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.

Immunobiology
|September 1, 1991
PubMed

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.