1. HLA‐DQ genotype and biochemical characterization of anti‐transglutaminase 2 antibodies in patients with type 1 diabetes mellitus in Taiwan
- Author
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Yi‐Wen Yang, Thung-S. Lai, Wei-Hsin Ting, Yann-Jinn Lee, Fu-Sung Lo, Chiung-Ling Lin, Wen-Shan Lin, Yu-Ting Hsieh, Chi-Yu Huang, Cheng-Jui Lin, and Chen‐Chung Chu
- Subjects
Male ,0301 basic medicine ,Adolescent ,Genotype ,Tissue transglutaminase ,Taiwan ,Human leukocyte antigen ,Biochemistry ,Gliadin ,03 medical and health sciences ,0302 clinical medicine ,GTP-Binding Proteins ,HLA-DQ Antigens ,HLA-DQ ,Genetics ,Humans ,Medicine ,Protein Glutamine gamma Glutamyltransferase 2 ,Child ,Molecular Biology ,Autoantibodies ,Type 1 diabetes ,Transglutaminases ,biology ,business.industry ,Autoantibody ,Endothelial Cells ,Infant ,nutritional and metabolic diseases ,medicine.disease ,Immunoglobulin A ,Celiac Disease ,Diabetes Mellitus, Type 1 ,030104 developmental biology ,Epitope mapping ,Child, Preschool ,Immunology ,biology.protein ,Female ,Antibody ,business ,030217 neurology & neurosurgery ,Biotechnology - Abstract
Human Leukocyte Antigen (HLA)-DQ2 and HLA-DQ8 are genetic risk factors for Type 1 Diabetes Mellitus (T1DM) and Celiac disease (CD) in Caucasians, but their association with Taiwanese Han population is unknown. We screened 532 Taiwanese T1DM patients for CD biomarkers including anti-tissue transglutaminase (TGM2), anti-gliadin and anti-neoepitope antibodies (Abs), sequencing DQB1 genotypes, and characterized the TGM2 Abs. We report that 3.76% of Taiwanese patients had TGM2-Abs and all had no CD's symptoms. In contrast to Caucasian's CD patients, DQ2/DQ8 only constituted ~4/5 of TGM2-Abs positive patients, while the other ~1/5 patients belonged to different HLA genotypes. Either anti-gliadin or anti-neoepitope Abs coexisted with ~3/4 of TGM2-Abs positive patients that were likely due to gluten-ingestion, while the cause of TGM2-Abs production for other ~1/4 of patients was unknown. Purified anti-TGM2 IgA (TGA) and anti-TGM2 IgG (TGG) could bind on endothelial cells surface, recognized native better than denatured forms of TGM2, and TGA inhibited TGM2's transamidation activity by up to 80% but TGG had no effects. Epitope mapping of all TGM2-Abs positive sera demonstrated that TGM2-Abs had heterogeneity in specificities. This is the first study on the differences between Taiwanese Han group and Caucasian in HLA genotypes and properties of TGM2-Abs.
- Published
- 2020
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