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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2006-5-29
pubmed:abstractText
To elucidate the genetic factors contributing to heterogeneity of the rate of beta-cell destruction in type 1 diabetes, we investigated the relationship between the time course of complete beta-cell loss and HLA class I and II alleles. HLA allele frequencies were also examined among subgroups classified by the mode of onset. The subjects were 266 type 1 diabetic patients (among whom 196 patients were studied longitudinally) and 136 normal control subjects. Earlier complete loss of beta-cell function was observed in patients who possessed both HLA-A24 and HLA-DQA1*03 and in patients who had HLA-DR9, compared with those without these HLA alleles (P=0.0057 and 0.0093, respectively). Much earlier complete beta-cell loss was observed in the patients who possessed all of HLA-A24, -DQA1*03, and -DR9 compared with the remaining patients (P=0.0011). The combination of HLA-A24, -DQA1*03, and -DR9 showed a higher frequency in acute-onset than slow-onset type 1 diabetes (P=0.0002). In contrast, HLA-DR2 was associated with a slower rate of progression to complete beta-cell loss. These results indicate that the combination of HLA-A24, -DQA1*03, and -DR9 contributes to the acute-onset and early complete beta-cell destruction, whereas HLA-DR2 has a protective effect against complete beta-cell loss in type 1 diabetes.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0012-1797
pubmed:author
pubmed:issnType
Print
pubmed:volume
55
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1862-8
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:16731854-Adult, pubmed-meshheading:16731854-Age of Onset, pubmed-meshheading:16731854-Alleles, pubmed-meshheading:16731854-C-Peptide, pubmed-meshheading:16731854-Diabetes Mellitus, Type 1, pubmed-meshheading:16731854-Female, pubmed-meshheading:16731854-Gene Frequency, pubmed-meshheading:16731854-HLA-A Antigens, pubmed-meshheading:16731854-HLA-A24 Antigen, pubmed-meshheading:16731854-HLA-DQ Antigens, pubmed-meshheading:16731854-HLA-DQ alpha-Chains, pubmed-meshheading:16731854-HLA-DR Antigens, pubmed-meshheading:16731854-HLA-DR Serological Subtypes, pubmed-meshheading:16731854-Humans, pubmed-meshheading:16731854-Incidence, pubmed-meshheading:16731854-Insulin-Secreting Cells, pubmed-meshheading:16731854-Japan, pubmed-meshheading:16731854-Longitudinal Studies, pubmed-meshheading:16731854-Male, pubmed-meshheading:16731854-Middle Aged, pubmed-meshheading:16731854-Multivariate Analysis, pubmed-meshheading:16731854-Polymorphism, Restriction Fragment Length
pubmed:year
2006
pubmed:articleTitle
Combination of HLA-A24, -DQA1*03, and -DR9 contributes to acute-onset and early complete beta-cell destruction in type 1 diabetes: longitudinal study of residual beta-cell function.
pubmed:affiliation
Department of Endocrinology and Metabolism, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo 105-8470, Japan. koji01@toranomon.gr.jp
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't