Abstract
Background: Two inflammatory disorders, type 1 diabetes and celiac disease, cosegregate in populations, suggesting a common genetic origin. Since both diseases are associated with the HLA class II genes on chromosome 6p21, we tested whether non-HLA loci are shared.
Methods: We evaluated the association between type 1 diabetes and eight loci related to the risk of celiac disease by genotyping and statistical analyses of DNA samples from 8064 patients with type 1 diabetes, 9339 control subjects, and 2828 families providing 3064 parent-child trios (consisting of an affected child and both biologic parents). We also investigated 18 loci associated with type 1 diabetes in 2560 patients with celiac disease and 9339 control subjects.
Results: Three celiac disease loci - RGS1 on chromosome 1q31, IL18RAP on chromosome 2q12, and TAGAP on chromosome 6q25 - were associated with type 1 diabetes (P
Conclusions: A genetic susceptibility to both type 1 diabetes and celiac disease shares common alleles. These data suggest that common biologic mechanisms, such as autoimmunity-related tissue damage and intolerance to dietary antigens, may be etiologic features of both diseases.
Original language | English |
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Pages (from-to) | 2767-2777 |
Number of pages | 11 |
Journal | New England Journal of Medicine |
Volume | 359 |
Issue number | 26 |
Publication status | Published - 25-Dec-2008 |
Keywords
- GENOME-WIDE ASSOCIATION
- INTESTINAL MICROBIOTA
- RHEUMATOID-ARTHRITIS
- RISK VARIANTS
- SUSCEPTIBILITY
- CHEMOKINE
- MELLITUS
- POLYMORPHISMS
- PREVALENCE
- MULTIPLE