PMID- 12648278 OWN - NLM STAT- MEDLINE DCOM- 20031112 LR - 20191106 IS - 0960-7420 (Print) IS - 0960-7420 (Linking) VI - 30 IP - 2 DP - 2003 Apr TI - HLA-DPB1*0401 is associated with dominant protection against type 1 diabetes in the general Saudi population and in subjects with a high-risk DR/DQ haplotype. PG - 115-9 AB - The human leukocyte antigen (HLA) class II DQB1*0201/0202-DRB1*04 genotype has been identified as predisposing to type 1 diabetes [insulin-dependent diabetes mellitus (IDDM)] in the Saudi Arabian population (P = 0.0002; odds ratio = 0.67; 95% confidence interval = 0.009-0.381). In this study, we searched for a factor at the DPB1 locus by analysing DPB1 polymorphism using sequence-based typing in 86 Saudi IDDM patients and control subjects, all carrying the HLA-DRB1*04/DQB1*02 haplotype or the known susceptibility allele DQB1*0201/0202. Significant protection was conferred by DPB1*0401, which was observed in 17 of 50 control subjects (55%) and 2 of 36 IDDM patients (5%) with the DQB1*0201/0202 allele (P = 0.0012; odds ratio = 8.75; confidence interval = 1.72-59.70). Our data showing a high frequency of the DPB1*0401 allele even in the presence of the predisposing DQB1*02 allele in healthy subjects may indicate a protective effect of this combination of HLA alleles against type 1 diabetes. This finding supports the hypothesis that protective HLA class II genes can override the risk conferred by HLA-DQ susceptibility alleles. Further studies using larger cohorts of control subjects and patients should be undertaken to confirm this observation. FAU - Al-Hussein, K A AU - Al-Hussein KA AD - Biological and Medical Research Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. khussein@kfshrc.edu.sa FAU - Rama, N R AU - Rama NR FAU - Ahmad, M AU - Ahmad M FAU - Rozemuller, E AU - Rozemuller E FAU - Tilanus, M G AU - Tilanus MG LA - eng PT - Journal Article PL - England TA - Eur J Immunogenet JT - European journal of immunogenetics : official journal of the British Society for Histocompatibility and Immunogenetics JID - 9106962 RN - 0 (HLA-DP Antigens) RN - 0 (HLA-DP beta-Chains) RN - 0 (HLA-DPB1 antigen) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DR Antigens) SB - IM MH - Diabetes Mellitus, Type 1/*genetics MH - *Genes, Dominant MH - *Genetic Predisposition to Disease MH - HLA-DP Antigens/*genetics/metabolism MH - HLA-DP beta-Chains MH - HLA-DQ Antigens/genetics MH - HLA-DR Antigens/genetics MH - Humans MH - Saudi Arabia EDAT- 2003/03/22 04:00 MHDA- 2003/11/13 05:00 CRDT- 2003/03/22 04:00 PHST- 2003/03/22 04:00 [pubmed] PHST- 2003/11/13 05:00 [medline] PHST- 2003/03/22 04:00 [entrez] AID - 369 [pii] AID - 10.1046/j.1365-2370.2003.00369.x [doi] PST - ppublish SO - Eur J Immunogenet. 2003 Apr;30(2):115-9. doi: 10.1046/j.1365-2370.2003.00369.x.