4.7 Article

Reduction in White Blood Cell, Neutrophil, and Red Blood Cell Counts Related to Sex, HLA, and Islet Autoantibodies in Swedish TEDDY Children at Increased Risk for Type 1 Diabetes

Journal

DIABETES
Volume 67, Issue 11, Pages 2329-2336

Publisher

AMER DIABETES ASSOC
DOI: 10.2337/db18-0355

Keywords

-

Funding

  1. National Institute of Diabetes and Digestive and Kidney Diseases [U01-DK-63829, U01-DK-63861, U01-DK-63821, U01-DK-63865, U01-DK-63863, U01-DK-63836, U01-DK-63790, UC4-DK-63829, UC4-DK63861, UC4-DK-63821, UC4-DK-63865, UC4-DK-63863, UC4-DK-63836, UC4-DK-95300, UC4-DK-100238, UC4-DK-106955, UC4-DK-112243, UC4-DK-117483, HHSN267200700014C]
  2. National Institute of Allergy and Infectious Diseases, Eunice Kennedy Shriver National Institute of Child Health and Human Development
  3. National Institute of Allergy and Infectious Diseases
  4. Eunice Kennedy Shriver National Institute of Child Health and Human Development
  5. National Institute of Environmental Health Sciences
  6. JDRF
  7. Centers for Disease Control and Prevention
  8. National Institutes of Health Clinical Center
  9. National Institutes of Health/National Center for Advancing Translational Sciences Clinical and Translational Science Awards [UL1-TR-000064, UL1-TR-001082]
  10. NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES [UL1TR000064, UL1TR001082, UL1TR001427] Funding Source: NIH RePORTER
  11. NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [UC4DK106955, UC4DK095300, T32DK067009, UC4DK063865, UC4DK112243, U01DK063861, UC4DK117483, U01DK063863, U01DK063790, U01DK063836, U01DK063865, UC4DK063861, UC4DK063863, U01DK063829, U01DK063821, UC4DK100238, UC4DK063821, UC4DK063829, UC4DK063836] Funding Source: NIH RePORTER

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Islet autoantibodies (IAs) precede the clinical onset of type 1 diabetes (T1D); however, the knowledge is limited about whether the prodrome affects complete blood counts (CBCs) in 4- to 12-year-old children with increased genetic risk for T1D. This study tested whether CBCs were altered in 4- to 12-year-old children without (n = 376) or with one or several IAs against insulin, GAD65, or IA-2 (n = 72). CBC was analyzed during longitudinal follow-up in 448 Swedish children enrolled in The Environmental Determinants of Diabetes in the Young (TEDDY) study. A linear mixed-effects model was used to assess potential association between IA and CBC measurements over time. The white blood cell and neutrophil counts were reduced in children with IAs, primarily in boys. In contrast, girls had lower levels of hemoglobin and hematocrit. Positivity for multiple IAs showed the lowest counts in white blood cells and neutrophils in boys and red blood cells, hemoglobin, and hematocrit in girls. These associations were primarily observed in children with the HLA-DR3-DQ2/DR4-DQ8 genotype. We conclude that the reduction in neutrophils and red blood cells in children with multiple IAs and HLA-DR3-DQ2/DR4-DQ8 genotype may signal a sex-dependent islet autoimmunity detected in longitudinal CBCs.

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