Low HERV-K (C4) copy number is associated with type 1 diabetes

MJ Mason, C Speake, VH Gersuk, QA Nguyen… - Diabetes, 2014 - Am Diabetes Assoc
MJ Mason, C Speake, VH Gersuk, QA Nguyen, KK O'Brien, JM Odegard, JH Buckner…
Diabetes, 2014Am Diabetes Assoc
Complement component C4 (C4) is a highly variable complement pathway gene situated∼
500 kb from DRB1 and DQB1, the genes most strongly associated with many autoimmune
diseases. Variations in C4 copy number (CN), length, and isotype create a highly diverse
gene cluster in which insertion of an endogenous retrovirus in the ninth intron of C4, termed
HERV-K (C4), is a notable component. We investigated the relationship between C4
variation/CN and type 1 diabetes. We found that individuals with type 1 diabetes have …
Complement component C4 (C4) is a highly variable complement pathway gene situated ∼500 kb from DRB1 and DQB1, the genes most strongly associated with many autoimmune diseases. Variations in C4 copy number (CN), length, and isotype create a highly diverse gene cluster in which insertion of an endogenous retrovirus in the ninth intron of C4, termed HERV-K(C4), is a notable component. We investigated the relationship between C4 variation/CN and type 1 diabetes. We found that individuals with type 1 diabetes have significantly fewer copies of HERV-K(C4) and that this effect is not solely due to linkage with known major histocompatibility complex class II susceptibility alleles. We show that HERV-K(C4) is a novel marker of type 1 diabetes that accounts for the disease association previously attributed to some key HLA-DQB1 alleles, raising the possibility that this retroviral insertion element contributes to functional protection against type 1 diabetes.
Am Diabetes Assoc