Profiling Associations Between IGHG-FCGR Ligand-Receptor Interactions and Disease Progression From Stage 1 and 2 to Stage 3 Type 1 Diabetes

This study investigated ligand-receptor interactions (LRIs) between IGHG and FCGR gene products in type 1 diabetes progression. Genes of 1,214 participants from the DPT-1 and TN07 trials were sequenced using next-generation targeted sequencing technology, and LRI associations with the progression time to type 1 diabetes were analyzed using Cox regression modeling. Weak associations were found for IGHG or FCGR variants individually, but multiple LRIs significantly impacted progression. Several IGHG2-FCGR interactions accelerated progression, while a few other IGHG4-FCGR interactions delayed it. The results may provide insights into certain immunogenetic mechanisms of T1D and suggest therapeutic potential of targeting specific LRIs.

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Journal
Diabetes
Published
2025-12-03
DOI
https://doi.org/10.2337/db25-0610
Primary Topic
Diabetes and associated disorders
Type
article
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article

Profiling Associations Between IGHG-FCGR Ligand-Receptor Interactions and Disease Progression From Stage 1 and 2 to Stage 3 Type 1 Diabetes

Åke Lernmark, Jay S. Skyler, Daniel E. Geraghty, George K. Papadopoulos et al.
Diabetes
Diabetes and associated disorders
article

Profiling Associations Between IGHG-FCGR Ligand-Receptor Interactions and Disease Progression From Stage 1 and 2 to Stage 3 Type 1 Diabetes

Åke Lernmark, Jay S. Skyler, Daniel E. Geraghty, George K. Papadopoulos, Ruihan Wang, George P. Bondinas, Hemang M. Parikh, Antonis K. Moustakas, Terry P. Lybrand, William W. Kwok, Lue Ping Zhao, Wyatt C. Nelson, Chul‐Woo Pyo
article en

Abstract

This study investigated ligand-receptor interactions (LRIs) between IGHG and FCGR gene products in type 1 diabetes progression. Genes of 1,214 participants from the DPT-1 and TN07 trials were sequenced using next-generation targeted sequencing technology, and LRI associations with the progression time to type 1 diabetes were analyzed using Cox regression modeling. Weak associations were found for IGHG or FCGR variants individually, but multiple LRIs significantly impacted progression. Several IGHG2-FCGR interactions accelerated progression, while a few other IGHG4-FCGR interactions delayed it. The results may provide insights into certain immunogenetic mechanisms of T1D and suggest therapeutic potential of targeting specific LRIs.

DiabetesVol. 75(2)
Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa (ZA), University of Miami (US), Technological Educational Institute of the Ionian Islands (GR), Ionian University (GR), Vanderbilt University (US), University of Washington (US), University of South Florida (US), Fred Hutch Cancer Center (US), Washington Research Foundation (US), Skåne University Hospital (SE), Technological Educational Institute of Epirus (GR)
Openalex Percentile: Top 60%
Diabetes and associated disorders
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