CCR5-Δ32 gene polymorphism is related to celiac disease and autoimmune thyroiditis coincidence in patients with type 1 diabetes

J Diabetes Complications. 2017 Mar;31(3):615-618. doi: 10.1016/j.jdiacomp.2016.10.031. Epub 2016 Nov 3.

Abstract

Aim: The aim of the study was to assess the relationship between CCR5-Δ32 polymorphism and the coincidence of celiac and autoimmune thyroid diseases with type 1 diabetes mellitus (T1D) in children.

Methods: 420 children with T1D aged 15.5±3.0years and 350 healthy controls were studied. Characterization of CCR5-Δ32 genotypes (rs333) was analyzed by polymerase chain reaction (PCR).

Results: The allele frequency was significantly different in diabetic children as compared to the healthy controls (p<0.0001). We found negative association between T1D and Δ32 allele (OR=0.383; 95% CI=0.268-0.549). Besides, we observed alterations in the frequencies of CCR5-Δ32 genotypes due to celiac and autoimmune thyroid diseases. The risk of celiac disease for patient carriers of the 32-bp deletion was more than threefold higher than for noncarriers (OR=3.490; 95% CI=1.357-8.859; p=0.009). Similar results were obtained in the case of autoimmune thyroiditis. The risk of autoimmune thyroiditis for patient carriers of the 32-bp deletion was also more than threefold higher than for noncarriers (OR=3.466; 95% CI=1.754-6.849; p=0.0004).

Conclusions: The findings of our studies suggest that the CCR5-Δ32 polymorphism is associated with type 1 diabetes mellitus and the Δ32 allele increases the risk of celiac disease and autoimmune thyroid disorders in patients with T1D.

Keywords: Autoimmune thyroiditis; CCR5-Δ32 polymorphism; Celiac disease; Children; Type 1 diabetes mellitus.

MeSH terms

  • Adolescent
  • Alleles
  • Celiac Disease / complications
  • Celiac Disease / genetics*
  • Celiac Disease / metabolism
  • Child
  • Diabetes Mellitus, Type 1 / blood
  • Diabetes Mellitus, Type 1 / complications*
  • Diabetes Mellitus, Type 1 / drug therapy
  • Female
  • Gene Deletion*
  • Gene Frequency
  • Genetic Association Studies
  • Genetic Predisposition to Disease*
  • Glycated Hemoglobin / analysis
  • Heterozygote
  • Hospitals, University
  • Humans
  • Hyperglycemia / prevention & control
  • Hypoglycemic Agents / therapeutic use
  • Insulin / therapeutic use
  • Male
  • Poland
  • Polymorphism, Genetic*
  • Receptors, CCR5 / genetics*
  • Receptors, CCR5 / metabolism
  • Thyroiditis, Autoimmune / complications
  • Thyroiditis, Autoimmune / genetics*
  • Thyroiditis, Autoimmune / metabolism

Substances

  • CCR5 protein, human
  • Glycated Hemoglobin A
  • Hypoglycemic Agents
  • Insulin
  • Receptors, CCR5
  • hemoglobin A1c protein, human