PMID- 12788125 OWN - NLM STAT- MEDLINE DCOM- 20030617 LR - 20190627 IS - 0002-9394 (Print) IS - 0002-9394 (Linking) VI - 135 IP - 6 DP - 2003 Jun TI - Relationship between human leukocyte antigen status and proliferative diabetic retinopathy in patients with younger-onset type 1 diabetes mellitus. PG - 844-8 AB - PURPOSE: To investigate the relationship between human leukocyte antigen (HLA) status and proliferative diabetic retinopathy (PDR) to assess the genetic basis of PDR in younger type 1 diabetic patients. DESIGN: Retrospective, nonrandomized, comparative trial. METHOD: Patients who were diagnosed with type 1 diabetes under 30 years of age (range, 13-28) and had a disease duration of more than 10 years were studied. The patients were divided into two groups: 30 patients who had undergone vitreous surgery younger than 40 years old (the PDR group) and 50 patients without retinopathy (the non-DR group). The duration of diabetes and the level of glycemic control were matched between the two groups. The control group consisted of 50 healthy patients. HLA-A, -B, -C, -DR, and -DQ typing of blood samples was done using the standard microcytotoxicity method. RESULTS: The frequency of HLA-B62, Cw4, and DQ4 was significantly higher in the PDR group than in the non-DR group (P =.0020, P =.048, and P =.0026, respectively). The Cw4-DR4-DQ4 haplotype frequency was significantly higher in the PDR group than in the control group and the non-DR group (P =.0059). CONCLUSIONS: Our results suggests that HLA-B62, Cw4, and DQ4 may be useful for predicting the prognosis of retinopathy in patients with younger-onset type 1 diabetes. FAU - Mimura, Tatsuya AU - Mimura T AD - Department of Ophthalmology, University of Tokyo School of Medicine, Tokyo, Japan. mimura@mbg.shere.ne.jp FAU - Funatsu, Hideharu AU - Funatsu H FAU - Uchigata, Yasuko AU - Uchigata Y FAU - Kitano, Shigehiko AU - Kitano S FAU - Noma, Hidetaka AU - Noma H FAU - Shimizu, Erika AU - Shimizu E FAU - Konno, Yasuhiro AU - Konno Y FAU - Amano, Shiro AU - Amano S FAU - Araie, Makoto AU - Araie M FAU - Yoshino, Osamu AU - Yoshino O FAU - Iwamoto, Yasuhiko AU - Iwamoto Y FAU - Hori, Sadao AU - Hori S LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Am J Ophthalmol JT - American journal of ophthalmology JID - 0370500 RN - 0 (Blood Glucose) RN - 0 (HLA Antigens) SB - IM MH - Adolescent MH - Adult MH - Blood Glucose/analysis MH - Cytotoxicity Tests, Immunologic MH - Diabetes Mellitus, Type 1/*genetics/physiopathology MH - Diabetic Retinopathy/*genetics/physiopathology MH - Female MH - Genes, MHC Class I MH - Genes, MHC Class II MH - HLA Antigens/*genetics MH - Haplotypes MH - Histocompatibility Testing MH - Humans MH - Male MH - Retrospective Studies EDAT- 2003/06/06 05:00 MHDA- 2003/06/18 05:00 CRDT- 2003/06/06 05:00 PHST- 2003/06/06 05:00 [pubmed] PHST- 2003/06/18 05:00 [medline] PHST- 2003/06/06 05:00 [entrez] AID - S0002939402022912 [pii] AID - 10.1016/s0002-9394(02)02291-2 [doi] PST - ppublish SO - Am J Ophthalmol. 2003 Jun;135(6):844-8. doi: 10.1016/s0002-9394(02)02291-2.