PMID- 15356063 OWN - NLM STAT- MEDLINE DCOM- 20041007 LR - 20171116 IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 89 IP - 9 DP - 2004 Sep TI - Analysis of immune regulatory genes in familial and sporadic Graves' disease. PG - 4562-8 AB - Graves' disease (GD) is seen in apparently sporadic and familial forms. At least two immune regulatory genes are associated with GD, human leukocyte antigen (HLA) and cytotoxic T lymphocyte antigen-4 (CTLA-4). The aim of our study was to examine the contributions of HLA and CTLA-4 to the familial clustering of GD by analyzing them for association with familial and sporadic GD. We analyzed 160 Caucasian GD patients (69 familial and 91 sporadic), and 150 matched controls. Analysis of all GD patients demonstrated significant associations between GD and HLA-DR3 [P = 9.0 x 10(-7); relative risk (RR) = 3.8] and two CTLA-4 single nucleotide polymorphisms (SNPs), A/G(49) SNP (P = 0.03; RR = 1.5), and CT60 SNP (P = 0.03; RR = 1.4). Moreover, there was evidence for joint susceptibility to risk between HLA-DR3 and CTLA-4, giving a combined RR of 5.9. Subset analysis demonstrated no significant difference between the frequencies of HLA-DR3 and the susceptibility alleles of CTLA-4 A/G(49) and CT60 SNPs in the familial and sporadic GD subsets (P > 0.05). These results suggested that HLA-DR3 and CTLA-4 conferred a general increased risk for GD in both the sporadic and familial forms, and that the risk conferred by them was additive. However, HLA-DR3 and CTLA-4 did not have a stronger effect in the familial GD patients, suggesting that additional genes must contribute to the aggregation of GD within families. FAU - Ban, Yoshiyuki AU - Ban Y AD - Division of Endocrinology, Diabetes, and Bone Diseases, Box 1055, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, New York 10029, USA. FAU - Concepcion, Erlinda S AU - Concepcion ES FAU - Villanueva, Ronald AU - Villanueva R FAU - Greenberg, David A AU - Greenberg DA FAU - Davies, Terry F AU - Davies TF FAU - Tomer, Yaron AU - Tomer Y LA - eng GR - DK-31775/DK/NIDDK NIH HHS/United States GR - DK-35764/DK/NIDDK NIH HHS/United States GR - DK-45011/DK/NIDDK NIH HHS/United States GR - DK-52464/DK/NIDDK NIH HHS/United States GR - DK-58072/DK/NIDDK NIH HHS/United States GR - DK-61659/DK/NIDDK NIH HHS/United States GR - MH-48858/MH/NIMH NIH HHS/United States GR - NS-27941/NS/NINDS NIH HHS/United States 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 - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation) RN - 0 (Antigens, Differentiation, T-Lymphocyte) RN - 0 (CD28 Antigens) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (HLA-DR3 Antigen) RN - 0 (ICOS protein, human) RN - 0 (Inducible T-Cell Co-Stimulator Protein) SB - IM MH - Alleles MH - Antigens, CD MH - Antigens, Differentiation/*genetics MH - Antigens, Differentiation, T-Lymphocyte/*genetics MH - CD28 Antigens/*genetics MH - CTLA-4 Antigen MH - Graves Disease/*genetics/immunology MH - HLA-DR3 Antigen/*genetics MH - Humans MH - Inducible T-Cell Co-Stimulator Protein MH - Polymorphism, Single Nucleotide MH - Thyroiditis, Autoimmune/genetics EDAT- 2004/09/10 05:00 MHDA- 2004/10/08 09:00 CRDT- 2004/09/10 05:00 PHST- 2004/09/10 05:00 [pubmed] PHST- 2004/10/08 09:00 [medline] PHST- 2004/09/10 05:00 [entrez] AID - 89/9/4562 [pii] AID - 10.1210/jc.2003-031693 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2004 Sep;89(9):4562-8. doi: 10.1210/jc.2003-031693.