Reliable genetic and immunological markers are important in the prediction of insulin-dependent diabetes mellitus (IDDM).
Since glutamic acid decarboxylase (GAD) is a candidate primary autoantigen, we examined the possible linkage between IDDM
and the genes encoding GAD
65 (
GAD2, 10p11–12) and GAD
67 (
GAD1, 2q31) in 58 Danish IDDM affected sib pairs. The allelic inheritance of 10 polymorphic dinucleotide repeat sequences spanning
the chromosomal regions of the two GAD genes, were examined by affected sib pair analysis (ASP). In addition a restriction
fragment length polymorphism (RFLP) was identified in the gene encoding GAD
65 using the restriction enzyme
PvuII. The GAD gene markers were analyzed in relation to the presence of specific HLA types and GAD autoantibodies. No evidence
of linkage was found between IDDM and either of the genes encoding GAD. This was also the case when subgroups carrying specific
HLA susceptibility alleles were analyzed. Nor did we observe any association between these GAD genetic markers and the presence
of GAD autoantibodies. Considering the high prevalence of GAD autoantibodies in IDDM, a putative genetic association between
GAD and IDDM would be expected to affect most diabetic individuals. Therefore, our data indicate that the association between
GAD and IDDM is not genetically determined, and that microsatellites used in this study do not contribute to the prediction
of IDDM.
Received: 1 July 1996 / Revised: 21 August 1996