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MHC class I chain-related gene-A is associated with IA2 and IAA but not GAD in Swedish type 1 diabetes mellitus

  • Manu Gupta
  • Jinko Graham
  • Brian McNeeny
  • Marian Zarghami
  • Mona Landin-Olsson
  • William A. Hagopian
  • Jerry Palmer
  • Åke Lernmark
  • Carani B. Sanjeevi
Publishing year: 2006
Language: English
Pages: 229-239
Publication/Series: Annals of the New York Academy of Sciences
Volume: 1079
Document type: Journal article
Publisher: New York Academy of Sciences

Abstract english

In type I diabetes mellitus (T1DM), the frequency of antibodies against insulin (IAA), glutamic acid decarboxylase-65 (GAD65), ICA512/IA2 (IA2), and islet cell antigens (ICA) vary with human leukocyte antigen (HLA) composition of the patient. IAA, IA2 autoantibodies, and ICA are increased in DQ8 positives; GAD65 antibodies are increased in DQ2 positives. MHC class I chain-related gene-A (MICA) is another genetic marker that has been proposed to be associated with T1DM. In this article, we looked at microsatellite polymorphism of MICA and its association with autoantibodies (IAA, IA2, and GAD65) in Swedish T1DM patients and if the association explains its importance in early events in autoimmune response. We studied 635 T1DM patients between 0-35 years. Frequency of MICA5/5 was positively associated with the formation of IAA and IA2 antibodies considered individually or in combination (odds ratio 10111, 95% Cl, Pc: [IAA+ versus IAA-] : 4.94, 2.09-11.62, < 0.0005; [IA2+ versus IA2-] : 2.65,1.52-4.59,0.0015; [IAA and/or IA2+ versus rest]: 9.83, 2.37-40.78, < 0.0015; [IAA and IA2+ versus rest]: 3.51, 2.01-6.15, < 0.0015). Also, -5.115.1 was increased in IAA+ patients compared to IAA- patients (2.82, 1.64-4.83, < 0.0005). All patients positive for -5/5 developed at least one of the three antibodies. Frequency of MICA5.1 was decreased in IAA+ (0.54, 0.36-0.81, 0.017), in IA2A+ (0.63, 0.45-0.88, 0.04), in IAA and/or IA2A+ (0.52, 0.33-0.84, 0.044), and in IAA and IA2A+ (0.55, 0.39-0.78, 0.0055) patients when compared with patients negative for corresponding antibodies. Frequency of MICA9, 5/5.1, and 5.1/9 was decreased in IAA+ compared to IAA- patients (0.51, 0.32-0.79,0.021; 0.22, 0.11-0.44, < 0.005; and 0.39, 0.22-0.69, 0.026, respectively). Frequency of MICA9 and -5.1/9 was also decreased in IAA and/or IA2 antibody-positive patients while MICA5/5.1 decreased in patients positive for IAA and IA2 antibody both together. IAA and IA2 antibodies are believed to appear early during the autoimmune reaction against beta cells. Thus, according to our data, MICA-5/5 and -5.1/5.1 is associated with early autoimmunity in T1DM patients. Our study suggests that MICA gene polymorphism is associated with autoantibody formation and that the polymorphism especially MICA5/5 and -5.1/5.1 are important in early events of autoimmune reaction.


  • Other Clinical Medicine
  • IAA
  • IA2
  • GAD65
  • T1DM
  • MICA


  • Diabetes and Celiac Unit
  • ISSN: 0077-8923
E-mail: ake [dot] lernmark [at] med [dot] lu [dot] se

Principal investigator

Diabetes and Celiac Unit

+46 40 39 19 01

+46 70 616 47 79


Jan Waldenströms gata 35, Malmö


Lund University Diabetes Centre, CRC, SUS Malmö, Jan Waldenströms gata 35, House 91:12. SE-214 28 Malmö. Telephone: +46 40 39 10 00