Table 1.
Antigen | Sensitivity | Specificity | Percent at onset | Annotation | |
ICA | Islet cells | 70% | 99% | 70%-90% | Single positivity similar predictive; in combination ≥ 3 increasing risk to approximately 90%; age independent |
GADA | Glutamic acid decarboxylase (65 kDa) | 65%-75% | 99% | 70%-80% | |
IA2A | Tyrosine phosphatase-related islet antigen 2 | 50%-90% | 99% | 50%-70% | |
IAA | Proinsulin/insulin | 74% | 99% | 30%-50% | Inverse correlation with age; measurement prior to insulin therapy required |
ZnT8 | C terminal domain of the zinc transporter 8 | 65%-75% | 99% | 60%-80% | Declines rapidly after onset of T1D |
IAA: Insulin autoantibody; IA2A: Tyrosine phosphatase-related islet antigen 2 autoantibodies; ICA: Islet cell autoantibodies; GADA: Glutamic acid decarboxylase autoantibodies; T1D: Type 1 diabetes; ZnT8: Zinc transporter 8.