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Exploring the diabetogenicity of the HLA-B18-DR3 CEH: independent association with T1D genetic risk close to HLA-DOA

Abstract

The objective of this study was to identify additional diabetes susceptibility markers in the MHC that could be responsible for the differential diabetogenicity of different HLA-DR3 CEHs. High-resolution SNP genotyping of the MHC was carried out in 15 type 1 diabetes (T1D) patients and 39 non-diabetic controls, homozygous for DR3-DQ2 and with one copy of the A*30-B*18-MICA*4-F1C30-DRB1*0301-DQB1*0201-DPB1*0202 HLA haplotype. Significantly associated SNPs were replicated in an independent sample of 554 T1D patients and 841 controls without HLA matching. Electrophoretic mobility shift assay was used to show a functional effect of an associated SNP. Seven SNPs showed evidence of association in the initial discovery experiment. Upon replication, only rs419434 (upstream HLA-DOA gene) remained significant. A functional variant (rs432375) in complete LD with rs419434 was shown to affect USF-1 binding and could be responsible for the association signal in the region. We have identified a new susceptibility locus within the MHC with a modest contribution to T1D (OR=1.93; CI: 1.52–2.44; P=10−8) that is independent of HLA-DRB1 locus.

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Acknowledgements

This work was partially funded by CIBER de Diabetes y Enfermedades metabólicas (CIBERDEM) and Research Project grants 05/2291 from Instituto de Salud Carlos III (LC) and 2005/111039 from the Basque Department of Health (AMA). IS and AC-R are predoctoral fellows supported by grants from the University of the Basque Country and the Spanish Ministry of Education, respectively. JRB is co-funded by the I3SNS Program of the Spanish Ministry of Health (CES05/036).

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Correspondence to L Castaño or J R Bilbao.

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Supplementary Information accompanies the paper on Genes and Immunity website (http://www.nature.com/gene)

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Santin, I., Castellanos-Rubio, A., Aransay, A. et al. Exploring the diabetogenicity of the HLA-B18-DR3 CEH: independent association with T1D genetic risk close to HLA-DOA. Genes Immun 10, 596–600 (2009). https://doi.org/10.1038/gene.2009.41

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