. FAU - Buschard, Karsten AU - Buschard K AD - The Bartholin Institute, Rigshospitalet, Copenhagen, Denmark. FAU - Lernmark, Ake AU - Lernmark A AD - Department of Clinical Sciences, Skane University Hospital SUS, Lund University/CRC, Malmo, Sweden. FAU - Mortensen, Henrik Bindesbol AU - Mortensen HB AD - Department of Paediatrics, Herlev Hospital, Herlev, Denmark. AD - Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. FAU - Agardh, Daniel AU - Agardh D AD - Department of Clinical Sciences, Skane University Hospital SUS, Lund University/CRC, Malmo, Sweden. LA - eng PT - Comparative Study PT - Journal Article DEP - 20140818 PL - Denmark TA - Pediatr Diabetes JT - Pediatric diabetes JID - 100939345 RN - 0 (Autoantibodies) RN - 0 (Immunoglobulin A) RN - 0 (Immunoglobulin G) RN - 0 (Peptide Fragments) RN - 9007-90-3 (Gliadin) RN - EC 2.3.2.13 (Protein Glutamine gamma Glutamyltransferase 2) RN - EC 2.3.2.13 (Transglutaminases) RN - EC 3.6.1.- (GTP-Binding Proteins) SB - IM MH - Adolescent MH - Autoantibodies/*analysis MH - *Autoimmunity MH - Celiac Disease/blood/complications/epidemiology/*immunology MH - Child MH - Child, Preschool MH - Cohort Studies MH - Denmark/epidemiology MH - Diabetes Mellitus, Type 1/blood/complications/*immunology MH - Female MH - GTP-Binding Proteins/*antagonists & inhibitors MH - Gliadin/*antagonists & inhibitors/chemistry MH - Humans MH - Immunoglobulin A/analysis MH - Immunoglobulin G/analysis MH - Infant MH - Male MH - Peptide Fragments/antagonists & inhibitors/metabolism MH - Prevalence MH - Protein Glutamine gamma Glutamyltransferase 2 MH - Retrospective Studies MH - Risk MH - Sweden/epidemiology MH - Transglutaminases/*antagonists & inhibitors OTO - NOTNLM OT - T1D OT - celiac disease EDAT- 2014/08/19 06:00 MHDA- 2016/07/21 06:00 CRDT- 2014/08/19 06:00 PHST- 2014/02/26 00:00 [received] PHST- 2014/06/07 00:00 [revised] PHST- 2014/07/01 00:00 [accepted] PHST- 2014/08/19 06:00 [entrez] PHST- 2014/08/19 06:00 [pubmed] PHST- 2016/07/21 06:00 [medline] AID - 10.1111/pedi.12200 [doi] PST - ppublish SO - Pediatr Diabetes. 2015 Nov;16(7):504-9. doi: 10.1111/pedi.12200. Epub 2014 Aug 18.