Understanding type 1 diabetes through genetics: advances and prospects
Abstract
Starting with early crucial discoveries of the role of the major histocompatibility complex, genetic studies have long had a role in understanding the biology of type 1 diabetes (T1D), which is one of the most heritable common diseases. Recent genome-wide association studies (GWASs) have given us a clearer picture of the allelic architecture of genetic susceptibility to T1D. Fine mapping and functional studies are gradually revealing the complex mechanisms whereby immune self-tolerance is lost, involving multiple aspects of adaptive immunity. The triggering of these events by dysregulation of the innate immune system has also been implicated by genetic evidence. Finally, genetic prediction of T1D risk is showing promise of use for preventive strategies.
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Of the remaining loci, only those for the insulin VNTR, PTPN22, CTLA4, and IL2RA are associated with odds ratios greater than 1·1.
“Of the remaining loci, only those for the insulin VNTR, PTPN22, CTLA4, and IL2RA are associated with odds ratios greater than 1·1.75”
From Type 1 diabetes (2014) · cites this paper as [75]
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- Authors
- Polychronakos, C., & Li, Q.
- Affiliations
- McGill University (CA)
- Corresponding author
- Polychronakos, Constantin
- Venue
- Nature Reviews Genetics
- Published
- 2011-10-18
- Volume
- 12
- Issue
- 11
- Pages
- 781-792
- ISSN
- 1471-0056 (ISSN-L)
- 1471-0064
- OpenAlex
- W2166110465
- Cited by
- 226
- References
- 98
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 10 · 2023: 12 · 2022: 11 · 2021: 16 · 2020: 12 · 2019: 12 · 2018: 11 · 2017: 17 · 2016: 23 · 2015: 17 · 2014: 18 · 2013: 32 · 2012: 26
- FWCI
- 2.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Genetics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- type 1 diabetes, genetic susceptibility, genetic susceptibility loci, major histocompatibility complex, self-tolerance, adaptive immunity, innate immune dysregulation, fine mapping, genetic risk prediction, disease prevention
- MeSH terms
- Alleles, Animals, Diabetes Mellitus, Type 1, Disease Models, Animal, Humans, Immune Tolerance, Immunity, Innate, Major Histocompatibility Complex, Genetic Predisposition to Disease, Quantitative Trait Loci, Genome-Wide Association Study
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