Evidence map›Paper›PMID 40319149›Full record

ArticleScientific reports2025

Comparison of immunological and immunogenetic markers in recent-onset type 1 diabetes among children and adults.

Kristi Alnek, Aili Tagoma, Kaja Metsküla, Ija Talja, Helis Janson, Maire Mandel, Tamara Vorobjova, Astrid Oras, Hanna Sepp, Katrin Pruul and 12 more

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Kristi Alnek *Department of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Aili Tagoma *Department of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Kaja MetskülaDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Ija TaljaDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Helis JansonDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Maire MandelDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Tamara VorobjovaDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Astrid OrasDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Hanna SeppDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Katrin PruulDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Koit ReimandDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Tiia SimonenDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Aleksandr PeetChildren's Clinic of Tartu University Hospital, 50406, Tartu, Estonia.
Ingrid ReppoInternal Medicine Clinic of Tartu University Hospital, 50406, Tartu, Estonia.
Kaia TammiksaarInternal Medicine Clinic of Tartu University Hospital, 50406, Tartu, Estonia.
Maire LubiInternal Medicine Clinic of Tartu University Hospital, 50406, Tartu, Estonia.
Kaire HeilmanTallinn Children's Hospital, 13419, Tallinn, Estonia.
Ülle EinbergTallinn Children's Hospital, 13419, Tallinn, Estonia.
Kalle KisandDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia.
Margus LemberInternal Medicine Clinic of Tartu University Hospital, 50406, Tartu, Estonia.
Vallo TillmannChildren's Clinic of Tartu University Hospital, 50406, Tartu, Estonia.
Raivo UiboDepartment of Immunology, Institute of Bio- and Translational Medicine, University of Tartu, 50411, Tartu, Estonia. raivo.uibo@ut.ee.

Funding

Eesti Teadusagentuur ITU20-43Eesti Teadusagentuur PRG1428
6 · The paper itself

Abstract

This study aimed to compare the immunological and immunogenetic profiles over a spectrum of childhood- and adulthood-onset T1D at diagnosis. The cross-sectional study involved participants with recently diagnosed T1D (n = 168), aged 2.9-68.2 years. HLA-II alleles, single nucleotide polymorphisms (SNP) (rs2476601, rs3087243, rs1990760, rs13266634), thyroid and coeliac disease-related autoantibodies and anti-enterovirus antibodies (anti-EV) were analysed regarding the diabetes-associated autoantibodies' (DAA) status and the age of participants. In the longitudinal study, 19 immune checkpoint gene expression levels in children (n = 25) aged 3.6-14.5 years were measured at diagnosis and 1 year after diagnosis. The duration of symptoms before diagnosis was age-dependent. Older age increased the odds of being single DAA-positive (OR 1.05; 95% CI 1.02-1.09), while anti-EV IgG positivity increased the odds of being multiple DAA-positive (adjusted OR 4.42; 95% CI 1.62-12.04). The DAA-negative T1D participants were older than the DAA-positive individuals. The checkpoint gene expression levels between the two time points were similar, but exhibited more pronounced variability at the time of diagnosis. These results confirm immunological variability in recent-onset T1D cases between children and adults and stress the importance of further research to define the comprehensive immunological profile of the disease age-related subgroups.

Indexed as

Diabetes Mellitus, Type 1AdolescentAdultAgedAge of OnsetAutoantibodiesBiomarkersChildChild, PreschoolCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedPolymorphism, Single NucleotideAutoantibodiesBiomarkersAdultsAutoantibodiesAutoantibody-negativeChildrenEnterovirus antibodiesHLARecently diagnosedType 1 diabetes

Identifiers

PMID40319149
PMCPMC12049419

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.