HLA-haplotypes, anti- beta-cell antibodies: their role in prognostication of type 1 diabetes mellitus (results of 11-year observation)

The risk of type 1 diabetes mellitus (DM1) depends in the first place on the presence of predetermining HLA DR haplotypes, DQ genes, and specific autoantibodies.Aim. Prospective observation of DM1 risk groups (healthy sibs of DM patients) for the elucidation of the role of genetic and autoimmune ab...

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Autores principales: Elena Vital'evna Titovich, Tamara Leonidovna Kuraeva, Sergey Alexandrovich Prokof'ev, Valentina Alexandrovna Peterkova, Ivan Ivanovich Dedov
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Publicado: Endocrinology Research Centre 2010
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spelling oai:doaj.org-article:111563def0214c30bc2c7f7b5610a3d72021-11-14T09:00:15ZHLA-haplotypes, anti- beta-cell antibodies: their role in prognostication of type 1 diabetes mellitus (results of 11-year observation)2072-03512072-037810.14341/2072-0351-6051https://doaj.org/article/111563def0214c30bc2c7f7b5610a3d72010-12-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6051https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378The risk of type 1 diabetes mellitus (DM1) depends in the first place on the presence of predetermining HLA DR haplotypes, DQ genes, and specific autoantibodies.Aim. Prospective observation of DM1 risk groups (healthy sibs of DM patients) for the elucidation of the role of genetic and autoimmune abnormalities in thedevelopment of DM1. Materials and methods. Predetermining and protective haplotypes (HLA-DRBI, DQ genes) in combination with immunological markers (autoantibodiesto cytoplasmic structures of betbeta-cells (ICA), anti-insulin autoantibodies (IAA), anti-glutamate decarboxylase autoantibodies (GAD)) were studied in healthysibs of mean age 11.9?5.8 years selected from 143 discordant families of patients with DM1. In addition, a random sample of 599 DM1 patients (mean age7.5?6.2 years) was enrolled for molecular genetic studies (HLA-DRBI-DG genes). The control group comprised 200 subjects. Results. DQAI*0501-DQB1+0201 (DQ2) and DQAI*0301-DQBI*0302 (DG8) haplotype heterozygosity creating the highest risk of DM1, the healthy sibswere divided into 3 risk groups. The high risk group 1 (DQ2/DQ8) included 23 (13.5%) subjects, moderate risk group 2 (DQ2/X, DQ8/X) 85 (59.7%), andlow risk group 3 (X/X; X - any haplotype besides DQ2, DQ8) 63 (36.8%). The frequency of autoantibodies (AB) of 2 or 3 species in group 1 was higher thanin groups 2 and 3 (26.1, 14.1, 11.1% respectively, p>0.05; 8.7, 2.4, 0%, pElena Vital'evna TitovichTamara Leonidovna KuraevaSergey Alexandrovich Prokof'evValentina Alexandrovna PeterkovaIvan Ivanovich DedovEndocrinology Research Centrearticlediabetes mellitushla-haplotypesautoantibodiesprognosticationNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 13, Iss 4, Pp 12-17 (2010)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetes mellitus
hla-haplotypes
autoantibodies
prognostication
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetes mellitus
hla-haplotypes
autoantibodies
prognostication
Nutritional diseases. Deficiency diseases
RC620-627
Elena Vital'evna Titovich
Tamara Leonidovna Kuraeva
Sergey Alexandrovich Prokof'ev
Valentina Alexandrovna Peterkova
Ivan Ivanovich Dedov
HLA-haplotypes, anti- beta-cell antibodies: their role in prognostication of type 1 diabetes mellitus (results of 11-year observation)
description The risk of type 1 diabetes mellitus (DM1) depends in the first place on the presence of predetermining HLA DR haplotypes, DQ genes, and specific autoantibodies.Aim. Prospective observation of DM1 risk groups (healthy sibs of DM patients) for the elucidation of the role of genetic and autoimmune abnormalities in thedevelopment of DM1. Materials and methods. Predetermining and protective haplotypes (HLA-DRBI, DQ genes) in combination with immunological markers (autoantibodiesto cytoplasmic structures of betbeta-cells (ICA), anti-insulin autoantibodies (IAA), anti-glutamate decarboxylase autoantibodies (GAD)) were studied in healthysibs of mean age 11.9?5.8 years selected from 143 discordant families of patients with DM1. In addition, a random sample of 599 DM1 patients (mean age7.5?6.2 years) was enrolled for molecular genetic studies (HLA-DRBI-DG genes). The control group comprised 200 subjects. Results. DQAI*0501-DQB1+0201 (DQ2) and DQAI*0301-DQBI*0302 (DG8) haplotype heterozygosity creating the highest risk of DM1, the healthy sibswere divided into 3 risk groups. The high risk group 1 (DQ2/DQ8) included 23 (13.5%) subjects, moderate risk group 2 (DQ2/X, DQ8/X) 85 (59.7%), andlow risk group 3 (X/X; X - any haplotype besides DQ2, DQ8) 63 (36.8%). The frequency of autoantibodies (AB) of 2 or 3 species in group 1 was higher thanin groups 2 and 3 (26.1, 14.1, 11.1% respectively, p>0.05; 8.7, 2.4, 0%, p
format article
author Elena Vital'evna Titovich
Tamara Leonidovna Kuraeva
Sergey Alexandrovich Prokof'ev
Valentina Alexandrovna Peterkova
Ivan Ivanovich Dedov
author_facet Elena Vital'evna Titovich
Tamara Leonidovna Kuraeva
Sergey Alexandrovich Prokof'ev
Valentina Alexandrovna Peterkova
Ivan Ivanovich Dedov
author_sort Elena Vital'evna Titovich
title HLA-haplotypes, anti- beta-cell antibodies: their role in prognostication of type 1 diabetes mellitus (results of 11-year observation)
title_short HLA-haplotypes, anti- beta-cell antibodies: their role in prognostication of type 1 diabetes mellitus (results of 11-year observation)
title_full HLA-haplotypes, anti- beta-cell antibodies: their role in prognostication of type 1 diabetes mellitus (results of 11-year observation)
title_fullStr HLA-haplotypes, anti- beta-cell antibodies: their role in prognostication of type 1 diabetes mellitus (results of 11-year observation)
title_full_unstemmed HLA-haplotypes, anti- beta-cell antibodies: their role in prognostication of type 1 diabetes mellitus (results of 11-year observation)
title_sort hla-haplotypes, anti- beta-cell antibodies: their role in prognostication of type 1 diabetes mellitus (results of 11-year observation)
publisher Endocrinology Research Centre
publishDate 2010
url https://doaj.org/article/111563def0214c30bc2c7f7b5610a3d7
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