PMID- 20718774 OWN - NLM STAT- MEDLINE DCOM- 20110211 LR - 20231213 IS - 1365-2265 (Electronic) IS - 0300-0664 (Linking) VI - 73 IP - 5 DP - 2010 Nov TI - AIRE gene mutations and autoantibodies to interferon omega in patients with chronic hypoparathyroidism without APECED. PG - 630-6 LID - 10.1111/j.1365-2265.2010.03862.x [doi] AB - OBJECTIVE: To assess autoimmune regulator (AIRE) gene mutations, class II HLA haplotypes, and organ- or non-organ-specific autoantibodies in patients with chronic hypoparathyroidism (CH) without associated Addison's disease (AD) or chronic candidiasis (CC). DESIGN, PATIENTS AND MEASUREMENTS: Twenty-four patients who had CH without AD or CC were included in the study. AIRE gene mutations in all 14 exons were studied using PCR in 24 patients, 105 healthy controls and 15 first-degree relatives of CH patients with AIRE mutations. Human leucocyte antigens (HLA) were determined for all 24 patients and 105 healthy controls. Autoantibodies to a range of antigens including NACHT leucine-rich-repeat protein-5 (NALP5) and interferon omega (IFNomega) were tested in all 24 patients. RESULTS: AIRE gene mutations were found in 6 of 24 (25%) patients, all females, and this was significantly higher (P < 0.001) compared with AIRE mutations found in healthy controls (2/105). Three patients (12.5%) had homozygous AIRE mutations characteristic of Autoimmune-Poly-Endocrinopathy-Candidiasis-Ectodermal-Dystrophy and all three were also positive for IFNomega-autoantibodies. Three patients (12.5%) had heterozygous AIRE mutations; two of these were novel mutations. One of the patients with heterozygous AIRE mutations was positive for both NACHT leucine-rich-repeat protein 5 and IFNomega autoantibodies. Heterozygous AIRE mutations were found in 10 of 15 first-degree relatives of CH patients with AIRE mutations, although none was affected by CH. Class II HLA haplotypes were not statistically different in patients with CH compared to healthy controls. CONCLUSIONS: Analysis of AIRE gene mutations together with serum autoantibody profile should be helpful in the assessment of patients with CH, in particular young women with associated autoimmune diseases. CI - (c) 2010 Blackwell Publishing Ltd. FAU - Cervato, Sara AU - Cervato S AD - Department of Medical and Surgical Sciences Blood Transfusion Center, Azienda Ospedaliera-Universita di Padova, Padova, Italy. FAU - Morlin, Luca AU - Morlin L FAU - Albergoni, Maria Paola AU - Albergoni MP FAU - Masiero, Stefano AU - Masiero S FAU - Greggio, Nella AU - Greggio N FAU - Meossi, Cristiano AU - Meossi C FAU - Chen, Shu AU - Chen S FAU - del Pilar Larosa, Maria AU - del Pilar Larosa M FAU - Furmaniak, Jadwiga AU - Furmaniak J FAU - Rees Smith, Bernard AU - Rees Smith B FAU - Alimohammadi, Mohammad AU - Alimohammadi M FAU - Kampe, Olle AU - Kampe O FAU - Valenzise, Mariella AU - Valenzise M FAU - Betterle, Corrado AU - Betterle C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Endocrinol (Oxf) JT - Clinical endocrinology JID - 0346653 RN - 0 (Autoantibodies) RN - 0 (HLA Antigens) RN - 0 (Interferon Type I) RN - 0 (Transcription Factors) RN - 0 (interferon omega 1) SB - IM CIN - Clin Endocrinol (Oxf). 2011 Apr;74(4):532-3. PMID: 21070315 MH - Adult MH - Aged MH - Autoantibodies/*blood MH - Child MH - Child, Preschool MH - Chronic Disease MH - Female MH - HLA Antigens/blood MH - Humans MH - Hypoparathyroidism/*genetics/immunology MH - Interferon Type I/*immunology MH - Male MH - Middle Aged MH - Polyendocrinopathies, Autoimmune/*genetics/immunology MH - Transcription Factors/*genetics MH - AIRE Protein EDAT- 2010/08/20 06:00 MHDA- 2011/02/12 06:00 CRDT- 2010/08/20 06:00 PHST- 2010/08/20 06:00 [entrez] PHST- 2010/08/20 06:00 [pubmed] PHST- 2011/02/12 06:00 [medline] AID - CEN3862 [pii] AID - 10.1111/j.1365-2265.2010.03862.x [doi] PST - ppublish SO - Clin Endocrinol (Oxf). 2010 Nov;73(5):630-6. doi: 10.1111/j.1365-2265.2010.03862.x.