1987
DOI: 10.1038/329599a0
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HLA-DQβ gene contributes to susceptibility and resistance to insulin-dependent diabetes mellitus

Abstract: Over half of the inherited predisposition to insulin-dependent diabetes mellitus maps to the region of chromosome 6 that contains the highly polymorphic HLA class II genes which determine immune responsiveness. Analysis of DNA sequences from diabetics indicates that alleles of HLA-DQ beta determine both disease susceptibility and resistance, and that the structure of the DQ molecule, in particular residue 57 of the beta-chain, specifies the autoimmune response against the insulin-producing islet cells.

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Cited by 1,968 publications
(1,084 citation statements)
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“…9 The absence of Asp at b57 is related to the preference of these alleles for the binding of acid residues in the P9 pocket. [10][11][12][13] This common feature, known to be involved in clinical disease 14,15 is also found in HLA-DR8, with Ser at b57, but not in the DQ4 (DQA1*0401/DQB1*0402), molecule of the DR8 haplotype that has an Asp at b57.…”
Section: Introductionmentioning
confidence: 94%
“…9 The absence of Asp at b57 is related to the preference of these alleles for the binding of acid residues in the P9 pocket. [10][11][12][13] This common feature, known to be involved in clinical disease 14,15 is also found in HLA-DR8, with Ser at b57, but not in the DQ4 (DQA1*0401/DQB1*0402), molecule of the DR8 haplotype that has an Asp at b57.…”
Section: Introductionmentioning
confidence: 94%
“…Early associations based on serological typing were established for multiple sclerosis, 3,4 type I diabetes 5,6 and celiac disease 7,8 which were subsequently resolved to specific human leukocyte antigen (HLA)-DR/DQ haplotypes. 9,10 Moreover, recent genomewide association studies using common single nucleotide polymorphism (SNP) markers have served to underline the remarkable contribution of this region in susceptibility to autoimmune disease, 11 which dwarfs any other genetic effect. Although the functional basis for the observed class II associations in autoimmune disease remain incompletely understood, one long held view suggests a breakdown in immunological tolerance to self-antigens through presentation of peptides to autoreactive T cells.…”
Section: Introductionmentioning
confidence: 99%
“…The serologically detected HLA-DR4 molecule can be encoded by 1 of 8 polymorphic variants of HLA-DR4 genes: Dw4, DwlO, Dw13.1, Dw14.1, Dw15, DKT2, Dw13.2, and Dw14.2 (by the 1989 Nomenclature Committee for Factors of the HLA System, these are called HLA-DRB1*0401, DRB 1 *0402, DRB 1 *0403, DRB 1 *0404, DRB 1 *0405, DRB1*0406, DRB1*0407, and DRB1*0408, respectively) (12,13). In some DR4-associated autoimmune diseases, such as rheumatoid arthritis (RA) and pemphigus vulgaris, disease susceptibility has been shown to be associated with select subtypes of DR4 (14)(15)(16), while in another DRCassociated disease, type I diabetes mellitus, the primary genetic association has been shown to be with DRCassociated DQBl genes (17,18).…”
mentioning
confidence: 99%