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Research Letters |

Pancreas Organ Weight in Individuals With Disease-Associated Autoantibodies at Risk for Type 1 Diabetes

Martha Campbell-Thompson, DVM, PhD; Clive Wasserfall, MS; Emily L. Montgomery, BS; Mark A. Atkinson, PhD; John S. Kaddis, PhD
JAMA. 2012;308(22):2337-2339. doi:10.1001/jama.2012.15008.
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To the Editor: Autopsy and imaging studies suggest that human pancreata from adults with type 1 diabetes (T1D) are smaller and weigh less than those without the disease.12 However, it is unknown when pancreatic atrophy begins in T1D.

Therefore, we examined pancreas weight early in the natural history of T1D from at-risk individuals without diabetes but with disease-associated autoantibodies, obtained through the Network for Pancreatic Organ Donors with Diabetes program.3 All donors were identified by organ procurement organizations that coordinate organ and tissue donations for clinical transplantation or research.

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Figure. Pancreas Weight of Organ Donors by Disease Status Using an Analysis of Covariance Model
Grahic Jump Location

The boxes represent the mid 50% of the data, the line within box represents the group mean value adjusted for age and body mass index. The high and low whiskers represent the 95th and 5th percentiles, respectively. The filled black circles represent outliers. Using the t test, the comparison between donors without diabetes and those positive for a single autoantibody only yielded a P value of .02; and for the comparison between donors without diabetes and those with type 1 diabetes yielded a P value of less than .001. A comparison between the donors positive for a single autoantibody only and those with type 1 diabetes was not performed. Statistical significance was indicated at a Bonferroni-corrected nominal α level of .025. Of note, although age and body mass index were poorly correlated with pancreas weight and failed to meet one of the assumptions of analysis of covariance, both were included into the final model because linear models that included age or body mass index by disease status group interaction terms showed that the interaction was not statistically significant.

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