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1 Virology Research Laboratory, University of New South Wales School of Biomedical Sciences and New South Wales Health Pathology, Sydney, New South Wales, Australia.
2 Sydney School of Public Health, University of Sydney, New South Wales, Australia.
3 Discipline of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.
4 Adelaide Medical School, Faculty of Health and Medical Sciences and Robinson Research Institute, University of Adelaide, Adelaide, South Australia, Australia.
5 Telethon Kids Institute, Centre for Child Health Research, The University of Western Australia, Nedlands, Western Australia, Australia.
6 Frazer Institute, The University of Queensland, Brisbane, Queensland, Australia.
7 Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
8 Department of Endocrinology and Diabetes, Queensland Children's Hospital, South Brisbane, Queensland, Australia.
9 Centre for Diabetes Research, Harry Perkins Institute of Medical Research, The University of Western Australia, Perth, Western Australia, Australia.
10 Melbourne eResearch Group, School of Computing and Information Systems, University of Melbourne, Melbourne, Victoria, Australia.
11 School of Public Health and Preventive Medicine and School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
12 Faculty of Health, School of Medicine, Deakin University, Geelong, Victoria, Australia.
13 Department of Diabetes and Endocrinology, Royal Melbourne Hospital, Parkville, Victoria, Australia.
14 School of Biotechnology and Biomolecular Sciences, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia.
1 Virology Research Laboratory, University of New South Wales School of Biomedical Sciences and New South Wales Health Pathology, Sydney, New South Wales, Australia.
2 Sydney School of Public Health, University of Sydney, New South Wales, Australia.
3 Discipline of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.
4 Adelaide Medical School, Faculty of Health and Medical Sciences and Robinson Research Institute, University of Adelaide, Adelaide, South Australia, Australia.
5 Telethon Kids Institute, Centre for Child Health Research, The University of Western Australia, Nedlands, Western Australia, Australia.
6 Frazer Institute, The University of Queensland, Brisbane, Queensland, Australia.
7 Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria, Australia.
8 Department of Endocrinology and Diabetes, Queensland Children's Hospital, South Brisbane, Queensland, Australia.
9 Centre for Diabetes Research, Harry Perkins Institute of Medical Research, The University of Western Australia, Perth, Western Australia, Australia.
10 Melbourne eResearch Group, School of Computing and Information Systems, University of Melbourne, Melbourne, Victoria, Australia.
11 School of Public Health and Preventive Medicine and School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
12 Faculty of Health, School of Medicine, Deakin University, Geelong, Victoria, Australia.
13 Department of Diabetes and Endocrinology, Royal Melbourne Hospital, Parkville, Victoria, Australia.
14 School of Biotechnology and Biomolecular Sciences, Faculty of Science, University of New South Wales, Sydney, New South Wales, Australia.
This cohort study examines whether there is a temporal association between SARS-CoV-2 infection and the development of islet autoimmunity among Australian children with a first-degree relative with type 1 diabetes.
Figure.. SARS-CoV-2 Infection and Development of Islet…
Figure.. SARS-CoV-2 Infection and Development of Islet Autoimmunity (IA) in the Environmental Determinants of IA…
Figure.. SARS-CoV-2 Infection and Development of Islet Autoimmunity (IA) in the Environmental Determinants of IA (ENDIA) Study
A, Univariable Cox proportional hazards model performed with 354 children with COVID-19 who were IA negative at the time of SARS-CoV-2 detection. B, Incidence rate of islet autoantibodies from March 2020 to July 2024 in ENDIA children (n = 888), stratified by age (<2 years, 2 to <4 years, and ≥4 years) and COVID-19 status. The incidence rate at each age category was calculated for the number of new IA events observed in the interval from the preceding age category. Children have follow-up time for IA and COVID-19 occurring across multiple age categories.
Unsworth R, Wallace S, Oliver NS, et al. . New-onset type 1 diabetes in children during COVID-19: multicenter regional findings in the U.K. Diabetes Care. 2020;43(11):e170-e171. doi:10.2337/dc20-1551
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Lugar M, Eugster A, Achenbach P, et al. ; GPPAD Study Group . SARS-CoV-2 infection and development of islet autoimmunity in early childhood. JAMA. 2023;330(12):1151-1160. doi:10.1001/jama.2023.16348
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Krischer JP, Lernmark Å, Hagopian WA, et al. ; TEDDY Study Group . SARS-CoV-2 - no increased islet autoimmunity or type 1 diabetes in teens. N Engl J Med. 2023;389(5):474-475. doi:10.1056/NEJMc2216477
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Friedl N, Sporreiter M, Winkler C, et al. ; Fr1da Study Group . Progression from presymptomatic to clinical type 1 diabetes after COVID-19 infection. JAMA. 2024;332(6):501-502. doi:10.1001/jama.2024.11174
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Penno MAS, Couper JJ, Craig ME, et al. ; ENDIA Study Group . Environmental determinants of islet autoimmunity (ENDIA): a pregnancy to early life cohort study in children at-risk of type 1 diabetes. BMC Pediatr. 2013;13(1):124. doi:10.1186/1471-2431-13-124
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