Evidence map›Paper›PMID 8317480›Full record

ArticleAmerican journal of human genetics1993

HLA-DQ primarily confers protection and HLA-DR susceptibility in type I (insulin-dependent) diabetes studied in population-based affected families and controls.

I Kockum, R Wassmuth, E Holmberg, B Michelsen, A Lernmark

Abstract read
In one paragraph

Article in American journal of human genetics, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
7.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 102 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Genetics of autoimmune diabetes mellitus.Wiener medizinische Wochenschrift (1946) · 2008
    Review
  5. Article
  6. Review
  7. Article
  8. Genetic predisposition to IDDM.Clinical reviews in allergy & immunology · 2000
    Review
  9. Article
  10. Article
  11. Reproductive failure and the major histocompatibility complex.American journal of human genetics · 1995
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Molecular biology of IDDM.Diabetologia · 1994
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

I KockumR. H. Williams Laboratory, Department of Medicine, University of Washington, Seattle.
R Wassmuth
E Holmberg
B Michelsen
A Lernmark
University of Washington · US

Funding

NIDDK NIH HHS DK 47426
6 · The paper itself

Abstract

The association between HLA-DR and -DQ and insulin-dependent diabetes mellitus (IDDM) in a defined high-incidence area was analyzed in a total of 58 population-based patients, representing 77% of IDDM patients with age at onset below 16 years, and in 92 unrelated parents in control families without IDDM. HLA haplotypes were confirmed by analyzing first-degree relatives in both groups. Seven different methods were used to analyze risk: (1) odds ratio, (2) absolute risk, (3) haplotype relative risk, (4) transcomplementation relative risk, (5) relative predisposing effects, (6) stratification analysis, and (7) test of predisposing allele on haplotype. DQB1*0302 indicated somewhat higher risk than did DR4, while DR3 had a higher risk than DQB1*0201; however, the 95% confidence intervals of the risk estimates overlapped. The positive association between IDDM and the DQB1*0201-DQA1*0501-DR3 haplotype seems to be due to DR3 or to an unknown linked gene. More important, DQA1*0301 was present among 93% of the patients, and this allele in various transcomplementation combinations with DQB1 alleles showed closer association to IDDM than did any other alleles. The strong negative association of the DQB1*0602 allele also in the presence of either DR4 or DQB1*0302 or both suggests that, in a high-risk population for IDDM, HLA-DQ primarily confers protection, perhaps by induction of tolerance. Consistent with known functions, HLA-DR may primarily confer susceptibility, perhaps by induction of autoreactive T lymphocytes.

Indexed as

AdolescentAllelesDiabetes Mellitus, Type 1DNAGenetic Predisposition to DiseaseGenotypeHaplotypesHLA-DQ AntigensHLA-DR AntigensHumansOdds RatioRisk FactorsDNAHLA-DQ AntigensHLA-DR Antigens

Identifiers

PMID8317480
PMCPMC1682248
OpenAlexW1594503758

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.