Evidence map›Paper›PMID 42620571›Full record

ArticleFrontiers in endocrinology2026

HLA class II alleles and haplotypes associated with susceptibility to type 1 diabetes and to type 1 diabetes with concomitant autoimmune diseases: a cross-sectional study from Eastern Croatia.

Ivan Lekić, Saška Marczi, Mirjana Suver Stević, Nenad Nešković, Stana Tokić, Romana Marušić, Anđelka Bugarin, Martin Petrek, Tatjana Bačun

Abstract read
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Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ivan LekićDepartment of Internal Medicine and History of Medicine, Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Saška MarcziDepartment of Human leukocyte antigen (HLA) Typing and Genomic Diagnostics, Clinical Institute of Transfusion Medicine, University Hospital Center Osijek, Osijek, Croatia.
Mirjana Suver StevićDepartment of Human leukocyte antigen (HLA) Typing and Genomic Diagnostics, Clinical Institute of Transfusion Medicine, University Hospital Center Osijek, Osijek, Croatia.
Nenad NeškovićInternational Medical Center Priora, Čepin, Croatia.
Stana TokićDepartment of Laboratory Medicine and Pharmacy, Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Romana MarušićDepartment of Internal Medicine, National Memorial Hospital "Dr. Juraj Njavro", Vukovar, Croatia.
Anđelka BugarinDepartment of Human leukocyte antigen (HLA) Typing and Genomic Diagnostics, Clinical Institute of Transfusion Medicine, University Hospital Center Osijek, Osijek, Croatia.
Martin PetrekDepartment of Pathological Physiology, Faculty of Medicine and Dentistry, Palacký University Olomouc, Olomouc, Czechia.
Tatjana BačunDepartment of Internal Medicine and History of Medicine, Faculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Type 1 diabetes mellitus (T1D) is an autoimmune disease with a strong genetic predisposition, largely conferred by human leukocyte antigen (HLA) class II genes. Patients with T1D frequently develop additional autoimmune diseases (AIDs). However, data on HLA class II alleles and haplotypes associated with concomitant autoimmune diseases in T1D remain limited, particularly in Central European populations. This study aimed to investigate the distribution of HLA class II allele variants and haplotypes in patients with T1D with and without concomitant autoimmune diseases affecting the thyroid, gastrointestinal tract, and skin. Methods: This cross-sectional study included 149 T1D patients who underwent low- to intermediate-resolution HLA typing of Results: Among 149 T1D patients, 55 (36.9%) had a concomitant autoimmune disease, most commonly affecting the thyroid (23.5%), gastrointestinal tract (7.4%), or skin (6.0%). The Conclusion: These findings confirm the established role of the HLA-DR3-DQ2 and HLA-DR4-DQ8 haplotypes in genetic susceptibility to T1D in a Central European population. Because a direct comparison between the T1D-alone and T1D+AID groups did not reveal significant differences, DR4-DQ8 should be interpreted as being associated with an increased risk of both phenotypes relative to healthy controls, rather than as specifically distinguishing patients with autoimmune comorbidities from those without. Given the small number of patients within individual comorbidity subgroups, disease-specific HLA associations could not be evaluated separately. Independent replication in larger, multicenter cohorts with high-resolution HLA typing is needed before these findings can be applied in clinical practice.

Indexed as

Autoimmune DiseasesDiabetes Mellitus, Type 1Genetic Predisposition to DiseaseHaplotypesAdolescentAdultAllelesChildChild, PreschoolCroatiaCross-Sectional StudiesFemaleGene FrequencyHLA-DQ alpha-ChainsHLA-DRB1 ChainsHumansHLA-DQA1 antigenHLA-DQ alpha-ChainsHLA-DRB1 Chainsallelesautoimmune thyroiditisceliac diseasediabetes mellitus type 1haplotypeshistocompatibility antigens class IIpolyendocrinopathies

Identifiers

PMID42620571
PMCPMC13485562

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.