Type 1 diabetes

Progression of type 1 diabetes is associated with high levels of soluble PD-1 in islet autoantibody-positive children

DiabetologiaPublished Longitudinal cohort study

Main findingResult — go to the resultHazard ratio 1.71 95% CI 1.16–2.51

Authors' conclusion

This study reveals an sICM profile that is dysregulated during the preclinical stage of type 1 diabetes, and identifies sPD-1 as a pathophysiologically-relevant molecule that is associated with disease progression, offering a potential target for early interventions in autoimmune diabetes.

Study context

Population
Children: islet autoantibody-positive, recent-onset T1D and healthy, from two cohorts; AAb+ children followed up for progression to T1D
Exposure
AAb+ children vs recent-onset T1D vs healthy children; progressors (AAbP) vs non-progressors (AAbNP)
  • AAb+n = 57
  • Recent-onset T1Dn = 79
  • Healthyn = 44reference
Outcome
Serum levels of 14 soluble immune checkpoint molecules (sICM) related to T1D progression
Methodological detailstwo cohorts
  • Two cohorts

Main finding

As reported in the abstract

Hazard ratio

1.71

95% CI 1.16–2.51

P = 0.007

High sPD-1
HR 1.71 (95% CI 1.16–2.51); P = 0.007

Observational data: associations, not effects.

Original publication

Progression of type 1 diabetes is associated with high levels of soluble PD-1 in islet autoantibody-positive children. Diabetologia. Published 12 January 2024. doi:10.1007/s00125-023-06075-3

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