PMID- 16109069 OWN - NLM STAT- MEDLINE DCOM- 20051007 LR - 20181113 IS - 1399-543X (Print) IS - 1399-5448 (Electronic) IS - 1399-543X (Linking) VI - 6 IP - 3 DP - 2005 Sep TI - Newborn HLA-DR,DQ genotype screening: age- and ethnicity-specific type 1 diabetes risk estimates. PG - 136-44 AB - OBJECTIVE: Certain human leukocyte antigen (HLA)-DR,DQ genotypes have been associated with type 1 diabetes mellitus (T1DM) risk, although it is unknown whether the association is due to alleles, haplotypes, genotypes, the formation of heterodimers, or all of the above. To characterize the role of the HLA-DR,DQ genotype and ethnicity on the onset age of T1DM, we analyzed these factors in patients with T1DM and the general population. METHODS: One thousand three hundred twenty-two well-characterized patients with T1DM were compared with 3339 children from the general population of Denver, Colorado, USA. Because of the extensive available data across age and ethnic groups, this study population is unique. RESULTS: The HLA-DR3/4,DQB1*0302, DRX/4,DQB1*0302 (where X=1, 4, 8, and 9), and HLA--DR3/3 genotypes were associated with T1DM, supporting previous research. Additionally, the DR3/9 genotype showed a positive association with T1DM, which has not previously been described in Caucasian populations. The HLA-DR3/4*0302 genotype was most strongly associated with T1DM in diabetic individuals with the youngest onset age. Genotype frequencies were similar between Hispanics and non-Hispanic whites, except for the DR3/3 genotype, which was more likely to be found in non-Hispanic whites. CONCLUSIONS: These results indicate that there are multiple alleles and genotypes associated with T1DM and that the risk associated with different genetic markers depends on the age of disease onset, suggesting that some markers may be involved in more rapid disease progression. FAU - Emery, Lisa M AU - Emery LM AD - Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, Denver, CO, USA. FAU - Babu, Sunanda AU - Babu S FAU - Bugawan, Teodorica L AU - Bugawan TL FAU - Norris, Jill M AU - Norris JM FAU - Erlich, Henry A AU - Erlich HA FAU - Eisenbarth, George S AU - Eisenbarth GS FAU - Rewers, Marian AU - Rewers M LA - eng GR - P30 DK057516/DK/NIDDK NIH HHS/United States GR - R01-DK57516/DK/NIDDK NIH HHS/United States GR - R01 DK032083/DK/NIDDK NIH HHS/United States GR - R01-DK32493/DK/NIDDK NIH HHS/United States GR - R37 DK032493/DK/NIDDK NIH HHS/United States GR - R01 DK050979/DK/NIDDK NIH HHS/United States GR - R01-DK32083/DK/NIDDK NIH HHS/United States GR - R01 DK032493/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PL - Denmark TA - Pediatr Diabetes JT - Pediatric diabetes JID - 100939345 RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DR Antigens) SB - IM MH - Age of Onset MH - Diabetes Mellitus, Type 1/ethnology/*genetics MH - Disease Progression MH - Female MH - Genotype MH - *HLA-DQ Antigens MH - *HLA-DR Antigens MH - Humans MH - Infant, Newborn MH - Male MH - Risk Factors PMC - PMC1351310 MID - NIHMS4756 EDAT- 2005/08/20 09:00 MHDA- 2005/10/08 09:00 PMCR- 2008/01/24 CRDT- 2005/08/20 09:00 PHST- 2005/08/20 09:00 [pubmed] PHST- 2005/10/08 09:00 [medline] PHST- 2005/08/20 09:00 [entrez] PHST- 2008/01/24 00:00 [pmc-release] AID - PDI117 [pii] AID - 10.1111/j.1399-543X.2005.00117.x [doi] PST - ppublish SO - Pediatr Diabetes. 2005 Sep;6(3):136-44. doi: 10.1111/j.1399-543X.2005.00117.x.