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

Diabetes. 2014 May;63(5):1789-95. doi: 10.2337/db13-1382. Epub 2014 Jan 15.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Alleles
  • Child
  • Complement C4 / genetics*
  • DNA Copy Number Variations
  • Diabetes Mellitus, Type 1 / genetics*
  • Endogenous Retroviruses / genetics*
  • Female
  • Gene Dosage
  • Genetic Predisposition to Disease*
  • Genetic Variation
  • Humans
  • Major Histocompatibility Complex / genetics
  • Male
  • Polymorphism, Genetic

Substances

  • Complement C4