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. 2022 Mar 7;14(3):e22912. doi: 10.7759/cureus.22912

Table 1. Summary of mentioned articles about shared genetic background and environmental factors in T1DM and CD.

T1DM, type 1 diabetes mellitus; CD, celiac disease; HR, hazard ratio; OR, odds ratio; HLA, human leukocyte antigen; US, United States; IA, islet autoimmunity

Author Year Design Population Global Sample Results Conclusions
Siddiqui et al. [20] 2021 Cross-sectional Pediatric samples from the Isra University Hospital, Liaquat University of Medical and Health Sciences Hospital and Asian Institute of Medical Sciences Hospital, Hyderabad, India 175 pediatric individuals with T1DM or CD In patients with CD, DQ2 was found in 85.7%, DQ8 in 11.4%, and DQ2/DQ8 at the same time in 2.8%.  In the group of concurrent CD and T1DM, DQ2 was found in 31.4%, CD8 in 25%, and DQ2/DQ8 in 34% and just nine of these individuals were experimenting CD The most frequent haplotypes present in these population were DQ2 and DQ8 coming after and they could be used for a more accurate diagnosis in selected cases
Farina et al. [25] 2019   Children enrolled in a Hospital of Naples, Italy 21 patients with T1DM DR3-DQA1*05 and DQB1*02 alleles encode for DQ2 molecule and DR4-HLA DQA1*03 and DQB1*03 alleles encode DQ8 molecules DQ2.5 and DQ8 risk alleles are more frequent than non-associated alleles in T1DM patients
Frederiksen et al. [28] 2013 Longitudinal, observational study Newborns at St. Joseph’s Hospital in Denver, Colorado 1,835 children at risk for T1DM Early exposure to any solid food (HR: 1.91. 95%. CI: 1.04-3.51) and late first exposure (HR: 3.02; 95% CI: 1.26-7.24) predict risk of development of T1DM There is a period of time, between four and six months, to introduce solid foods without increasing the IA risks. The risk of developing IA was reduced when gluten was introduced while breastfeeding
Ivarsson et al. [29] 2002 Prospective study Swedish children 524 children The risk to develop CD was reduced if a child is being breastfed when gluten is introduced in its diet (OR: 0.59; 95% CI: 0.42-0.83) Reduced development of CD in children under two years old who were breastfed while the gluten was introduced and probably also reduced risk of development in the next childhood phase
Norris et al. [30] 2003 Birth cohort study Newborns at St Joseph's Hospital in Denver, Colorado 1,183 children at increased type 1 DM risk Children who were exposed to cereal in the first three months of age (HR: 4.32; 95% CI: 2.0-9.35) and the ones who were exposed after six months (HR: 5.36; 95% CI: 2.08-13.8) had an increased risk of IA The risk of IA increases if exposure to cereals is outside a window of time between four and six months of age
Lönnrot et al. [31] 2017 Prospective international cohort study Children enrolled in six clinical research centers: three in the US (Colorado, Georgia/Florida, and Washington State) and three in Europe (Finland, Germany, and Sweden) 8,676 children The risk of IA was associated with the number of respiratory infections given in a nine-month frame of time (p < 0.001).  The hazard of IA increased approximately 5.6% for every one per year rate increase in infections from the respiratory tract Respiratory infections occurring in young children were associated with the subsequent risk of autoimmunity