High levels of immunoglobulin E and a continuous increase in immunoglobulin G and immunoglobulin M by age in children with newly diagnosed type 1 diabetes

Jannet Svensson, Stefanie Eising, Henrik Bindesbøl Mortensen, Michael Christiansen, Inga Laursen, Åke Lernmark, Anita Nilsson, Lars Bjarke Simonsen, Bendix Carstensen, Flemming Michael Pociot, Jesper Johannesen, Danish Childhood Diabetes Registry, Flemming Pociot

    8 Citations (Scopus)

    Abstract

    The incidence of type 1 diabetes (T1D) is increasing, either because of environmental factors accelerating onset of the disease or because of inducement of autoimmune diabetes in children who previously were at lower risk. High levels of immunoglobulin (Ig), specifically, IgM and IgA, and a low level of IgG were reported in adult patients; however no studies have analyzed the increasing incidence in relation to Ig levels. Our aim was to describe Ig in children newly diagnosed with diabetes and in their healthy siblings. Children with T1D expressed significantly lower IgG (p <0.01) and higher IgA levels (p = 0.045), whereas no differences in IgE or IgM (p > 0.5) levels were found. Age-specific levels were unchanged over a 9-year period. In patients and siblings IgG, IgA and IgE increased by age (p <0.001); which was in contrast to IgM (p > 0.05). The continued increase in IgG levels by age indicates that adult levels are reached later than in previously studied cohorts, thereby indicating a slower maturation of the immune system.
    Original languageEnglish
    JournalHuman Immunology
    Volume73
    Issue number1
    Pages (from-to)17-25
    Number of pages9
    ISSN0198-8859
    DOIs
    Publication statusPublished - Jan 2012

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