Skip to main content
The Journal of Clinical Investigation logoLink to The Journal of Clinical Investigation
. 1998 Oct 15;102(8):1569–1575. doi: 10.1172/JCI3379

Evidence for oligogenic inheritance of type 1 diabetes in a large Bedouin Arab family.

C F Verge 1, P Vardi 1, S Babu 1, F Bao 1, H A Erlich 1, T Bugawan 1, D Tiosano 1, L Yu 1, G S Eisenbarth 1, P R Fain 1
PMCID: PMC509007  PMID: 9788970

Abstract

Based on a genomic search for linkage, a locus contributing to type 1 diabetes in a large Bedouin Arab family (19 affected relatives) maps to the long arm of chromosome 10 (10q25; nonparametric linkage = 4.99; P = 0.00004). All affected relatives carry one or two high-risk HLA-DR3 haplotypes that are rarely found in other family members. One chromosome 10 haplotype, the B haplotype, was transmitted from a heterozygous parent to 13 of 13 affected offspring compared to 10 of 23 unaffected siblings. Recombination events occurring on this haplotype place the susceptibility locus in an 8-cM interval between markers D10S1750 and D10S1773. Two adjacent markers, D10S592 and D10S554, showed evidence of linkage disequilibrium with the disease locus. A 273-bp allele at D10S592 was transmitted to 8 of 10 affected offspring compared to 3 of 14 unaffected siblings, and a 151-bp allele at D10S554 was transmitted to 15 of 15 affected offspring compared with 10 of 24 unaffected siblings. D10S554 and D10S592 and the closest flanking markers are contained in a 1,240-kb yeast artificial chromosome, a region small enough to proceed with positional cloning.

