Table 1 Summary of key themes
Themes extracted from review of papers prior to T1D diagnosis |
Risk for T1D progression increases with autoantibody number |
Younger age at seroconversion results in faster progression |
Islet autoantibody type (IAA, GADA, IA-2A, ZnT8, ICA) influences progression |
The addition of islet autoantibodies improves performance of genetic risk prediction |
Positive predictive value of autoantibody titer and affinity varies by autoantibody type |
Specific autoantibody assay methods impact risk stratification |
Themes extracted from review of papers at the time of T1D diagnosis |
Type of autoantibody positive at diagnosis differs by age (children more often IAA positive, adults more often GAD positive) |
Earlier seroconversion/diagnosis correlates to accelerated beta cell loss |
Positivity for certain autoantibodies at diagnosis may be linked to specific genotypes or SNPs (GADA associated with HLA DR3; IAA associated with INS SNPs). |
Higher numbers of positive autoantibodies more common in younger children |
Themes extracted from review of papers following T1D diagnosis |
Lower autoantibody titers and numbers are associated with greater residual C-peptide |
In children, autoantibody type (IAA vs. GAD or IA-2) correlates with accelerated beta cell loss |
Themes extracted from review of papers about response to treatment with disease-modifying therapies |
Responses to treatments did not show consistent differences based on autoantibody type |
Agents targeting a specific antigen in individuals who were positive for the corresponding specific antibody did not show reproducible efficacy across the primary populations tested |