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MICA is associated with type 1 diabetes in the Belgian population, independent of HLA-DQ.

Abstract
To ascertain association of MICA with type 1 diabetes (T1D) in the Belgian population, well-characterized antibody-positive patients were analyzed for MICA transmembrane gene polymorphism in both an association study and a nuclear family study. The frequency of MICA5 was significantly increased in the T1D patient group (18%) compared with the control population (12%, OR=1.6, pc<10(-3)), whereas MICA9 was decreased (11% versus 16%, OR=0.7, pc<0.01). A p value<10(-3) for the association of MICA conditional on HLA class II and p=0.01 for the conditional extended transmission disequilibrium test were obtained, indicating that MICA is associated with type 1 diabetes, independent of HLA-DQ. Analysis of estimated extended HLA-DQ-MICA haplotypes revealed individual effects of MICA alleles. The most significant effect was seen for MICA5 on the HLA-DQA1*03-DQB1*0302-MICA haplotype (OR=2.5, p<10(-3)). A significant protective effect was seen for the combination of DQA1*01-DQB1*0602/3 and MICA5.1 (OR=0.3, p<10(-3)). However, patients stratified according to the presence or absence of the different MICA alleles did not differ in terms of age at onset, sex, or other diabetes-related clinical and epidemiological data. In conclusion, MICA is associated with type 1 diabetes in the Belgian population and the observed association does not result from the HLA-DQ associated risk.
AuthorsJan E Van Autreve, Bobby P C Koeleman, Erik Quartier, Folefac Aminkeng, Ilse Weets, Frans K Gorus, Bart J R Van der Auwera, Belgian Diabetes Registry
JournalHuman immunology (Hum Immunol) 2006 Jan-Feb Vol. 67 Issue 1-2 Pg. 94-101 ISSN: 0198-8859 [Print] United States
PMID16698430 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Autoantibodies
  • HLA-DQ Antigens
  • HLA-DQ alpha-Chains
  • HLA-DQ beta-Chains
  • HLA-DQA1 antigen
  • HLA-DQB1 antigen
  • Histocompatibility Antigens Class I
  • MHC class I-related chain A
Topics
  • Adolescent
  • Adult
  • Autoantibodies (blood)
  • Belgium (epidemiology)
  • Cell Membrane (genetics, metabolism)
  • Child
  • Diabetes Mellitus, Type 1 (epidemiology, genetics)
  • Female
  • Gene Frequency
  • Genetic Predisposition to Disease (epidemiology, genetics)
  • HLA-DQ Antigens (genetics)
  • HLA-DQ alpha-Chains
  • HLA-DQ beta-Chains
  • Histocompatibility Antigens Class I (genetics)
  • Humans
  • Islets of Langerhans (immunology)
  • Male
  • Molecular Epidemiology
  • Polymorphism, Genetic

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