Resumo

FACCINETTI, Natalia Inés et al. Detection and characterisation of zinc transporter 8 autoantibody in Argentinian patients with type 1 diabetes mellitus. Rev. argent. endocrinol. metab. [online]. 2016, vol.53, n.3, pp.77-83. ISSN 1851-3034.

Introduction and objectives: The aim of this study involved the detection and immunochemical characterisation of ZnT8 autoantibodies (ZnT8A) in new-onset type 1 Argentinian diabetic patients. Material and methods: One hundred sera from type 1 diabetic patients were tested for ZnT8A. The antigens employed were obtained using cDNA plasmids encoding the C-terminal domains of ZnT8 carrying 325Arg, 325Trp and 3 dimeric constructs (ZnT8-Arg-Trp325, ZnT8- Arg-Arg325 and ZnT8-Trp-Trp325). ZnT8A were assessed by radioligand binding assay (RBA). Other islet-autoantibodies were also tested by RBA. Results: Among the 100 type 1 diabetic patients, the prevalence of ZnT8A was 65.0%, 8 recognized all recombinant forms of ZnT8. Most patients (56) were positive for the heterodimer (ZnT8-Arg-Trp325), being 25 of them also positive for the homodimer ZnT8-Arg-Arg325 and monomer ZnT8-Arg325. Single reactivity against ZnT8A was found in 9.0% of the group. Besides, the highest signal values were obtained with the heterodimeric variant (median 17.99 vs. 10.71, 6.32, 5.66 and 4.44 SD scores for ZnT8-Arg325, ZnT8-Trp325, ZnT8-Arg-Arg325 y ZnT8-Trp-Trp325, respectively; p < 0.05, Mann-Whitney t test). Conclusion: Immunochemical characterisation of ZnT8A present in type 1 Argentinian diabetic patients was accomplished, employing different variants of ZnT8. An increased detection of autoimmunity was found when ZnT8A was employed in combination with the other islet-autoantibodies. The presence of autoantibodies that recognized only constructions containing Arg reveals the existence of epitopes dependent of the amino acid present at residue 325. Furthermore, application of dimeric constructions revealed the existence of quaternary structure-defined epitopes which were recognized by type 1 diabetic patients. Finally, the highest combined sensitivity and specificity for routine screening of ZnT8A was accomplished with the heterodimeric construction.

Palavras-chave : Type 1 diabetes mellitus; Autoantibodies; ZnT8; SCL30A8.

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