Type 1 diabetes

HLA Class II (DR, DQ, DP) Genes Were Separately Associated With the Progression From Seroconversion to Onset of Type 1 Diabetes Among Participants in Two Diabetes Prevention Trials (DPT-1 and TN07)

Diabetes CarePublished Genetic association study

Authors' conclusion

These results suggest that HLAII polymorphisms influence progression from islet autoimmunity to T1D among at-risk subjects with islet autoantibodies.

Study context

Population
Participants with islet autoantibodies from the Diabetes Prevention Trial-1 and TrialNet Oral Insulin trial (TN07)
Participants
1,216 participants
Comparison
HLA class II haplotypes and progression from islet autoimmunity to T1D
Primary endpoint
Progression from islet autoimmunity (asymptomatic) to symptomatic T1D
Methodological detailssecondary analysis of the DPT-1 and TN07 diabetes prevention trials, next-generation targeted sequencing, Cox regression
  • Secondary analysis of the DPT-1 and TN07 diabetes prevention trials
  • Next-generation targeted sequencing
  • Cox regression

Primary result

As reported in the abstract

Progression to T1D by HLA class II haplotype
DQA1*03:01-DQB1*03:02, HR (P = 3.50*10-3)
1.25
DQA1*03:03-DQB1*03:01, HR (P = 1.16*10-3)
0.56
DQA1*05:01-DQB1*02:01, HR (P = 0.041)
1.19
DPA1*02:01-DPB1*11:01, HR adjusted for DQ (P = 0.021)
1.98
DPA1*01:03-DPB1*03:01, HR adjusted for DQ (P = 6.16*10-3)
0.70
DRB1*03:01-DRB3*01:01, HR (P = 0.04)
0.73
DRB1*03:01-DRB3*02:02, HR (P = 0.019)
1.44
DRB1*12:01-DRB3*02:02, HR (P = 0.018)
2.6
DRB1*01:03 alone, HR (P = 0.039)
2.32

Original publication

HLA Class II (DR, DQ, DP) Genes Were Separately Associated With the Progression From Seroconversion to Onset of Type 1 Diabetes Among Participants in Two Diabetes Prevention Trials (DPT-1 and TN07). Diabetes Care. Published 18 March 2024. doi:10.2337/dc23-1947

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