PMID- 12941542 OWN - NLM STAT- MEDLINE DCOM- 20040416 LR - 20190906 IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 64 IP - 9 DP - 2003 Sep TI - Coxsackie virus B antibodies are increased in HLA DR3-MICA5.1 positive type 1 diabetes patients in the Linkoping region of Sweden. PG - 874-9 AB - Type 1 diabetes mellitus (T1DM) is an autoimmune disorder in which genetics and environmental factors play a role. Among the environmental factors, viruses (especially Coxsackie virus B [CBV]), and among genetic markers, human leukocyte antigen (HLA) DRB1*04-DQA1*0301-DQB1*0302 (DR4-DQ8) and DRB1*03-DQA1*0501-DQB1*0201 (DR3-DQ2), and major histocompatibility complex class I chain-related gene-A (MICA) alleles 5 and 5.1 have been reported to be associated with T1DM in Caucasians. Sweden ranks third in the world for T1DM incidence. In Sweden, the Linkoping region indicates the highest incidence for T1DM. In this study, we analyzed whether antibodies against CBV are increased in DR3, DR4, MICA5, or MICA5.1 positive patients from Linkoping (n = 46) and from Swedish population as a whole (n = 298) between the age of 0 and 15 years old. There was no difference in the frequency of antibodies to CBV in patients compared with controls in Linkoping (26% vs 23%) or in all of Sweden (26% vs 21%). However, CBV antibodies were increased in DR3, DR3-DR4 (heterozygous), DR3-MICA5.1, and DR3-DR4-MICA5.1 positive compared with DR3, DR3-DR4, DR3-MICA5.1, and DR3-DR4-MICA5.1 negative patients in Linkoping (p < 0.05 for all), but not in Swedish population as a whole. Thus, our study suggests that in addition to DR3, MICA5.1 has an influence on the immune response to CBV infection in patients from Linkoping. FAU - Gupta, Manu AU - Gupta M AD - Department of Molecular Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Nikitina-Zake, Liene AU - Nikitina-Zake L FAU - Landin-Olsson, Mona AU - Landin-Olsson M FAU - Kockum, Ingrid AU - Kockum I FAU - Sanjeevi, Carani B AU - Sanjeevi CB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Antibodies, Viral) RN - 0 (HLA-DR3 Antigen) RN - 0 (HLA-DR4 Antigen) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (MHC class I-related chain A) SB - IM MH - Adolescent MH - Antibodies, Viral/*biosynthesis MH - Diabetes Mellitus, Type 1/genetics/*immunology/*virology MH - Enterovirus B, Human/*immunology MH - Enterovirus Infections/immunology MH - HLA-DR3 Antigen/*analysis MH - HLA-DR4 Antigen/analysis MH - Histocompatibility Antigens Class I/*analysis/genetics MH - Humans MH - Retrospective Studies MH - Sweden EDAT- 2003/08/28 05:00 MHDA- 2004/04/17 05:00 CRDT- 2003/08/28 05:00 PHST- 2003/08/28 05:00 [pubmed] PHST- 2004/04/17 05:00 [medline] PHST- 2003/08/28 05:00 [entrez] AID - S0198885903001496 [pii] AID - 10.1016/s0198-8859(03)00149-6 [doi] PST - ppublish SO - Hum Immunol. 2003 Sep;64(9):874-9. doi: 10.1016/s0198-8859(03)00149-6.