{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:44:43Z","timestamp":1776818683125,"version":"3.51.2"},"reference-count":38,"publisher":"The Endocrine Society","issue":"5","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Anti-transglutaminase antibodies (anti-TTG IgA) titer is associated with mucosal damage in celiac disease (CD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The primary focus was to correlate anti-TTG IgA titer, HbA1c when CD occurs (HbA1cCD), and Marsh grade in children and adolescents with type 1 diabetes (T1D) at the time of CD diagnosis. As secondary outcomes, we assessed the optimal anti-TTG IgA upper limit of normal (ULN) cutoff for sparing biopsy, and personal and familial autoimmunity history in the individuals with T1D and CD (T1D-CD) compared with T1D-only.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective observational study, among 6933 individuals with T1D onset (2010-2019), 556 were grouped according to CD onset: before (CD_FIRST), concomitant (CD_CONCOMITANT), or after T1D (T1D_FIRST), and compared with 141 T1D without CD. Measures included HbA1cCD, fold-anti-TTG IgA, anti-TTG IgA cutoff, and autoimmunity history of both groups, as well as Marsh grade in T1D-CD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In youths with T1D, HbA1cCD was associated with increased fold-anti-TTG IgA (Spearman r = 0.14, P = .0047). The optimal anti-TTG IgA cutoff for sparing biopsy was 11 ULN. Autoimmunity was prevalent in T1D-CD individuals, who showed more comorbidities than controls (\u03c72 25.4, P &amp;lt; .001), particularly the CD_FIRST (P &amp;lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In children with T1D-CD, worse glucometabolic control is associated with an increase in fold anti-TTG IgA and with worse Marsh grade. A slightly higher anti-TTG IgA cutoff may be necessary for sparing biopsy compared to children in the general population. Higher prevalence of autoimmune comorbidities in CD_FIRST suggests that screening for T1D in the CD population should be mandatory.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1210\/clinem\/dgaf604","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:08:45Z","timestamp":1762002525000},"page":"1389-1396","source":"Crossref","is-referenced-by-count":0,"title":["Glucometabolic Control and Anti-Transglutaminase Antibodies at Celiac Disease Onset in Type 1 Diabetes Youth"],"prefix":"10.1210","volume":"111","author":[{"given":"Francesca","family":"Di Candia","sequence":"first","affiliation":[{"name":"Department of Translational Medical Science, Pediatric Section, University of Federico II , 80131 Naples ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco Maria","family":"Rosanio","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Science, Pediatric Section, University of Federico II , 80131 Naples ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Franceschi","sequence":"additional","affiliation":[{"name":"CISMed\u2014Centro Interdipartimentale di Scienze Mediche, University of Trento , 38122 Trento ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Fierro","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Science, Pediatric Section, University of Federico II , 80131 Naples ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Bonfanti","sequence":"additional","affiliation":[{"name":"Unit of Paediatric Diabetology, Department of Pediatrics, Diabetes Research Institute, San Raffaele Scientific Institute , 20132 Milan ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Cardella","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Regional Center of Pediatric Diabetes, Children's Hospital G. Di Cristina , 90134 Palermo ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentino","family":"Cherubini","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health, G. Salesi Hospital, Azienda Ospedaliero-Universitaria Ospedali Riuniti , 60126 Ancona ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"D\u2019Annunzio","sequence":"additional","affiliation":[{"name":"Pediatric Clinic and Endocrinology Unit, IRCCS Istituto Giannina Gaslini , 16147 Genova ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Felappi","sequence":"additional","affiliation":[{"name":"U.S. Paediatric Auxoendocrinology, Complex Operative Unit of Pediatrics-Paediatric Clinic, Azienda Socio Sanitaria Territoriale (ASST) Spedali Civili , 25123 Brescia ,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dario","family":"Iafusco","sequence":"additional","affiliation":[{"name":"Department of Woman, Child, and General and Specialistic Surgery, Regional Center of Paediatric Diabetes, University of Campania \u201cL. 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