PMID- 33483996 OWN - NLM STAT- MEDLINE DCOM- 20210928 LR - 20231111 IS - 1440-1711 (Electronic) IS - 0818-9641 (Print) IS - 0818-9641 (Linking) VI - 99 IP - 5 DP - 2021 May TI - De-coding genetic risk variants in type 1 diabetes. PG - 496-508 LID - 10.1111/imcb.12438 [doi] AB - The conceptual basis for a genetic predisposition underlying the risk for developing type 1 diabetes (T1D) predates modern human molecular genetics. Over half of the genetic risk has been attributed to the human leukocyte antigen (HLA) class II gene region and to the insulin (INS) gene locus - both thought to confer direction of autoreactivity and tissue specificity. Notwithstanding, questions still remain regarding the functional contributions of a vast array of minor polygenic risk variants scattered throughout the genome that likely influence disease heterogeneity and clinical outcomes. Herein, we summarize the available literature related to the T1D-associated coding variants defined at the time of this review, for the genes PTPN22, IFIH1, SH2B3, CD226, TYK2, FUT2, SIRPG, CTLA4, CTSH and UBASH3A. Data from genotype-selected human cohorts are summarized, and studies from the non-obese diabetic (NOD) mouse are presented to describe the functional impact of these variants in relation to innate and adaptive immunity as well as to beta-cell fragility, with expression profiles in tissues and peripheral blood highlighted. The contribution of each variant to progression through T1D staging, including environmental interactions, are discussed with consideration of how their respective protein products may serve as attractive targets for precision medicine-based therapeutics to prevent or suspend the development of T1D. CI - (c) 2021 Australian and New Zealand Society for Immunology, Inc. FAU - Shapiro, Melanie R AU - Shapiro MR AD - Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL, 32610, USA. FAU - Thirawatananond, Puchong AU - Thirawatananond P AUID- ORCID: 0000-0003-4973-7380 AD - Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL, 32610, USA. FAU - Peters, Leeana AU - Peters L AD - Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL, 32610, USA. FAU - Sharp, Robert C AU - Sharp RC AD - Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL, 32610, USA. FAU - Ogundare, Similoluwa AU - Ogundare S AD - Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL, 32610, USA. FAU - Posgai, Amanda L AU - Posgai AL AD - Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL, 32610, USA. FAU - Perry, Daniel J AU - Perry DJ AD - Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL, 32610, USA. FAU - Brusko, Todd M AU - Brusko TM AUID- ORCID: 0000-0003-2878-9296 AD - Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL, 32610, USA. AD - Department of Pediatrics, College of Medicine, Diabetes Institute, University of Florida, Gainesville, FL, 32610, USA. LA - eng GR - P01 AI042288/AI/NIAID NIH HHS/United States GR - T32 DK108736/DK/NIDDK NIH HHS/United States GR - UG3 DK122638/DK/NIDDK NIH HHS/United States GR - R01 DK106191/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210224 PL - United States TA - Immunol Cell Biol JT - Immunology and cell biology JID - 8706300 SB - IM MH - Animals MH - *Diabetes Mellitus, Type 1/genetics MH - Genetic Predisposition to Disease MH - Genotype MH - Mice MH - Mice, Inbred NOD MH - Polymorphism, Single Nucleotide PMC - PMC8119379 MID - NIHMS1693426 OTO - NOTNLM OT - coding variant OT - human OT - precision medicine OT - risk gene OT - single nucleotide polymorphism OT - type 1 diabetes COIS- CONFLICT OF INTEREST The authors declare that no relevant conflicts of interest exist. EDAT- 2021/01/24 06:00 MHDA- 2021/09/29 06:00 PMCR- 2021/05/14 CRDT- 2021/01/23 05:42 PHST- 2021/01/08 00:00 [revised] PHST- 2020/10/30 00:00 [received] PHST- 2021/01/20 00:00 [accepted] PHST- 2021/01/24 06:00 [pubmed] PHST- 2021/09/29 06:00 [medline] PHST- 2021/01/23 05:42 [entrez] PHST- 2021/05/14 00:00 [pmc-release] AID - 10.1111/imcb.12438 [doi] PST - ppublish SO - Immunol Cell Biol. 2021 May;99(5):496-508. doi: 10.1111/imcb.12438. Epub 2021 Feb 24.