UVM STAT 395 - HLA complex genes in type 1 diabetes

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TRENDS in Genetics Vol.17 No.2 February 2001http://tig.trends.com93ReviewReviewhttp://tig.trends.com 0168-9525/01/$ – see front matter © 2001 Elsevier Science Ltd. All rights reserved. PII: S0168-9525(00)02180-6ReviewReviewthrough extensive genome replicationaccompanied by chromosome fusions and frequentrearrangements. Genetics 150, 1217–12286 Lagercrantz, U. and Lydiate, D. (1996)Comparative genome mapping in Brassica.Genetics 144, 1903–19107 Leitch, I.J. and Bennett, M.D. (1997) Polyploidyin angiosperms. Trends Plant Sci. 2, 470–4768 Wendel, J.F. (2000) Genome evolution inpolyploids. Plant Mol. Biol. 42, 225–2499 Mayer, K. et al. (1999) Sequence and analysis ofchromosome 4 of the plant Arabidopsis thaliana.Nature 402, 769–77710 Lin, X. et al. (1999) Sequence and analysis ofchromosome 2 of the plant Arabidopsis thaliana.Nature 402, 761–76811 Theologis, A. et al. (20000 Sequence and analysis ofchromosome 1 of Arabidopsisthaliana. Nature 408, 816–82012 Salanoubat, M. et al. 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(1997) DNAsequence evidence for the segmentalallotetraploid origin of maize. Proc. Natl. Acad.Sci. U. S. A. 94, 6809–681432 Vision, J. et al. (2000) The origins of genomicduplications in Arabidopsis. Science290, 2114–2117ReviewType 1 diabetes, rheumatoid arthritis, multiplesclerosis and Graves’ disease are all autoimmunediseases, to name but a few, probably resulting froman inappropriate immune response to self-proteins.Apart from being characterized by loss ofimmunological tolerance to self, these diseases shareother important characteristics. First, they are allcomplex diseases where multiple genes andenvironmental factors act in concert in theiraetiology. Second, at least one of the genetic factorsinvolved in the development of these diseases islocated in the HLA complex on chromosome 6(Ref. 1).The genes within this complex that are involved indisease are frequently difficult to identify. In thisarticle, we focus on progress made in establishingwhich HLA genes are directly involved and discussmethodological aspects that are important to considerwhen studying the effects of this gene complex. Wefocus directly on type 1 diabetes because studies ofthis disease have implications for the understandingof other HLA associated diseases.Type 1 diabetesDiabetes mellitus is a group of heterogeneous disorderscharacterized by hyperglycaemia (high blood sugar).The incidence of these disorders is increasing worldwide.The predisposition to develop a majority of autoimmune diseases is associatedwith specific genes within the human leukocyte antigen (HLA) complex.However, it is frequently difficult to determine which of the many genes of theHLA complex are directly involved in the disease process.The main reasons forthese difficulties are the complexity of associations where several HLAcomplex genes might be involved,and the strong linkage disequilibrium thatexists between the genes in this complex. The latter phenomenon leads tosecondary disease associations, or what has been called ‘hitchhikingpolymorphisms’.Here, we give an overview of the complexity of HLAassociations in autoimmune disease,focusing on type 1 diabetes and trying toanswer the question:how many and which HLA genes are directly involved?HLA complex genes in type 1 diabetesand other autoimmune diseases.Which genes are involved?Dag E. Undlien,Benedicte A. Lie and Erik ThorsbyD.E.Undlien*B.A.LieE.ThorsbyInstitute of Immunology,The National Hospital andUniversity of Oslo, N-0027 Oslo, Norway.*e-mail:[email protected] in Genetics Vol.17 No.2 February


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