An association between thyroid and islet autoantibodies has been reported for patients
with type 1 diabetes and their first-degree relatives. However no general agreement
on this association has been reached since several studies reported controversial
data. In the present study, sera from 429 healthy first-degree relatives of type 1
diabetic patients have been examined for the presence of thyroid and islet autoantibodies.
Autoantibodies against glutamate decarboxylase (GAD65Ab) and tyrosine-phosphatase
IA-2 (IA-2/ICA512Ab) have been detected by radioimmunoassay techniques with in vitro
translated recombinant human 35S-autoantigens. The presence of autoantibodies against thyroid peroxidase (TPOAb)
and thyroglobulin (TgAb) has been estimated by commercial radioimmunoassay kits. An
increased frequency of TgAb was found in subjects who were positive for GAD65Ab (p
= 0.0257). However, no significant association between TPOAb and GAD65Ab or IA-2Ab
or between TgAb and IA-2Ab could be established. These data indicate an increased
rate of coincidence between TgAb and GAD65Ab in healthy first-degree relatives of
type 1 diabetic patients. Accordingly a common genetic background leading to the appearance
of both TgAb and GAD65Ab may be suggested.
Type 1 diabetes - autoimmunity - thyroid - GAD65 antibodies - IA-2 antibodies