PMID- 11724418 OWN - NLM STAT- MEDLINE DCOM- 20020509 LR - 20190816 IS - 0012-186X (Print) IS - 0012-186X (Linking) VI - 44 Suppl 3 DP - 2001 Oct TI - Correlations between the incidence of childhood-onset type I diabetes in Europe and HLA genotypes. PG - B51-9 AB - There are large variations in the incidence of Type I (insulin-dependent) diabetes mellitus within Europe, ranging from 3.2 cases per 100,000 person-years in the Republic of Macedonia to more than 40 new cases per 100,000 person-years in Finland. This variation could be caused by differences in the distribution of genetic susceptibility markers, by differences in the distribution of environmental disease determinants or by a combination of both. To assess how much genes contribute to this variation, we correlated the level of incidence of Type I diabetes with the prevalence in the general population of genetic susceptibility and protective markers encoded by the human leukocyte antigen (HLA)-DQ loci. Positive association was found for the combined group of genotypes associated with Type I diabetes risk (p < 0.001). The whole positive effect was, however, accounted for by the HLA-DQ2/ DQ8 (DQA1*0501-DQB1*0201/DQA1*0301-DQB1*0302) and HLA-DQ4/DQ8 (DQA1*0401-DQB1*0402/DQA*0301-DQB1*0302) genotypes (p < 0.001 and p < 0.004, respectively). No correlation was found between incidence of Type I diabetes and population prevalence of genotypes not encoding for aspartate on position 57 on the HLA-DQbeta chain. It was not possible to detect any negative correlation between Type I diabetes incidence and the prevalence of HLA-genotypes conferring protection against Type I diabetes in a population (HLA-DQA1*0102-DQB1*0602/X). The results suggest that a substantial part of the transnational variation in the incidence of childhood-onset Type I diabetes in Europe is explained by variations between populations in the distribution of particular DQ genotypes which confer a high risk of Type I diabetes in the general population. FAU - Ronningen, K S AU - Ronningen KS AD - Department of Population Health Sciences, National Institute of Public Health, Oslo, Norway. FAU - Keiding, N AU - Keiding N FAU - Green, A AU - Green A CN - EURODIAB ACE Study Group. Europe and Diabetes LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - Germany TA - Diabetologia JT - Diabetologia JID - 0006777 RN - 0 (HLA Antigens) RN - 0 (HLA-DQ Antigens) SB - IM MH - Age of Onset MH - Child MH - Diabetes Mellitus, Type 1/*epidemiology/genetics/*immunology MH - Europe/epidemiology MH - Genetic Predisposition to Disease MH - Genotype MH - HLA Antigens/*genetics MH - HLA-DQ Antigens/genetics MH - Humans MH - Incidence MH - *Major Histocompatibility Complex MH - Prevalence MH - Regression Analysis EDAT- 2001/11/29 10:00 MHDA- 2002/05/10 10:01 CRDT- 2001/11/29 10:00 PHST- 2001/11/29 10:00 [pubmed] PHST- 2002/05/10 10:01 [medline] PHST- 2001/11/29 10:00 [entrez] AID - 10.1007/pl00002955 [doi] PST - ppublish SO - Diabetologia. 2001 Oct;44 Suppl 3:B51-9. doi: 10.1007/pl00002955.