Diabetes Care,
Journal Year:
2023,
Volume and Issue:
47(2), P. 239 - 245
Published: Dec. 13, 2023
OBJECTIVE
C-peptide
and
islet
autoantibodies
are
key
type
1
diabetes
biomarkers,
typically
requiring
venous
sampling,
which
limits
their
utility.
We
assessed
transdermal
capillary
blood
(TCB)
collection
as
a
practical
alternative.
RESEARCH
DESIGN
AND
METHODS
Ninety-one
individuals
(71
with
diabetes,
20
control;
diabetes:
aged
median
14.8
years
[interquartile
range
(IQR)
9.1–17.1],
duration
4.0
[1.5–7.7];
control
individuals:
42.2
[38.0–52.1])
underwent
contemporaneous
TCB
sampling
for
measurement
of
plasma
C-peptide.
Participants
also
provided
serum
plasma,
to
glutamate
decarboxylase,
antigen-2,
zinc
transporter
8.
The
ability
detect
significant
endogenous
insulin
secretion
(venous
≥200
pmol/L)
was
compared
along
agreement
in
levels,
using
Bland-Altman.
Venous
detection
autoantibodies,
established
thresholds.
Acceptability
by
age-appropriate
questionnaire.
RESULTS
Transdermal
took
mean
2.35
min
(SD
1.49).
Median
sample
volume
50
µL
(IQR
40–50)
3
91
(3.3%)
failures,
13
88
(14.7%)
<35
µL.
showed
good
(mean
ln[C-peptide]
–
=
0.008,
95%
CI
[−0.23,
0.29],
100%
[36
36]
sensitivity/100%
[50
50]
specificity
pmol/L).
Where
multiple
autoantibody
positive
agreed
22
32
(sensitivity
69%),
comparative
35
36
(97%).
preferred
(type
63%
vs.
7%;
30%
undecided).
CONCLUSIONS
testing
is
sensitive,
specific,
acceptable
alternative
sampling;
needs
further
assessment.
Frontiers in Immunology,
Journal Year:
2024,
Volume and Issue:
15
Published: July 3, 2024
Background
Knowledge
about
SARS-CoV-2
antibody
dynamics
in
neonates
and
direct
comparisons
with
maternal
responses
are
not
well
established.
This
study
aimed
to
characterize
directly
compare
the
infant
response
a
national
birth
cohort
from
Faroe
Islands.
Methods
The
levels
of
immunoglobulins
(Ig)
targeting
receptor
binding
domain
(RBD)
spike
protein
nucleocapsid
(N
protein)
were
investigated
blood
umbilical
cord
neonates.
included
537
565
mothers
Islands,
follow-up
samples
collected
12
months
after
birth.
Multiple
linear
regression
models
used
assess
associations
parameters
neonatal
Ig
pregnancy
outcomes.
Results
finding
showed
that
acquired
varying
antibodies
through
transplacental
transfer,
significantly
influenced
by
mother’s
vaccination
infection
status.
also
found
presence
RBD
associated
gestational
age
APGAR
scores.
Furthermore,
anti-RBD
-N
protein-specific
during
exhibited
differences
between
children.
N
maintained
at
cohort,
while
only
was
children’s
cohort.
Conclusion
In
conclusion,
SARS-CoV-2-specific
immune
newborns
rely
on
immunity,
persistence
Igs
appears
be
differently
regulated
provides
new
insights
into
underscores
nuanced
relationship
factors
humoral
responses.
Clinical Biochemistry,
Journal Year:
2023,
Volume and Issue:
120, P. 110648 - 110648
Published: Sept. 23, 2023
The
use
of
whole
blood
in
rapid
cytokine
release
assays
(CRAs)
is
becoming
an
established
technique
for
screening
immune
responses
following
natural
infection
or
vaccination,
especially
the
context
SARS-CoV-2
pandemic.
Establishing
accurate
capillary
sampling
method
to
replace
need
venipuncture
could
make
CRAs
more
accessible.
In
this
study,
was
collected
via
two
different
methods
alongside
traditional
investigate
whether
draw
affects
quantification
when
performing
CRAs.Adults
previously
vaccinated
with
vaccines
donated
three
samples:
one
by
venipuncture,
finger
prick,
and
a
microneedle
device.
Whole
aliquoted
incubated
overnight
peptides
left
unstimulated.
Cytokine
plasma
measured
multiplex
array.In
unstimulated
samples,
little
no
cytokines
were
detected
devices.
Conversely,
prick
showed
detectable
levels
all
analysed,
significantly
inflated
TNFα,
IL-10
(p
<
0.0001),
IL-2,
GM-CSF,
IL-13
0.01),
53%
these
samples
also
positive
IFN-γ.
Following
peptide
stimulation,
25%
dysregulated
production
IFN-γ,
IL-10,
lower
than
controls.
Contrastingly,
seen
just
4%
venous
none
samples.Capillary
device
results
highly
comparable
those
at
baseline
suggesting
viable
CRAs.
differential
observed
prick.
Diabetes Care,
Journal Year:
2023,
Volume and Issue:
47(2), P. 239 - 245
Published: Dec. 13, 2023
OBJECTIVE
C-peptide
and
islet
autoantibodies
are
key
type
1
diabetes
biomarkers,
typically
requiring
venous
sampling,
which
limits
their
utility.
We
assessed
transdermal
capillary
blood
(TCB)
collection
as
a
practical
alternative.
RESEARCH
DESIGN
AND
METHODS
Ninety-one
individuals
(71
with
diabetes,
20
control;
diabetes:
aged
median
14.8
years
[interquartile
range
(IQR)
9.1–17.1],
duration
4.0
[1.5–7.7];
control
individuals:
42.2
[38.0–52.1])
underwent
contemporaneous
TCB
sampling
for
measurement
of
plasma
C-peptide.
Participants
also
provided
serum
plasma,
to
glutamate
decarboxylase,
antigen-2,
zinc
transporter
8.
The
ability
detect
significant
endogenous
insulin
secretion
(venous
≥200
pmol/L)
was
compared
along
agreement
in
levels,
using
Bland-Altman.
Venous
detection
autoantibodies,
established
thresholds.
Acceptability
by
age-appropriate
questionnaire.
RESULTS
Transdermal
took
mean
2.35
min
(SD
1.49).
Median
sample
volume
50
µL
(IQR
40–50)
3
91
(3.3%)
failures,
13
88
(14.7%)
<35
µL.
showed
good
(mean
ln[C-peptide]
–
=
0.008,
95%
CI
[−0.23,
0.29],
100%
[36
36]
sensitivity/100%
[50
50]
specificity
pmol/L).
Where
multiple
autoantibody
positive
agreed
22
32
(sensitivity
69%),
comparative
35
36
(97%).
preferred
(type
63%
vs.
7%;
30%
undecided).
CONCLUSIONS
testing
is
sensitive,
specific,
acceptable
alternative
sampling;
needs
further
assessment.