Full Text

The Full Text of this article is available as a PDF (343.7 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bell G. I., Xiang K. S., Newman M. V., Wu S. H., Wright L. G., Fajans S. S., Spielman R. S., Cox N. J. Gene for non-insulin-dependent diabetes mellitus (maturity-onset diabetes of the young subtype) is linked to DNA polymorphism on human chromosome 20q. Proc Natl Acad Sci U S A. 1991 Feb 15;88(4):1484–1488. doi: 10.1073/pnas.88.4.1484. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bugawan T. L., Erlich H. A. Rapid typing of HLA-DQB1 DNA polymorphism using nonradioactive oligonucleotide probes and amplified DNA. Immunogenetics. 1991;33(3):163–170. doi: 10.1007/BF01719235. [DOI] [PubMed] [Google Scholar]
  3. Chumakov I. M., Rigault P., Le Gall I., Bellanné-Chantelot C., Billault A., Guillou S., Soularue P., Guasconi G., Poullier E., Gros I. A YAC contig map of the human genome. Nature. 1995 Sep 28;377(6547 Suppl):175–297. doi: 10.1038/377175a0. [DOI] [PubMed] [Google Scholar]
  4. Colle E., Guttmann R. D., Seemayer T. A., Michel F. Spontaneous diabetes mellitus syndrome in the rat. IV. Immunogenetic interactions of MHC and non-MHC components of the syndrome. Metabolism. 1983 Jul;32(7 Suppl 1):54–61. doi: 10.1016/s0026-0495(83)80012-2. [DOI] [PubMed] [Google Scholar]
  5. Cucca F., Muntoni F., Lampis R., Frau F., Argiolas L., Silvetti M., Angius E., Cao A., De Virgiliis S., Congia M. Combinations of specific DRB1, DQA1, DQB1 haplotypes are associated with insulin-dependent diabetes mellitus in Sardinia. Hum Immunol. 1993 Jun;37(2):85–94. doi: 10.1016/0198-8859(93)90146-r. [DOI] [PubMed] [Google Scholar]
  6. Dausset J., Cann H., Cohen D., Lathrop M., Lalouel J. M., White R. Centre d'etude du polymorphisme humain (CEPH): collaborative genetic mapping of the human genome. Genomics. 1990 Mar;6(3):575–577. doi: 10.1016/0888-7543(90)90491-c. [DOI] [PubMed] [Google Scholar]
  7. Davis S., Schroeder M., Goldin L. R., Weeks D. E. Nonparametric simulation-based statistics for detecting linkage in general pedigrees. Am J Hum Genet. 1996 Apr;58(4):867–880. [PMC free article] [PubMed] [Google Scholar]
  8. Finnish-German APECED Consortium An autoimmune disease, APECED, caused by mutations in a novel gene featuring two PHD-type zinc-finger domains. Nat Genet. 1997 Dec;17(4):399–403. doi: 10.1038/ng1297-399. [DOI] [PubMed] [Google Scholar]
  9. Ghosh S., Palmer S. M., Rodrigues N. R., Cordell H. J., Hearne C. M., Cornall R. J., Prins J. B., McShane P., Lathrop G. M., Peterson L. B. Polygenic control of autoimmune diabetes in nonobese diabetic mice. Nat Genet. 1993 Aug;4(4):404–409. doi: 10.1038/ng0893-404. [DOI] [PubMed] [Google Scholar]
  10. Grubin C. E., Daniels T., Toivola B., Landin-Olsson M., Hagopian W. A., Li L., Karlsen A. E., Boel E., Michelsen B., Lernmark A. A novel radioligand binding assay to determine diagnostic accuracy of isoform-specific glutamic acid decarboxylase antibodies in childhood IDDM. Diabetologia. 1994 Apr;37(4):344–350. doi: 10.1007/BF00408469. [DOI] [PubMed] [Google Scholar]
  11. Hudson T. J., Stein L. D., Gerety S. S., Ma J., Castle A. B., Silva J., Slonim D. K., Baptista R., Kruglyak L., Xu S. H. An STS-based map of the human genome. Science. 1995 Dec 22;270(5244):1945–1954. doi: 10.1126/science.270.5244.1945. [DOI] [PubMed] [Google Scholar]
  12. Jacob H. J., Pettersson A., Wilson D., Mao Y., Lernmark A., Lander E. S. Genetic dissection of autoimmune type I diabetes in the BB rat. Nat Genet. 1992 Sep;2(1):56–60. doi: 10.1038/ng0992-56. [DOI] [PubMed] [Google Scholar]
  13. James M. R., Richard C. W., 3rd, Schott J. J., Yousry C., Clark K., Bell J., Terwilliger J. D., Hazan J., Dubay C., Vignal A. A radiation hybrid map of 506 STS markers spanning human chromosome 11. Nat Genet. 1994 Sep;8(1):70–76. doi: 10.1038/ng0994-70. [DOI] [PubMed] [Google Scholar]
  14. Klöting I., Vogt L., Serikawa T. Locus on chromosome 18 cosegregates with diabetes in the BB/OK rat subline. Diabete Metab. 1995 Dec;21(5):338–344. [PubMed] [Google Scholar]
  15. Kruglyak L., Daly M. J., Reeve-Daly M. P., Lander E. S. Parametric and nonparametric linkage analysis: a unified multipoint approach. Am J Hum Genet. 1996 Jun;58(6):1347–1363. [PMC free article] [PubMed] [Google Scholar]
