Todd J A, Bell J I, McDevitt H O
Department of Medical Microbiology, Stanford University School of Medicine, California 94305.
Nature. 1987;329(6140):599-604. doi: 10.1038/329599a0.
Over half of the inherited predisposition to insulin-dependent diabetes mellitus maps to the region of chromosome 6 that contains the highly polymorphic HLA class II genes which determine immune responsiveness. Analysis of DNA sequences from diabetics indicates that alleles of HLA-DQ beta determine both disease susceptibility and resistance, and that the structure of the DQ molecule, in particular residue 57 of the beta-chain, specifies the autoimmune response against the insulin-producing islet cells.
超过一半的胰岛素依赖型糖尿病遗传易感性定位于6号染色体上包含高度多态性HLA II类基因的区域,这些基因决定免疫反应性。对糖尿病患者DNA序列的分析表明,HLA-DQβ等位基因决定疾病易感性和抗性,并且DQ分子的结构,特别是β链的第57位残基,决定了针对产生胰岛素的胰岛细胞的自身免疫反应。