Differences in the contribution of the CTLA4 gene to susceptibility to fulminant and type 1A diabetes in Japanese patients.

Differences in the contribution of the CTLA4 gene to susceptibility to fulminant and type 1A diabetes in Japanese patients.
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DOI:
10.2337/dc08-0280
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发表时间:
2008-08
期刊:
影响因子:
16.2
通讯作者:
Eguchi K
Eguchi K
中科院分区:
医学1区
文献类型:
--
作者:
Kawasaki E;Imagawa A;Makino H;Uga M;Abiru N;Hanafusa T;Uchigata Y;Eguchi K

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目的:研究CTLA 4基因在暴发性1型糖尿病易感性中的作用,并与经典的1A型糖尿病进行比较。研究设计和方法--我们对55例暴发型1型糖尿病患者、91例典型1A型糖尿病患者和369例健康对照者的CTLA 4基因+49 G>A和CT60 G>A变异体进行基因分型。我们还评估了可溶性形式的CTLA 4(sCTLA 4)的血清水平。结论:+49GG和CT60 GG基因型与1A型糖尿病相关(P < 0.001)。相反,CT60 AA基因型与暴发型1型糖尿病相关(P < 0.05),而+49G>A变异与暴发型1型糖尿病无关(P < 0.01)。暴发型1型糖尿病患者血清sCTLA 4水平显著降低(P < 0.05)。结论:这些结果表明CTLA 4 CT60影响暴发性1型糖尿病的遗传易感性。此外,CTLA 4对疾病易感性的贡献在暴发性1型糖尿病和经典1A型糖尿病之间是不同的。
OBJECTIVE—To examine the contribution of the CTLA4 gene in the susceptibility to fulminant type 1 diabetes and compare it with classic type 1A diabetes. RESEARCH DESIGN AND METHODS—We genotyped the +49G>A and CT60G>A variants of the CTLA4 gene in fulminant type 1 diabetic patients (n = 55), classic type 1A diabetic patients (n = 91), and healthy control subjects (n = 369). We also assessed serum levels of the soluble form of CTLA4 (sCTLA4). RESULTS—The +49GG and CT60GG genotypes were associated with type 1A diabetes (P < 0.001). In contrast, the CT60AA genotype, but not the +49G>A variation, was associated with fulminant type 1 diabetes (P < 0.05), especially in patients carrying HLA-DR4 (P < 0.01). Serum levels of sCTLA4 were significantly decreased in patients with fulminant type 1 diabetes (P < 0.05). CONCLUSIONS—These results suggest that CTLA4 CT60 affects the genetic susceptibility to fulminant type 1 diabetes. Furthermore, the contribution of CTLA4 to disease susceptibility is distinct between fulminant type 1 diabetes and classic type 1A diabetes.
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发表时间: 2000-05-01
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