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Interaction between immunoglobulin allotypes and NK receptor genes in diabetes post-hepatitis C virus infection
Authors:Granados-Montiel Julio  Zúñiga Joaquin  Azocar Jose  Feris Edmond J  Terreros Daniel  Larsen Charles E  Clavijo Olga P  Cruz-Lagunas Alfredo  Middleton Derek  Alper Chester A  Pandey Janardan P  Yunis Edmond J
Affiliation:a Department of Cancer Immunology and AIDS, Dana-Farber Cancer Institute and Department of Pathology, Harvard Medical School, 44 Binney Street, Boston, MA 02115, United States
b Laboratory of Immunobiology and Genetics, Instituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico
c Northgate Medical Center, Springfield, MA, United States
d Texas Tech Health Sciences Center, El Paso, TX, United States
e Royal Liverpool University Hospital, Transplant Immunology Liverpool L7 8XP, UK
f Immune Disease Institute, 200 Longwood Avenue, Boston, MA, United States
g Department of Medicine, Harvard Medical School, Boston, MA, United States
h Department of Pediatrics, Harvard Medical School, Boston, MA, United States
i Department of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC 29425, United States
Abstract:Genetic interactions between natural killer (NK) cells immunoglobulin-like receptor (KIR) genes and immunoglobulin allotypes have been previously reported in type 2 diabetes mellitus (DM) patients. Puerto Rican Americans with a history of intravenous drug use who developed DM following HCV infection (n = 32) were compared to individuals infected with HCV without diabetes (n = 121) and to DM non-infected individuals (n = 95). Subjects were genotyped for KIRs and immunoglobulin allotypes. We found interactions of immunoglobulin allotypes KM3/KM3 with NK inhibitory receptors 2DL3/2DL3, 2DL1 in the absence of 2DS4 associated with susceptibility to DM in HCV infected individuals. These data suggest the possibility that a subset of patients with HCV could have an immune-mediated component contributing to the development of DM.
Keywords:HCV, hepatitis C virus   DM, diabetes mellitus   T2D, type 2 diabetes   NK, natural killer   KIR, killer immunoglobulin receptor   MHC, major histocompatibility complex   HLA, human leukocyte antigen   SC, spontaneous clearance   CV, chronic viremia   PCR, polymerase chain reaction
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