Susceptibility to IDDM has been associated with specific alleles at th
e HLA class II loci in a variety of human populations. Previous studie
s among Mexican-Americans, a group ancestrally derived from Native Ame
ricans and Hispanic whites, showed that the DR4 haplotypes (DRB10405-
DQB10302 and DBB1*0402-DQB1*0302) and the DR3 haplotype (DRB1*0301-DQ
B10201) were increased among patients and suggested a role for both D
R and DQ alleles in susceptibility and resistance. Based on the analys
is of 42 Mexican-American IDDM families and ethnically matched control
subjects by polymerase chain reaction/sequence-specific oligonucleoti
de probe typing, we report an association of IDDM with the DPB1 allele
, 0301 (relative risk = 6.6; P = 0.0012) in this population. The anal
ysis of linkage disequilibrium patterns in this population indicates t
hat the observed increased frequency in DPB10301 among patients canno
t be attributed simply to linkage disequilibrium with highrisk DR-DQ h
aplotypes. These data suggest that in addition to alleles at the DRB1
and DQB1 loci, polymorphism at the DPB1 locus may also influence IDDM
risk.