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Erschienen in: Diabetologia 10/2014

01.10.2014 | Article

Enterovirus RNA in longitudinal blood samples and risk of islet autoimmunity in children with a high genetic risk of type 1 diabetes: the MIDIA study

verfasst von: Ondrej Cinek, Lars C. Stene, Lenka Kramna, German Tapia, Sami Oikarinen, Elisabet Witsø, Trond Rasmussen, Peter A. Torjesen, Heikki Hyöty, Kjersti S. Rønningen

Erschienen in: Diabetologia | Ausgabe 10/2014

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Abstract

Aims/hypothesis

Only a few longitudinal molecular studies of enterovirus and islet autoimmunity have been reported, and positive results seem to be limited to Finland. We aimed to investigate an association between enterovirus RNA in blood and islet autoimmunity in the MIDIA study from Norway, a country which largely shares environmental and economic features with Finland.

Methods

We analysed serial blood samples collected at ages 3, 6, and 9 months and then annually from 45 children who developed confirmed positivity for at least two autoantibodies (against insulin, GAD65 and IA-2) and 92 matched controls, all from a cohort of children with a single high-risk HLA-DQ-DR genotype. Enterovirus was tested in RNA extracted from frozen blood cell pellets, using real-time RT-PCR with stringent performance control.

Results

Out of 807 blood samples, 72 (8.9%) were positive for enterovirus. There was no association between enterovirus RNA and islet autoimmunity in samples obtained strictly before (7.6% cases, 10.0% controls, OR 0.75 [95% CI 0.36, 1.57]), or strictly after the first detection of islet autoantibodies (10.5% case, 5.8% controls, OR 2.00 [95% CI 0.64, 6.27]). However, there was a tendency towards a higher frequency of enterovirus detection in the first islet autoantibody-positive sample (15.8%) compared with the corresponding time point in matched controls (3.2%, OR 8.7 [95% CI 0.97, 77]). Neither of these results was changed by adjusting for potential confounders, restricting to various time intervals or employing various definitions of enterovirus positivity.

Conclusions/interpretation

Positivity for enterovirus RNA in blood did not predict the later induction of islet autoantibodies, but enterovirus tended to be detected more often at the islet autoantibody seroconversion stage.
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Metadaten
Titel
Enterovirus RNA in longitudinal blood samples and risk of islet autoimmunity in children with a high genetic risk of type 1 diabetes: the MIDIA study
verfasst von
Ondrej Cinek
Lars C. Stene
Lenka Kramna
German Tapia
Sami Oikarinen
Elisabet Witsø
Trond Rasmussen
Peter A. Torjesen
Heikki Hyöty
Kjersti S. Rønningen
Publikationsdatum
01.10.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Diabetologia / Ausgabe 10/2014
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-014-3327-4

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