  16. Lander E., Kruglyak L. Genetic dissection of complex traits: guidelines for interpreting and reporting linkage results. Nat Genet. 1995 Nov;11(3):241–247. doi: 10.1038/ng1195-241. [DOI] [PubMed] [Google Scholar]
  17. Luo D. F., Buzzetti R., Rotter J. I., Maclaren N. K., Raffel L. J., Nisticò L., Giovannini C., Pozzilli P., Thomson G., She J. X. Confirmation of three susceptibility genes to insulin-dependent diabetes mellitus: IDDM4, IDDM5 and IDDM8. Hum Mol Genet. 1996 May;5(5):693–698. doi: 10.1093/hmg/5.5.693. [DOI] [PubMed] [Google Scholar]
  18. Nagamine K., Peterson P., Scott H. S., Kudoh J., Minoshima S., Heino M., Krohn K. J., Lalioti M. D., Mullis P. E., Antonarakis S. E. Positional cloning of the APECED gene. Nat Genet. 1997 Dec;17(4):393–398. doi: 10.1038/ng1297-393. [DOI] [PubMed] [Google Scholar]
  19. Noble J. A., Valdes A. M., Cook M., Klitz W., Thomson G., Erlich H. A. The role of HLA class II genes in insulin-dependent diabetes mellitus: molecular analysis of 180 Caucasian, multiplex families. Am J Hum Genet. 1996 Nov;59(5):1134–1148. [PMC free article] [PubMed] [Google Scholar]
  20. Risch N., Merikangas K. The future of genetic studies of complex human diseases. Science. 1996 Sep 13;273(5281):1516–1517. doi: 10.1126/science.273.5281.1516. [DOI] [PubMed] [Google Scholar]
  21. Scharf S. J., Griffith R. L., Erlich H. A. Rapid typing of DNA sequence polymorphism at the HLA-DRB1 locus using the polymerase chain reaction and nonradioactive oligonucleotide probes. Hum Immunol. 1991 Mar;30(3):190–201. doi: 10.1016/0198-8859(91)90034-7. [DOI] [PubMed] [Google Scholar]
  22. Spielman R. S., McGinnis R. E., Ewens W. J. Transmission test for linkage disequilibrium: the insulin gene region and insulin-dependent diabetes mellitus (IDDM). Am J Hum Genet. 1993 Mar;52(3):506–516. [PMC free article] [PubMed] [Google Scholar]
  23. Thomson G., Robinson W. P., Kuhner M. K., Joe S., MacDonald M. J., Gottschall J. L., Barbosa J., Rich S. S., Bertrams J., Baur M. P. Genetic heterogeneity, modes of inheritance, and risk estimates for a joint study of Caucasians with insulin-dependent diabetes mellitus. Am J Hum Genet. 1988 Dec;43(6):799–816. [PMC free article] [PubMed] [Google Scholar]
  24. Todd J. A., Aitman T. J., Cornall R. J., Ghosh S., Hall J. R., Hearne C. M., Knight A. M., Love J. M., McAleer M. A., Prins J. B. Genetic analysis of autoimmune type 1 diabetes mellitus in mice. Nature. 1991 Jun 13;351(6327):542–547. doi: 10.1038/351542a0. [DOI] [PubMed] [Google Scholar]
  25. Todd J. A., Farrall M. Panning for gold: genome-wide scanning for linkage in type 1 diabetes. Hum Mol Genet. 1996;5(Spec No):1443–1448. doi: 10.1093/hmg/5.supplement_1.1443. [DOI] [PubMed] [Google Scholar]
  26. Vardi P., Dib S. A., Tuttleman M., Connelly J. E., Grinbergs M., Radizabeh A., Riley W. J., Maclaren N. K., Eisenbarth G. S., Soeldner J. S. Competitive insulin autoantibody assay. Prospective evaluation of subjects at high risk for development of type I diabetes mellitus. Diabetes. 1987 Nov;36(11):1286–1291. doi: 10.2337/diab.36.11.1286. [DOI] [PubMed] [Google Scholar]
  27. Wicker L. S., Todd J. A., Peterson L. B. Genetic control of autoimmune diabetes in the NOD mouse. Annu Rev Immunol. 1995;13:179–200. doi: 10.1146/annurev.iy.13.040195.001143. [DOI] [PubMed] [Google Scholar]
  28. Yamagata K., Furuta H., Oda N., Kaisaki P. J., Menzel S., Cox N. J., Fajans S. S., Signorini S., Stoffel M., Bell G. I. Mutations in the hepatocyte nuclear factor-4alpha gene in maturity-onset diabetes of the young (MODY1) Nature. 1996 Dec 5;384(6608):458–460. doi: 10.1038/384458a0. [DOI] [PubMed] [Google Scholar]
  29. Yamagata K., Oda N., Kaisaki P. J., Menzel S., Furuta H., Vaxillaire M., Southam L., Cox R. D., Lathrop G. M., Boriraj V. V. Mutations in the hepatocyte nuclear factor-1alpha gene in maturity-onset diabetes of the young (MODY3) Nature. 1996 Dec 5;384(6608):455–458. doi: 10.1038/384455a0. [DOI] [PubMed] [Google Scholar]
  30. Yokoi N., Kanazawa M., Kitada K., Tanaka A., Kanazawa Y., Suda S., Ito H., Serikawa T., Komeda K. A non-MHC locus essential for autoimmune type I diabetes in the Komeda Diabetes-Prone rat. J Clin Invest. 1997 Oct 15;100(8):2015–2021. doi: 10.1172/JCI119733. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Investigation are provided here courtesy of American Society for Clinical Investigation

RESOURCES