PMID- 30614662 OWN - NLM STAT- MEDLINE DCOM- 20200312 LR - 20200312 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 11 IP - 9 DP - 2019 Sep TI - Diverse human leukocyte antigen association of type 1 diabetes in north India. PG - 719-728 LID - 10.1111/1753-0407.12898 [doi] AB - BACKGROUND: Type 1 diabetes (T1D) is a complex disease, with involvement of various susceptibility genes. Human leukocyte antigen (HLA) on chromosome 6p21 is major susceptibility region. This study examined genetic association of HLA genes with T1D. METHODS: The study recruited 259 T1D patients and 706 controls from north India. PCR-SSP and LiPA were used to type HLA Class I and II alleles. RESULTS: At HLA Class I locus, HLA-A*02, A*26, B*08 and B*50 were significantly increased in patients vs controls (39.8% vs 28.9% [Bonferroni-corrected P P(c) = 0.032], 24.7% vs 9.6% [P(c) = 4.83 x 10(-8) ], 37.2% vs 15.7% [P(c) = 1.92 x 10(-9) ], and 19.4% vs 5.5% [P(c) = 4.62 x 10(-9) ], respectively). Similarly, in Class II region, DRB1*03 showed a strong positive association with T1D (78.7% vs 17.5% in controls; P = 1.02 x 10(-9) ). Association of DRB1*04 with T1D (28.3% vs 15.5% in controls; P(c) = 3.86 x 10(-4) ) was not independent of DRB1*03. Negative associations were found between T1D and DRB1*07, *11, *13, and *15 (13.8% vs 26.1% in controls [P(c) = 0.00175], 3.9% vs 16.9% in controls [P(c) = 6.55x 10(-6) ], 5.5% vs 21.6% in controls [P(c) = 2.51 x 10(-7) ], and 16.9% vs 43.9% in controls [P(c) = 9.94x 10(-10) ], respectively). Compared with controls, patients had significantly higher haplotype frequencies of A*26-B*08-DRB1*03-DQA1*05-DQB1*02 (10.43% vs 1.96%; P = 7.62 x 10(-11) ), A*02-B*50-DRB1*03-DQA1*05-DQB1*02 (6.1% vs 0.71%; P = 2.19 x 10(-10) ), A*24-B*08-DRB1*03-DQA1*05-DQB1*02 (4.72% vs 0.8%; P = 5.4 x 10(-7) ), A*02-B*08-DRB1*03-DQA1*05-DQB1*02 (2.36% vs 0.18%; P = 3.6 x 10(-5) ), and A*33-B*58-DRB1*03-DQA1*05-DQB1*02 (4.33% vs 1.25%; P = 0.00019). CONCLUSIONS: In north India, T1D is independently associated only with HLA-DRB1*03 haplotypes, and is negatively associated with DRB1*07, *11, *13, and *15. CI - (c) 2019 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Kumar, Neeraj AU - Kumar N AUID- ORCID: 0000-0002-3535-9019 AD - Department of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India. FAU - Mehra, Narinder K AU - Mehra NK AD - Department of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India. FAU - Kanga, Uma AU - Kanga U AD - Department of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India. FAU - Kaur, Gurvinder AU - Kaur G AD - Department of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India. FAU - Tandon, Nikhil AU - Tandon N AUID- ORCID: 0000-0003-4604-1986 AD - Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India. FAU - Chuzho, Neihenuo AU - Chuzho N AD - Indian Council of Medical Research (ICMR)-National Institute of Pathology, Safdarjang Hospital Campus, New Delhi, India. FAU - Mishra, Gunja AU - Mishra G AD - Indian Council of Medical Research (ICMR)-National Institute of Pathology, Safdarjang Hospital Campus, New Delhi, India. FAU - Neolia, Shekhar C AU - Neolia SC AD - Department of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India. LA - eng GR - Department of Biotechnology, Ministry of Science and Technology, Science and Engineering Research Board, Government of India/ GR - Indian Council of Medical Research/ PT - Journal Article DEP - 20190207 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 RN - 0 (Biomarkers) RN - 0 (HLA Antigens) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Biomarkers/*analysis MH - Case-Control Studies MH - Diabetes Mellitus, Type 1/epidemiology/*genetics/pathology MH - Gene Frequency MH - *Genetic Predisposition to Disease MH - HLA Antigens/*genetics MH - Haplotypes MH - Histocompatibility Antigens Class I/*genetics MH - Histocompatibility Antigens Class II/*genetics MH - Humans MH - India/epidemiology MH - Prognosis OTO - NOTNLM OT - 1型糖尿病 OT - association OT - human leukocyte antigen OT - north India OT - type 1 diabetes OT - 人类白细胞抗原 OT - 印度北部 OT - 相关性 EDAT- 2019/01/08 06:00 MHDA- 2020/03/13 06:00 CRDT- 2019/01/08 06:00 PHST- 2018/09/10 00:00 [received] PHST- 2018/11/29 00:00 [revised] PHST- 2019/01/03 00:00 [accepted] PHST- 2019/01/08 06:00 [pubmed] PHST- 2020/03/13 06:00 [medline] PHST- 2019/01/08 06:00 [entrez] AID - 10.1111/1753-0407.12898 [doi] PST - ppublish SO - J Diabetes. 2019 Sep;11(9):719-728. doi: 10.1111/1753-0407.12898. Epub 2019 Feb 7.