PMID- 28520980 OWN - NLM STAT- MEDLINE DCOM- 20170920 LR - 20221207 IS - 1945-7197 (Electronic) IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 102 IP - 8 DP - 2017 Aug 1 TI - Can Non-HLA Single Nucleotide Polymorphisms Help Stratify Risk in TrialNet Relatives at Risk for Type 1 Diabetes? PG - 2873-2880 LID - 10.1210/jc.2016-4003 [doi] AB - CONTEXT: Genome-wide association studies identified >50 type 1 diabetes (T1D) associated non-human leukocyte antigens (non-HLA) loci. OBJECTIVE: The purpose of this study was to assess the contribution of non-HLA single nucleotide polymorphisms (SNPs) to risk of disease progression. DESIGN AND SETTING: The TrialNet Pathway to Prevention Study follows relatives of T1D patients for development of autoantibodies (Abs) and T1D. PARTICIPANTS: Using the Immunochip, we analyzed 53 diabetes-associated, non-HLA SNPs in 1016 Ab-positive, at-risk non-Hispanic white relatives. MAIN OUTCOME MEASURE: Effect of SNPs on the development of multiple Abs and T1D. RESULTS: Cox proportional analyses included all substantial non-HLA SNPs, HLA genotypes, relationship to proband, sex, age at initial screening, initial Ab type, and number. Factors involved in progression from single to multiple Abs included age at screening, relationship to proband, HLA genotypes, and rs3087243 (cytotoxic T lymphocyte antigen-4). Significant factors for diabetes progression included age at screening, Ab number, HLA genotypes, rs6476839 [GLIS family zinc finger 3 (GLIS3)], and rs3184504 [SH2B adaptor protein 3 (SH2B3)]. When glucose area under the curve (AUC) was included, factors involved in disease progression included glucose AUC, age at screening, Ab number, relationship to proband, HLA genotypes, rs6476839 (GLIS3), and rs7221109 (CCR7). In stratified analyses by age, glucose AUC, age at screening, sibling, HLA genotypes, rs6476839 (GLIS3), and rs4900384 (C14orf64) were significantly associated with progression to diabetes in participants <12 years old, whereas glucose AUC, sibling, rs3184504 (SH2B3), and rs4900384 (C14orf64) were significant in those >/=12. CONCLUSIONS: In conclusion, we identified five non-HLA SNPs associated with increased risk of progression from Ab positivity to disease that may improve risk stratification for prevention trials. CI - Copyright (c) 2017 by the Endocrine Society FAU - Steck, Andrea K AU - Steck AK AD - Barbara Davis Center for Childhood Diabetes, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045. FAU - Xu, Ping AU - Xu P AD - Health Informatics Institute, University of South Florida, Tampa, Florida 33612. FAU - Geyer, Susan AU - Geyer S AD - Health Informatics Institute, University of South Florida, Tampa, Florida 33612. FAU - Redondo, Maria J AU - Redondo MJ AD - Pediatric Diabetes and Endocrinology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas 77030. FAU - Antinozzi, Peter AU - Antinozzi P AD - Center for Diabetes Research, Wake Forest School of Medicine, Winston Salem, North Carolina 27157. FAU - Wentworth, John M AU - Wentworth JM AD - Division of Population Health and Immunity, The Walter and Eliza Hall Institute of Medical Research, Parkville, Victoria 3052, Australia. AD - Royal Melbourne Hospital Department of Medicine, University of Melbourne, Parkville, Victoria 3050, Australia. FAU - Sosenko, Jay AU - Sosenko J AD - Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, University of Miami School of Medicine, Miami, Florida 33136. FAU - Onengut-Gumuscu, Suna AU - Onengut-Gumuscu S AD - Center for Public Health Genomics, University of Virginia, Charlottesville, Virginia 22903. FAU - Chen, Wei-Min AU - Chen WM AD - Center for Public Health Genomics, University of Virginia, Charlottesville, Virginia 22903. FAU - Rich, Stephen S AU - Rich SS AD - Center for Public Health Genomics, University of Virginia, Charlottesville, Virginia 22903. FAU - Pugliese, Alberto AU - Pugliese A AD - Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, University of Miami School of Medicine, Miami, Florida 33136. AD - Diabetes Research Institute and Department of Microbiology and Immunology, University of Miami School of Medicine, Miami, Florida 33136. CN - Type 1 Diabetes TrialNet Study Group LA - eng GR - U01 DK085476/DK/NIDDK NIH HHS/United States GR - U01 DK061010/DK/NIDDK NIH HHS/United States GR - U01 DK085466/DK/NIDDK NIH HHS/United States GR - U01 DK103153/DK/NIDDK NIH HHS/United States GR - U01 DK061058/DK/NIDDK NIH HHS/United States GR - U01 DK085505/DK/NIDDK NIH HHS/United States GR - U01 DK085453/DK/NIDDK NIH HHS/United States GR - U01 DK085499/DK/NIDDK NIH HHS/United States GR - U01 DK085463/DK/NIDDK NIH HHS/United States GR - U01 DK103266/DK/NIDDK NIH HHS/United States GR - U01 DK107014/DK/NIDDK NIH HHS/United States GR - U01 DK061042/DK/NIDDK NIH HHS/United States GR - U01 DK061034/DK/NIDDK NIH HHS/United States GR - U01 DK085461/DK/NIDDK NIH HHS/United States GR - U01 DK085509/DK/NIDDK NIH HHS/United States GR - U01 DK103180/DK/NIDDK NIH HHS/United States GR - U01 DK085465/DK/NIDDK NIH HHS/United States GR - U01 DK085504/DK/NIDDK NIH HHS/United States PT - Journal Article PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Autoantibodies) RN - 0 (Blood Glucose) RN - 0 (CCR7 protein, human) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Cation Transport Proteins) RN - 0 (DNA-Binding Proteins) RN - 0 (GLIS3 protein, human) RN - 0 (HLA-DQ alpha-Chains) RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQA1 antigen) RN - 0 (HLA-DQB1 antigen) RN - 0 (HLA-DRB1 Chains) RN - 0 (Insulin) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Proteins) RN - 0 (RNA, Long Noncoding) RN - 0 (Receptors, CCR7) RN - 0 (Repressor Proteins) RN - 0 (SH2B3 protein, human) RN - 0 (SLC30A8 protein, human) RN - 0 (Trans-Activators) RN - 0 (Transcription Factors) RN - 0 (Zinc Transporter 8) RN - 0 (islet cell antibody) RN - EC 3.1.3.48 (Receptor-Like Protein Tyrosine Phosphatases, Class 8) RN - EC 4.1.1.15 (Glutamate Decarboxylase) SB - IM MH - Adaptor Proteins, Signal Transducing MH - Adolescent MH - Adult MH - Age Factors MH - Area Under Curve MH - Autoantibodies/*immunology MH - Blood Glucose/metabolism MH - CTLA-4 Antigen/genetics MH - Cation Transport Proteins/immunology MH - Child MH - DNA-Binding Proteins MH - Diabetes Mellitus, Type 1/*genetics/immunology MH - Disease Progression MH - *Family MH - Female MH - Genetic Predisposition to Disease MH - Genotype MH - Glucose Tolerance Test MH - Glutamate Decarboxylase/immunology MH - HLA-DQ alpha-Chains/genetics MH - HLA-DQ beta-Chains/genetics MH - HLA-DRB1 Chains/genetics MH - Humans MH - Insulin/immunology MH - Intracellular Signaling Peptides and Proteins MH - Male MH - Polymorphism, Single Nucleotide MH - Proteins/genetics MH - RNA, Long Noncoding/genetics MH - Receptor-Like Protein Tyrosine Phosphatases, Class 8/immunology MH - Receptors, CCR7/genetics MH - Repressor Proteins MH - Risk MH - Risk Assessment MH - Trans-Activators MH - Transcription Factors/genetics MH - White People/genetics MH - Young Adult MH - Zinc Transporter 8 PMC - PMC5546868 EDAT- 2017/05/19 06:00 MHDA- 2017/09/21 06:00 PMCR- 2018/08/01 CRDT- 2017/05/19 06:00 PHST- 2016/12/21 00:00 [received] PHST- 2017/05/11 00:00 [accepted] PHST- 2017/05/19 06:00 [pubmed] PHST- 2017/09/21 06:00 [medline] PHST- 2017/05/19 06:00 [entrez] PHST- 2018/08/01 00:00 [pmc-release] AID - 3828543 [pii] AID - jcem_20164003 [pii] AID - 10.1210/jc.2016-4003 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2017 Aug 1;102(8):2873-2880. doi: 10.1210/jc.2016-4003.