Abstract
The major susceptibility locus for type 1 diabetes mellitus (T1D) maps to the human lymphocyte antigen (HLA) class II region in the major histocompatibility complex on chromosome 6p21. In southern European populations, like the Basques, the greatest risk to T1D is associated with DR3 homo- and heterozygosity and is comparable to that of DR3/DR4, the highest risk genotype in northern European populations. Celiac disease (CD) is another DR3-associated autoimmune disorder showing certain overlap with T1D that has been explained by the involvement of common genetic determinants, a situation more frequent in DR3-rich populations, like the Basques. As both T1D- and CD-associated HLA alleles are part of conserved extended haplotypes (CEH), we compared DR3-homozygous T1D and CD patients to determine whether CEHs were equally distributed between both disorders or there was a differential contribution of different haplotypes. We observed a very pronounced distribution bias (P<10−5) of the two major DR3 CEHs, with DR3-B18 predominating in T1D and DR3-B8 in CD. Additionally, high-density single nucleotide polymorphism (SNP) analysis of the complete CEH [A*30-B*18-MICA*4-F1C30-DRB1*0301-DQB1*0201-DPB1*0202] revealed extraordinary conservation throughout the 4.9 Mbp analyzed supporting the existence of additional diabetogenic variants (other than HLA-DRB1*0301-DQB1*0201), conserved within the DR3-B18 CEH (but not in other DR3 haplotypes) that could explain its enhanced diabetogenicity.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 6 digital issues and online access to articles
$119.00 per year
only $19.83 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Pugliese A . Genetics of type 1 diabetes. Endocrinol Metab Clin N Am 2004; 33: 1–16.
Caillat-Zucman S, Djilali-Saiah I, Timsit J, Bonifacio E, Sepe V, Collins P et al. Insulin-dependent diabetes mellitus (IDDM): 12th International Histocompatibility Workshop Study. In: Charon D (ed). HLA: Genetic Diversity of HLA Functional and Medical Implication, vol. 1. EDK: Paris 1997, pp 389–398.
Karvonen M, Viik-Kajander M, Moltchanova E, Libman I, LaPorte R, Tuomilehto J . Incidence of childhood type 1 diabetes worldwide. Diabetes Mondiale (DiaMond) Project Group. Diabetes Care 2000; 23: 1516–1526.
Ronningen KS, Keiding N, Green A, EURODIAB ACE Study Group (Europe and Diabetes). Correlations between the incidence of childhood-onset type I diabetes in Europe and HLA genotypes. Diabetologia 2001; 44 (Suppl 3): B51–B59.
Åkerblom H, Vaarala O, Hyöty H, Ilonen J, Knip M . Environmental factors in the etiology of type 1 diabetes. Am J Med Genet 2000; 115: 18–29.
Alper CA . Extended MHC haplotypes and disease markers. ISI Atlas of Science 1988; 1: 79–83.
Awdeh Z, Raum D, Yunis EJ, Alper CA . Extended HLA/complement allele haplotypes: evidence for T/t-like complex in man. Proc Natl Acad Sci USA 1983; 80: 259–263.
Raum D, Awdeh Z, Yunis EJ, Alper CA, Gabbay KH . Extended major histocompatibility complex haplotypes in type 1 diabetes mellitus. J Clin Invest 1984; 74: 449–454.
Cambon-de Mouzon A, Ohayon E, Hauptmann G, Sevin A, Abbal M, Sommer E et al. HLA-A, B, C, DR antigens, Bf, C4 and glyoxalase I (GLO) polymorphisms in French Basques with insulin-dependent diabetes mellitus (IDDM). Tissue Antigens 1982; 19: 366–379.
Bilbao JR, Martin-Pagola A, Perez De Nanclares G, Calvo B, Vitoria JC, Vazquez F et al. HLA-DRB1 and MICA in autoimmunity: common associated alleles in autoimmune disorders. Ann NY Acad Sci 2003; 1005: 314–318.
Moghaddam PH, de Knijf P, Roep BO, Van der Auwera B, Naipal A, Gorus F et al. Genetic structure of IDDM1: two separate regions in the major histocompatibility complex contribute to susceptibility or protection. Belgian Diabetes Registry. Diabetes 1998; 47: 263–269.
Lie BA, Sollid LM, Ascher H, Ek J, Akselsen HE, Ronningen KS et al. A gene telomeric of the HLA class I region is involved in predisposition to both type 1 diabetes and coeliac disease. Tissue Antigens 1999; 54: 162–168.
Nejentsev S, Gombos Z, Laine AP, Veijola R, Knip M, Simell O et al. Non-class II HLA gene associated with type 1 diabetes maps to the 240-kb region near HLA-B. Diabetes 2000; 49: 2217–2221.
