PMID- 22932816 OWN - NLM STAT- MEDLINE DCOM- 20130318 LR - 20220321 IS - 1476-5470 (Electronic) IS - 1466-4879 (Linking) VI - 13 IP - 7 DP - 2012 Oct TI - A strategy for combining minor genetic susceptibility genes to improve prediction of disease in type 1 diabetes. PG - 549-55 LID - 10.1038/gene.2012.36 [doi] AB - Genome-wide association studies have identified gene regions associated with type 1 diabetes. The aim of this study was to determine how the combined allele frequency of multiple susceptibility genes can stratify islet autoimmunity and/or type 1 diabetes risk. Children of parents with type 1 diabetes and prospectively followed from birth for the development of islet autoantibodies and diabetes were genotyped for single-nucleotide polymorphisms at 12 type 1 diabetes susceptibility genes (ERBB3, PTPN2, IFIH1, PTPN22, KIAA0350, CD25, CTLA4, SH2B3, IL2, IL18RAP, IL10 and COBL). Non-human leukocyte antigen (HLA) risk score was defined by the total number of risk alleles at these genes. Receiver operator curve analysis showed that the non-HLA gene combinations were highly effective in discriminating diabetes and most effective in children with a high-risk HLA genotype. The greatest diabetes discrimination was obtained by the sum of risk alleles for eight genes (IFIH1, CTLA4, PTPN22, IL18RAP, SH2B3, KIAA0350, COBL and ERBB3) in the HLA-risk children. Non-HLA-risk allele scores stratified risk for developing islet autoantibodies and diabetes, and progression from islet autoimmunity to diabetes. Genotyping at multiple susceptibility loci in children from affected families can identify neonates with sufficient genetic risk of type 1 diabetes to be considered for early intervention. FAU - Winkler, C AU - Winkler C AD - Institute of Diabetes Research, Helmholtz Zentrum Munchen and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universitat, Munchen, Germany. FAU - Krumsiek, J AU - Krumsiek J FAU - Lempainen, J AU - Lempainen J FAU - Achenbach, P AU - Achenbach P FAU - Grallert, H AU - Grallert H FAU - Giannopoulou, E AU - Giannopoulou E FAU - Bunk, M AU - Bunk M FAU - Theis, F J AU - Theis FJ FAU - Bonifacio, E AU - Bonifacio E FAU - Ziegler, A-G AU - Ziegler AG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120830 PL - England TA - Genes Immun JT - Genes and immunity JID - 100953417 RN - 0 (HLA Antigens) SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Diabetes Mellitus, Type 1/*genetics MH - Gene Frequency MH - Genetic Loci MH - *Genetic Predisposition to Disease MH - HLA Antigens/genetics MH - Humans MH - Infant MH - Polymorphism, Single Nucleotide MH - Prospective Studies MH - Young Adult EDAT- 2012/08/31 06:00 MHDA- 2013/03/19 06:00 CRDT- 2012/08/31 06:00 PHST- 2012/08/31 06:00 [entrez] PHST- 2012/08/31 06:00 [pubmed] PHST- 2013/03/19 06:00 [medline] AID - gene201236 [pii] AID - 10.1038/gene.2012.36 [doi] PST - ppublish SO - Genes Immun. 2012 Oct;13(7):549-55. doi: 10.1038/gene.2012.36. Epub 2012 Aug 30.