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HLA class II DR-DQ amino acids and insulin-dependent diabetes mellitus: Application of the haplotype method

Journal Article · · American Journal of Human Genetics
OSTI ID:518556
; ;  [1]
  1. Univ. of California, Berkeley, CA (United States)
Insulin-dependent diabetes mellitus (IDDM) HLA class III DRB1-DQA1-DQB1 data from four populations (Norwegian, Sardinian, Mexican American, and Taiwanese) have been analyzed to detect the amino acids involved in the disease process. The combination of sites DRB1 No. 67 and 86; DQA1 No. 47; and DQB1 No. 9, 26, 57, and 70 predicts the IDDM component in these four populations, when the results and criteria of the haplotype method for amino acids, developed in the companion paper in this issue of the journal, are used. The following sites, either individually, or in various combinations, previously have been suggested as IDDM components: DRB1 No. 57, 70, 71, and 86; DQA1 No. 52; and DQB1 No. 13, 45, and 57 (DQB1 No. 13 and 45 correlates 100% with DQB1 No. 9 and 26). We propose that DQA1 No. 47 is a better predictor of IDDM than is the previously suggested DQA1 No. 52, and we add DRB1 No. 67 and DQB1 No. 70 to the HLA DR-DQ IDDM amino acids. We do not claim to have identified all HLA DR-DQ amino acids - or highly correlated sites - involved in IDDM. The frequencies and predisposing/protective effects of the haplotypes defined by these seven sites have been compared, and the effects on IDDM are consistent across the populations. The strongest susceptible effects came from haplotypes DRB1*0301/DQA1*0501/ DQB1*0201 and DRB1*0401-5-7-8/DQA1*0301/DQB1*0302. The number of strong protective haplotypes observed was larger than the number of susceptible ones; some of the predisposing haplotypes were present in only one or two populations. Although the sites under consideration do not necessarily have a functional involvement in IDDM, they should be highly associated with such sites and should prove to be useful in risk assessment. 48 refs., 2 figs., 4 tabs.
OSTI ID:
518556
Journal Information:
American Journal of Human Genetics, Journal Name: American Journal of Human Genetics Journal Issue: 3 Vol. 60; ISSN AJHGAG; ISSN 0002-9297
Country of Publication:
United States
Language:
English