The virome in early life and childhood and development of islet autoimmunity and type 1 diabetes: A systematic review and meta-analysis of observational studies.


Journal

Reviews in medical virology
ISSN: 1099-1654
Titre abrégé: Rev Med Virol
Pays: England
ID NLM: 9112448

Informations de publication

Date de publication:
09 2021
Historique:
revised: 08 12 2020
received: 22 10 2020
accepted: 09 12 2020
pubmed: 31 12 2020
medline: 1 1 2022
entrez: 30 12 2020
Statut: ppublish

Résumé

Viruses are postulated as primary candidate triggers of islet autoimmunity (IA) and type 1 diabetes (T1D), based on considerable epidemiological and experimental evidence. Recent studies have investigated the association between all viruses (the 'virome') and IA/T1D using metagenomic next-generation sequencing (mNGS). Current associations between the early life virome and the development of IA/T1D were analysed in a systematic review and meta-analysis of human observational studies from Medline and EMBASE (published 2000-June 2020), without language restriction. Inclusion criteria were as follows: cohort and case-control studies examining the virome using mNGS in clinical specimens of children ≤18 years who developed IA/T1D. The National Health and Medical Research Council level of evidence scale and Newcastle-Ottawa scale were used for study appraisal. Meta-analysis for exposure to specific viruses was performed using random-effects models, and the strength of association was measured using odds ratios (ORs) and 95% confidence intervals (CIs). Eligible studies (one case-control, nine nested case-control) included 1,425 participants (695 cases, 730 controls) and examined IA (n = 1,023) or T1D (n = 402). Meta-analysis identified small but significant associations between IA and number of stool samples positive for all enteroviruses (OR 1.14, 95% CI 1.00-1.29, p = 0.05; heterogeneity χ

Identifiants

pubmed: 33378601
doi: 10.1002/rmv.2209
pmc: PMC8518965
doi:

Types de publication

Journal Article Meta-Analysis Research Support, Non-U.S. Gov't Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-14

Informations de copyright

© 2020 The Authors. Reviews in Medical Virology published by John Wiley & Sons Ltd.

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Auteurs

Clare L Faulkner (CL)

School of Women's and Children's Health, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia.
Serology and Virology Division, NSW Health Pathology, Virology Research Laboratory, Prince of Wales Hospital, Sydney, New South Wales, Australia.

Yi Xuan Luo (YX)

School of Women's and Children's Health, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia.
Serology and Virology Division, NSW Health Pathology, Virology Research Laboratory, Prince of Wales Hospital, Sydney, New South Wales, Australia.

Sonia Isaacs (S)

School of Women's and Children's Health, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia.
Serology and Virology Division, NSW Health Pathology, Virology Research Laboratory, Prince of Wales Hospital, Sydney, New South Wales, Australia.

William D Rawlinson (WD)

School of Women's and Children's Health, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia.
Serology and Virology Division, NSW Health Pathology, Virology Research Laboratory, Prince of Wales Hospital, Sydney, New South Wales, Australia.
School of Medical Sciences, University of New South Wales, Sydney, New South Wales, Australia.
Faculty of Science, School of Biotechnology and Biomolecular Sciences, University of New South Wales, Sydney, New South Wales, Australia.

Maria E Craig (ME)

School of Women's and Children's Health, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia.
Serology and Virology Division, NSW Health Pathology, Virology Research Laboratory, Prince of Wales Hospital, Sydney, New South Wales, Australia.
Institute of Endocrinology and Diabetes, Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Discipline of Child and Adolescent Health, University of Sydney, Sydney, New South Wales, Australia.

Ki Wook Kim (KW)

School of Women's and Children's Health, University of New South Wales Faculty of Medicine, Sydney, New South Wales, Australia.
Serology and Virology Division, NSW Health Pathology, Virology Research Laboratory, Prince of Wales Hospital, Sydney, New South Wales, Australia.

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