Abstract
Approximately 70% of patients with Type I diabetes (IDDM) carry a specific HLA gene, called HLA-DQ3.2, representing one specific allele at the DQß (DQB1) locus within the HLA-D region of chromosome 6. HLA-DQ3.2 is linked to nearby HLA-DR locus genes which encode the HLA-DR4 specificity, accounting for the fact that the “DR4 type” is the most common HLA specificity associated with IDDM (Nepom, 1986). HLA-DQ3.2 is therefore an excellent candidate for a “disease susceptibility gene”, contributing to important pathogenic events in the induction or progression of autoimmunity in IDDM.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bertrams J, Baur M. (1984) Insulin dependent diabetes mellitus. In: Albert E, Baur M, Mayer W, eds. Histocompatibility Testing. Berlin: Springer-Verlag, p. 348–358
Holbeck SL, Nepom GT. (1988) Molecular analysis of DQB3.1 genes. Human Immunol 21: 183–192
Holbeck SL, Nepom GT. (1986) Exon-specific oligonucleotide probes localize HLA DQ beta allelic polymorphisms. Immunogenetics 24: 251
Horn G, Bugawan T, Long C, and Erlich H. (1988) Allelic sequence variation of the HLA DQ loci: Relationship to serology and to IDDM susceptibility. Proc Natl Acad Sci USA 85, 6012–6016
Kim SJ, Holbeck SL, Nisperos B, Hansen JA, Maeda H, Nepom GT. (1985) Identification of a polymorphic variant associated with HLA-DQw3 and characterized by specific restriction sites within the DQ beta-chain gene. Proc Natl Acad Sci USA 82: 8139
Kwok, WW, Lotshaw C, Milner ECB, Knitter-Jack N, and Nepom GT. (1989) Mutational analysis of the HLA-DQ3.2 IDDM susceptibility gene. Proc Natl Acad Sci USA, 86: 1027–1030
Maeda H, Hirata R, Kambayashi H, Koning F, Schreuder G. (1986) Multiple epitopes on a single DQ molecule from the DQw3carrying haplotypes. Tissue Antigens 29: 136–145.
Michelsen B, and Lernmark A. (1987) Molecular cloning of a polymorphic DNA endonuclease fragment associates insulin-dependent diabetes mellitus with HLA-DQ. J Clin Invest 79: 1144–1152
Monos DS, Spielman RS, Gogolin KJ, Radka SF, Baker L, Zmuewski CM, Kamoun M. (1987) HLA-DQw3.2 allele of the DR4 haplotype is associated with insulin-dependent diabetes; correlation between DQß restriction fragments and DQB chain variation. Immunoqenetics 26: 299–303
Morel P, Dorman JS, Todd JA, McDevitt HO, and Trucco M. (1988) Aspartic acid at position 57 of the HLA-DQB chain protects against type I diabetes: A family study. Proc Natl Acad Sci USA 85: 8111–8115
Nepom GT, Palmer J, Nepom B. (1986) Specific HLA class II variants associated with IDDM. In: Immunology of Diabetes Mellitus, M. Jaworski, G. Molnar, R. Rajotte, B. Singh, eds. Excerpta Medica, Amsterdam, pp. 9–20
Robinson DM, Holbeck S, Palmer J, Nepom GT. (1989) HLA DQB3.2 identifies subtypes of DR4+ haplotypes permissive for insulin-dependent diabetes mellitus. Genetic Epidemiol, 6: 149–154
Schreuder GM, Tilanus MG, Bontrop RE, Bruining GJ, Giphart MJ, van Rood JJ, de Vries RR. (1986) HLA-DQ polymorphism associated with resistance to type I diabetes detected with monoclonal antibodies, isoelectric point differences, and restriction fragment length polymorphism. J Exp Med 164: 938–43
Spielman RS, Baur MP, and Clerget-Darpoux F. (1989) Genetic Analysis of IDDM: Summary of GAW5-IDDM Results. Genetic Epidemiol 6: 43–58
Todd JA, Bell JI, McDevitt HO. (1987) HLA-DQß gene contributes to susceptibility and resistance to insulin-dependent diabetes mellitus. Nature 329: 599–604
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Nepom, G.T., Robinson, D.M. (1990). HLA-DQ and Diabetes Mellitus: A Genetic and Structural Paradigm for Models of Disease Susceptibility. In: Demaine, A.G., Banga, JP., McGregor, A.M. (eds) The Molecular Biology of Autoimmune Disease. NATO ASI Series, vol 38. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75133-2_24
Download citation
DOI: https://doi.org/10.1007/978-3-642-75133-2_24
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-75135-6
Online ISBN: 978-3-642-75133-2
eBook Packages: Springer Book Archive