Type 1 diabetes

HLA haplotype diversity, islet autoantibody status and discriminative ability of type 1 diabetes genetic risk score in Indians

Diabet MedPublished Diagnostic accuracy study

Authors' conclusion

We confirm broad applicability of European 67SNPs T1DGRS to Indian T1D persons. However, differences in HLA allele frequencies, magnitude and directional differences reduced the predictive value. Our results stress the need to generate ancestry-specific GRS, which we plan to do in the near future.

Study context

Population
Indians with clinically diagnosed T1D or T2D and non-diabetic controls
Participants
611 / 1,153 / 321
Comparison
67SNPs European T1D genetic risk score: T1D vs T2D and controls; Indians vs Europeans
  • T1Dn = 611
  • T2Dn = 1,153reference
  • Controlsn = 321reference
Outcome
Discriminative ability of 67SNPs European T1DGRS (ROC AUC)

Performance

As reported in the abstract

Discrimination of T1D by T1DGRS (AUC)

AUC, Europeans

0.92

AUC, Indians all T1D

0.83

AUC, Indians AA-positive T1D

0.86

Further findings

OutcomeAA-positiveAA-negativeP value
T1DGRS by islet autoantibody statusHigher in AA-positive13.01 (interval 12.79–13.23)12.09 (interval 11.64–12.56)P < 0.0001

HLA-DQA1 ~ HLA-DQB1 haplotypes, Indians vs Europeans

Association of common haplotypes broadly similar; differences in frequency, direction and magnitude of effect for some haplotypes

Original publication

HLA haplotype diversity, islet autoantibody status and discriminative ability of type 1 diabetes genetic risk score in Indians. Diabet Med. Published 25 April 2025. doi:10.1111/dme.70041

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