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Association of HLA-DR-DQ alleles, haplotypes, and diplotypes with type 1 diabetes in Saudis

  • Nezar Eltayeb-Elsheikh
  • , Eltahir Khalil
  • , Mohamed Mubasher
  • , Abdullah AlJurayyan
  • , Hanan AlHarthi
  • , Waleed H. Omer
  • , Inas Elghazali
  • , Suphia M. Sherbeeni
  • , Mohammed A. Alghofely
  • , Jorma Ilonen
  • , Gehad Elghazali
  • King Fahad Medical City
  • University of Khartoum
  • Morehouse School of Medicine
  • Research Organization of Information and Systems, National Institute of Genetics Mishima
  • Umeå University
  • University of Turku

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Aims: Type 1 diabetes (T1D) is an autoimmune disease that affects many children worldwide. Genetic factors and environmental triggers play crucial interacting roles in the aetiology. This study aimed to assess the contribution of HLA-DRB1-DQA1-DQB1 alleles, haplotypes, and genotypes to the risk of T1D among Saudis. Methods: A total of 222 children with T1D and 342 controls were genotyped for HLA-DRB1, -DQA1, and -DQB1 using reverse sequence-specific oligonucleotide (rSSO) Lab Type high definition (HD) kits. Alleles, haplotypes, and diplotypes were compared between cases and controls using the SAS statistical package. Results: DRB1*03:01-DQA1*05:01-DQB1*02:01 (32.4%; OR = 3.68; Pc <.0001), DRB1*04:05-DQA1*03:02-DQB1*03:02 (6.6%; OR = 6.76; Pc <.0001), DRB1*04:02-DQA1*03:01-DQB1*03:02 (6.0%; OR = 3.10; Pc =.0194), DRB1*04:01-DQA1*03:01-DQB1*03:02 (3.7%; OR = 4.22; Pc =.0335), and DRB1*04:05-DQA1*03:02-DQB1*02:02 (2.7%; OR = 6.31; Pc =.0326) haplotypes were significantly increased in cases compared to controls, whereas DRB1*07:01-DQA1*02:01-DQB1*02:02 (OR = 0.41; Pc =.0001), DRB1*13:01-DQA1*01:03-DQB1*06:03 (OR = 0.05; Pc <.0001), DRB1*15:01-DQA1*01:02-DQB1*06:02 (OR = 0.03; Pc <.0001), and DRB1*11:01-DQA1*05:05-DQB1*03:01 (OR = 0.07; Pc =.0291) were significantly decreased. Homozygous DRB1*03:01-DQA1*05:01-DQB1*02:01 genotypes and combinations of DRB1*03:01-DQA1*05:01-DQB1*02:01 with DRB1*04:05-DQA1*03:02-DQB1*03:02, DRB1*04:02-DQA1*03:01-DQB1*03:02, and DRB1*04:01-DQA1*03:01-DQB1*03:02 were significantly increased in cases than controls. Combinations of DRB1*03:01-DQA1*05:01-DQB1*02:01 with DRB1*07:01-DQA1*02:01-DQB1*02:02 and DRB1*13:02-DQA1*01:02-DQB1*06:04 showed low OR values but did not remain significantly decreased after Bonferroni correction. Conclusions: HLA-DRB1-DQA1-DQB1 alleles, haplotypes, and diplotypes in Saudis with T1D are not markedly different from those observed in Western and Middle-Eastern populations but are quite different than those of East Asians.

Original languageEnglish
Article numbere3345
JournalDiabetes/Metabolism Research and Reviews
Volume36
Issue number8
DOIs
StatePublished - Nov 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • HLA alleles
  • Saudis
  • haplotypes
  • type 1 diabetes

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