Type 1 diabetes

Genetic Discovery and Risk Prediction for Type 1 Diabetes in Individuals Without High-Risk HLA-DR3/DR4 Haplotypes

Diabetes CarePublished Genetic association study

Authors' conclusion

In total, we identified heterogeneity in T1D genetic risk dependent on high-risk HLA-DR3/DR4 haplotype, which uncovers disease mechanisms and enables more accurate prediction of T1D across the HLA background.

Study context

Population
Individuals without high-risk HLA-DR3/DR4 haplotypes (non-DR3/DR4 samples)non-DR3/DR4 samples
Participants
12,316 individuals
Comparison
Non-DR3/DR4 genetic risk score (GRS) vs existing GRS2
Outcome
Genetic drivers of T1D in non-DR3/DR4
Methodological detailsfine-mapping, heterogeneity tests, genetic risk score development
  • Fine-mapping
  • Heterogeneity tests
  • Genetic risk score development

Performance

As reported in the abstract

T1D risk variants identified in non-DR3/DR4 samples
18

Further findings

OutcomeNon-DR3/DR4 GRSP value
Discrimination of non-DR3/DR4 T1D from no diabetesNon-DR3/DR4 GRS outperformed GRS2P = 7.48 × 10-32
AUC0.867
Discrimination of non-DR3/DR4 T1D from T2DNon-DR3/DR4 GRS outperformed GRS2P = 4.94 × 10-44
AUC0.907

Original publication

Genetic Discovery and Risk Prediction for Type 1 Diabetes in Individuals Without High-Risk HLA-DR3/DR4 Haplotypes. Diabetes Care. Published 3 December 2024. doi:10.2337/dc24-1251

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