Zavattari P, Lampis R, Motzo C, Loddo M, Mulargia A, Whalen M et al. Conditional linkage disequilibrium analysis of a complex disease superlocus, IDDM1 in the HLA region, reveals the presence of independent modifying gene effects influencing the type 1 diabetes risk encoded by the major HLA-DQB1, -DRB1 disease loci. Hum Mol Genet 2001; 10: 881–889.
Johansson S, Lie BA, Todd JA, Pociot F, Nerup J, Cambon-Thomsen A et al. Evidence of at least two type 1 diabetes susceptibility genes in the HLA complex distinct from HLA-DQB1, -DQA1 and -DRB1. Genes Immun 2003; 4: 46–53.
Valdes AM, Wapelhorst B, Concannon P, Erlich HA, Thomson G, Noble JA . Extended DR3-D6S273-HLA-B haplotypes are associated with increased susceptibility to type 1 diabetes in US Caucasians. Tissue Antigens 2003; 65: 115–119.
Ide A, Babu SR, Robles DT, Wang T, Erlich HA, Bugawan TL et al. ‘Extended’ A1, B8, DR3 haplotype shows remarkable linkage disequilibrium but is similar to nonextended haplotypes in terms of diabetes risk. Diabetes 2005; 54: 1879–1883.
Blomhoff A, Olsson M, Johansson S, Akselsen HE, Pociot F, Nerup J et al. Linkage disequilibrium and haplotype blocks in the MHC vary in an HLA haplotype specific manner assessed mainly by DRB1*03 and DRB1*04 haplotypes. Genes Immun 2006; 7: 130–140.
Uitenbroek DG . SISA-Fisher 2 by 5. Available from http://home.clara.net/sisa/fiveby2.htm, accessed 6 December 2005, 1997.
Noble JA, Valdes AM, Thomson G, Erlich HA . The HLA class II locus DPB1 can influence susceptibility to type 1 diabetes. Diabetes 2000; 49: 121–125.
Larsen CE, Alper CA . The genetics of HLA-associated disease. Curr Opin Immunol 2004; 16: 660–667.
Rajsbaum RD, Fici D, Boggs A, Fraser PO, Flores-Villanueva PO, Awdeh ZL . Linkage disequilibrium between HLA-DPB1 alleles and retinoid X receptor b haplotypes. Hum Immunol 2002; 63: 771–778.
Smith WP, Vu Q, Li SS, Hansen JA, Zhao LP, Geraghty DE . Toward understanding MHC disease associations: partial resequencing of 46 distinct HLA haplotypes. Genomics 2006; 87: 561–571.
Aly TA, Eller E, Ide A, Gowan K, Babu SR, Erlich HA et al. Multi-SNP analysis of MHC region: remarkable conservation of HLA-A1-B8-DR3 haplotype. Diabetes 2006; 55: 1265–1269.
Bilbao JR, Martin-Pagola A, Calvo B, de Nanclares GP, GEPV-N, Castaño L . Contribution of MIC-A polymorphism to type 1 diabetes mellitus in Basques. Ann NY Acad Sci 2002; 958: 321–324.
Bilbao JR, Martín-Pagola A, Vitoria JC, Zubillaga P, Ortiz L, Castaño L . HLA-DRB1 and MHC class I chain-related A haplotypes in Basque families with celiac disease. Tissue Antigens 2002; 60: 71–76.
Acknowledgements
We thank George Eisenbarth and Henry Erlich for their constructive discussions over the years. This work was funded by Grants RGDM-G03/212 and RCMN-C03/08 from the Instituto de Salud Carlos III of the Spanish Ministry of Health and HL-29583 from the National Heart, Lung, and Blood Institute, NIH, USA (ZLA and CAA). JRB, BC and GPN are FIS researchers supported by the Spanish Ministry of Health Fellowships no. 99/3076, 03/0062 and 03/0064, respectively. AMP is supported by a predoctoral fellowship from the University of the Basque Country.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bilbao, J., Calvo, B., Aransay, A. et al. Conserved extended haplotypes discriminate HLA-DR3-homozygous Basque patients with type 1 diabetes mellitus and celiac disease. Genes Immun 7, 550–554 (2006). https://doi.org/10.1038/sj.gene.6364328
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.gene.6364328
Keywords
This article is cited by
-
The heterogeneous pathogenesis of type 1 diabetes mellitus
Nature Reviews Endocrinology (2019)
-
Congruence as a measurement of extended haplotype structure across the genome
Journal of Translational Medicine (2012)
-
The Past, Present, and Future of Genetic Associations in Type 1 Diabetes
Current Diabetes Reports (2011)
-
Exploring the diabetogenicity of the HLA-B18-DR3 CEH: independent association with T1D genetic risk close to HLA-DOA
Genes & Immunity (2009)
-
Genetic fixity in the human major histocompatibility complex and block size diversity in the class I region including HLA-E
BMC Genetics (2007)