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Published on: April 19, 2013
C4 Chido 3 and 6 distinguish two diabetogenic haplotypes: HLA-B49, SC01,DR4,DQw8 and B8,SC01,DR3,DQw2
O G Segurado1, C M Giles, P Iglesias-Casarrubios
1Hospital 12 de Octubre, Madrid, Spain.
Insights
A novel HLA-B49,DR4,DQw8 haplotype associated with insulin-dependent diabetes mellitus (IDDM) in Spain carries the SC01 complotype. This finding highlights the role of deleted class III region genes in IDDM susceptibility.
Area of Science:
- Immunogenetics
- Human Leukocyte Antigen (HLA) complex
- Complement system genetics
Background:
- The SC01 complotype, comprising specific HLA complement allotypes (BFS, C2C, C4AQ0 deleted, C4B1), is typically found on the HLA-B8,DR3,DQw2 haplotype associated with diabetes.
- Insulin-dependent diabetes mellitus (IDDM) susceptibility is linked to specific HLA haplotypes, particularly in certain populations.
Purpose of the Study:
- To investigate a novel HLA-B49,DR4,DQw8 haplotype found in Spanish IDDM patients.
- To characterize the genetic makeup of this novel haplotype and compare it to known IDDM-associated haplotypes.
- To determine the association of extended haplotypes with deleted class III region genes and IDDM susceptibility in Mediterranean populations.
Main Methods:
- Family studies utilizing C4 antigenic determinants (Rodgers/Chido) and C4d nucleotide sequences.
- Serological and DNA-level analysis of Chido determinants.
- Restriction fragment length polymorphism (RFLP) analysis of BF, C2, steroid 21-hydroxylase, and C4 genes.
- Comparison of novel haplotype with the common HLA-B8,DR3 haplotype.
Main Results:
- A novel, low-frequency HLA-B49,DR4,DQw8 haplotype associated with Spanish IDDM was identified, carrying the SC01 complotype with Chido -3, -6.
- This novel haplotype is genetically distinct from the common HLA-B8,DR3 haplotype (Chido 3,6) and not a result of recent recombination.
- The HLA-B49,SC01,DR4 haplotype is the first DR4-bearing IDDM-susceptible haplotype with a deleted C4 gene and the only DR4-bearing haplotype in the Spanish population.
- Extended haplotypes with deleted class III region genes are more frequently associated with IDDM susceptibility in Spanish and other Mediterranean populations.
Conclusions:
- The HLA-B49,DR4,DQw8 haplotype represents a distinct genetic factor contributing to IDDM susceptibility in the Spanish population.
- Chido typing is crucial for differentiating SC01 complotypes on different extended haplotypes.
- Deleted genes within the class III region of the HLA complex are significant risk factors for IDDM, particularly in Mediterranean populations.
Abstract:
The combination of the HLA complement allotypes BFS, C2C, C4AQ0 (deleted gene) and C4B1, termed SC01 complotype, usually present in the HLA-B8,DR3,DQw2 diabetogenic haplotype, has also been found in a novel "low frequency" HLA-B49,DR4,DQw8 haplotype associated with Spanish insulin-dependent diabetes mellitus (IDDM). Family studies of C4 antigenic determinants Rodgers/Chido and their specific C4d nucleotide sequences confirm that this novel haplotype bearing Chido -3, -6 is not due to a recent recombination from the common HLA-B8,DR3 haplotype bearing Chido 3,6; moreover, Chido analysis at the serological or DNA level is presently the only way to distinguish both SC01 complotypes, since BF, C2, steroid 21-hydroxylase and C4 genes do not reveal other differences by restriction fragment analysis. On the other hand, HLA-B49,SC01,DR4 is the first DR4-bearing IDDM-susceptible haplotype with a deleted C4 gene described so far and the only DR4-bearing haplotype found in the Spanish population. This report further supports the fact that extended haplotypes with deleted (or "not duplicated") genes in the class III region contain IDDM-susceptibility more often than non-deleted (or "duplicated") haplotypes in the Spanish and other Mediterranean populations.
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