PMID- 20510319 OWN - NLM STAT- MEDLINE DCOM- 20101115 LR - 20221207 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 71 IP - 8 DP - 2010 Aug TI - Effect of human leukocyte antigen class II genes on acute-onset and slow-onset type 1 diabetes in the Japanese population. PG - 789-94 LID - 10.1016/j.humimm.2010.05.020 [doi] AB - The contribution of the human leukocyte antigen (HLA) subtype to slow-onset type 1 diabetes (T1D), which includes latent autoimmune diabetes in adults (LADA), remains unclear in the Japanese population. We compared the frequencies of HLA DR-DQ haplotypes and genotypes of 72 acute-onset T1D patients, 100 slow-onset T1D patients, and 292 control subjects. The frequencies of DRB1*0405-DQB1*0401 (DR4) and DRB1*1302-DQB1*0604 (DR13) haplotypes were significantly higher in acute-onset patients, whereas that of the DRB1*1502-DQB1*0601 haplotype was significantly lower than those in slow-onset diabetes patients and controls. In contrast, DRB1*0802-DQB1*0302 (DR8) and DRB1*0901-DQB1*0303 (DR9) haplotypes were significantly more frequent, and the DRB1*1501-DQB1*0602 haplotype was extremely rare, in acute-onset patients and slow-onset diabetes patients. Genotype analysis revealed that DR4/9, DR4/13, and DR9/13 in acute-onset patients indicated high odds ratios (6.81, 12.0, and 15.6, respectively), whereas DR4/8 was significantly more frequent in slow-onset diabetes patients, but not in acute-onset patients. Our study demonstrated for the first time that the DR8 haplotype confers susceptibility to slow-onset T1D in the Japanese population. Moreover, there potentially are hierarchies for predisposing haplotypes, namely, DR13 > DR4 > DR9 > DR8 and for protective haplotypes, namely, DRB1*1501-DQB1*0602 > DRB1*1502-DQB1*0601. CI - Copyright 2010 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Katahira, Masahito AU - Katahira M AD - Department of Endocrinology and Diabetes, Ichinomiya Municipal Hospital, Ichinomiya, Japan. katahira-0034@umin.net FAU - Segawa, Satoko AU - Segawa S FAU - Maeda, Harumi AU - Maeda H FAU - Yasuda, Yoshinori AU - Yasuda Y LA - eng PT - Journal Article DEP - 20100525 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQB1 antigen) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Alleles MH - Asian People/genetics MH - Child MH - Child, Preschool MH - Diabetes Mellitus, Type 1/ethnology/*genetics MH - Gene Frequency MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - HLA-DQ Antigens/*genetics MH - HLA-DQ beta-Chains MH - HLA-DR Antigens/*genetics MH - HLA-DRB1 Chains MH - *Haplotypes MH - Humans MH - Japan MH - Linkage Disequilibrium MH - Middle Aged MH - Sequence Analysis, DNA MH - Young Adult EDAT- 2010/06/01 06:00 MHDA- 2010/11/16 06:00 CRDT- 2010/06/01 06:00 PHST- 2009/12/16 00:00 [received] PHST- 2010/05/13 00:00 [revised] PHST- 2010/05/19 00:00 [accepted] PHST- 2010/06/01 06:00 [entrez] PHST- 2010/06/01 06:00 [pubmed] PHST- 2010/11/16 06:00 [medline] AID - S0198-8859(10)00131-X [pii] AID - 10.1016/j.humimm.2010.05.020 [doi] PST - ppublish SO - Hum Immunol. 2010 Aug;71(8):789-94. doi: 10.1016/j.humimm.2010.05.020. Epub 2010 May 25.