51. Homozygosity for premature stop codon of the MHC class I chain-related gene A (MIC-A) is associated with early activation of islet autoimmunity of DR3/4-DQ2/8 high risk DAISY relatives.
- Author
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Ide A, Babu SR, Robles DT, Wang T, Erlich HA, Bugawan TL, Rewers M, Fain PR, and Eisenbarth GS
- Subjects
- Adolescent, Adult, Autoantibodies biosynthesis, Autoantibodies blood, Child, Child, Preschool, Diabetes Mellitus, Type 1 immunology, Diabetes Mellitus, Type 1 pathology, Genotype, HLA-DQ Antigens genetics, HLA-DR3 Antigen genetics, HLA-DR4 Antigen genetics, Humans, Infant, Infant, Newborn, Islets of Langerhans metabolism, Islets of Langerhans pathology, Prospective Studies, Risk Factors, Up-Regulation genetics, Up-Regulation immunology, Codon, Nonsense immunology, Codon, Terminator immunology, Diabetes Mellitus, Type 1 genetics, HLA-DQ Antigens immunology, HLA-DR3 Antigen immunology, HLA-DR4 Antigen immunology, Histocompatibility Antigens Class I genetics, Homozygote, Islets of Langerhans immunology
- Abstract
We hypothesized that homozygosity for the major histocompatibility complex (MHC) class I chain-related gene A (MIC-A)5.1 allele with premature stop codon would increase diabetes risk of individuals followed from infancy in the DAISY study (Diabetes Autoimmunity Study in the young). Forty five percent (10/22) of relatives (siblings and offspring cohort, SOC) who developed anti-islet autoantibodies were MIC-A5.1/5.1 homozygous. Of SOC individuals without autoantibodies, 12/58 (19%, p = 0.02) were MIC-A5.1 homozygous. By life table analysis of expression of autoantibodies, DR3-DQ2/ DR4-DQ8 more than 50% of MIC-A5.1 homozygous children became autoantibody positive by 7 years of age, compared to delayed development of autoantibodies for non-MIC-A5.1/5.1 DR3-DQ2/ DR4-DQ8 children (p = 0.005). For DR3-DQ2/DR4-DQ8 nonrelatives, the risk of activating anti-islet autoimmunity remained low even with MIC-A5.1 homozygosity suggesting that there are additional factors contributing to the marked risk of relatives compared to the general population with the DR3-DQ2/DR4-DQ8 genotype.
- Published
- 2005
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