D6S265*15 marks a DRB1*15, DQB1*0602 haplotype associated with attenuated protection from type 1 diabetes mellitus

Autor: Jinko Graham, Mark Lathrop, Brad McNeney, J. S. Dorman, Ingrid Kockum, Ann R. Steenkiste, G Thomson, Ana M. Valdes, J A Hansen, M Zarghami, Anajane G. Smith, Alberto Pugliese, Janelle A. Noble, Åke Lernmark
Rok vydání: 2005
Předmět:
Zdroj: Diabetologia. 48:2540-2543
ISSN: 1432-0428
0012-186X
DOI: 10.1007/s00125-005-0011-8
Popis: The HLA class II DQB1*0602 allele confers strong dominant protection against type 1 diabetes but protection is not absolute. The aim of this study was to identify markers within the HLA region that differentiate DQB1*0602 haplotypes and show different associations with disease risk.We defined alleles at eight microsatellite markers spanning the HLA region in a case-control cohort from Sweden.We found that allele 15 at marker D6S265 (109 kb centromeric of HLA-A) was over-represented among patients carrying DRB1*15, DQB1*0602. A detailed haplotype analysis showed that DRB1*15, DQB1*0602 haplotypes carrying D6S265*15 have a ten-fold higher odds ratio (OR) than those carrying other alleles and thus confer reduced protection [OR D6S265*15=0.186 (95% CI 0.074, 0.472) vs OR D6S265*15-=0.017 (95% CI 0.005, 0.062), p0.001].Our data support the existence of a locus that modifies the protective effect associated with DQB1*0602. Typing for allele D6S265*15 can identify a less protective DQB1*0602 haplotype, thereby allowing a more accurate prediction of type 1 diabetes risk.
Databáze: OpenAIRE