PMID- 8897011 OWN - NLM STAT- MEDLINE DCOM- 19970224 LR - 20220129 IS - 0012-186X (Print) IS - 0012-186X (Linking) VI - 39 IP - 10 DP - 1996 Oct TI - Association of IA-2 autoantibodies with HLA DR4 phenotypes in IDDM. PG - 1223-6 AB - Insulin, glutamate decarboxylase (GAD) and the protein tyrosine phosphatase-like molecule IA-2 are major targets of humoral autoimmunity in insulin-dependent diabetes mellitus (IDDM). These autoantibodies are heterogeneous with respect to age and patient human leukocyte antigen (HLA) phenotype. We have previously demonstrated that GAD and IA-2 antibodies potentially identify different subsets of IDDM patients. The aim of this study was to determine whether GAD and IA-2 autoantibodies were associated with different HLA DR phenotypes. We studied 160 patients with IDDM onset before age 16 years. At disease onset serum was tested for GAD and IA-2 antibodies by immunoprecipitation by in vitro-translated 35S-methionine labelled recombinant proteins. IA-2 antibodies were significantly associated with HLA DR4: 67 (86%) of 78 patients with HLA DR4 vs 31 (38%) of 82 non-DR4 patients had IA-2 antibodies (Pc < 0.0001) and IA-2 antibody levels were higher in patients with HLA DR4 (Pc < 0.0001). In contrast, GAD antibodies were more prevalent (Pc < 0.05) and antibody levels highest (Pc < 0.01) in patients with HLA DR3 phenotypes. These data provide further evidence that, in IDDM, production and titre of major autoantibody specificities are associated with HLA class II alleles. FAU - Genovese, S AU - Genovese S AD - Department of Internal Medicine, Istituto Scientifico San Raffaele, University of Milan, Italy. FAU - Bonfanti, R AU - Bonfanti R FAU - Bazzigaluppi, E AU - Bazzigaluppi E FAU - Lampasona, V AU - Lampasona V FAU - Benazzi, E AU - Benazzi E FAU - Bosi, E AU - Bosi E FAU - Chiumello, G AU - Chiumello G FAU - Bonifacio, E AU - Bonifacio E LA - eng GR - E.0587/TI_/Telethon/Italy GR - TGT06S01/TI_/Telethon/Italy PT - Journal Article PL - Germany TA - Diabetologia JT - Diabetologia JID - 0006777 RN - 0 (Autoantibodies) RN - 0 (Autoantigens) RN - 0 (HLA-DR3 Antigen) RN - 0 (HLA-DR4 Antigen) RN - 0 (Membrane Proteins) RN - EC 3.1.3.48 (PTPRN protein, human) RN - EC 3.1.3.48 (Protein Tyrosine Phosphatase, Non-Receptor Type 1) RN - EC 3.1.3.48 (Protein Tyrosine Phosphatases) RN - EC 3.1.3.48 (Receptor-Like Protein Tyrosine Phosphatases, Class 8) RN - EC 4.1.1.15 (Glutamate Decarboxylase) SB - IM MH - Alleles MH - Autoantibodies/*blood MH - Autoantigens/*immunology MH - Child MH - Child, Preschool MH - Diabetes Mellitus, Type 1/genetics/*immunology MH - Glutamate Decarboxylase/*immunology MH - HLA-DR3 Antigen/*genetics MH - HLA-DR4 Antigen/*genetics MH - Histocompatibility Testing MH - Humans MH - Immunophenotyping MH - Infant MH - Membrane Proteins/*immunology MH - Protein Tyrosine Phosphatase, Non-Receptor Type 1 MH - Protein Tyrosine Phosphatases/*immunology MH - Receptor-Like Protein Tyrosine Phosphatases, Class 8 EDAT- 1996/10/01 00:00 MHDA- 1996/10/01 00:01 CRDT- 1996/10/01 00:00 PHST- 1996/10/01 00:00 [pubmed] PHST- 1996/10/01 00:01 [medline] PHST- 1996/10/01 00:00 [entrez] AID - 10.1007/BF02658510 [doi] PST - ppublish SO - Diabetologia. 1996 Oct;39(10):1223-6. doi: 10.1007/BF02658510.