Previous studies have suggested that the HLA-DQA2 gene may be associat
ed with IDDM. The apparently limited allelism at this locus prompted u
s to investigate whether this association might be with the level of g
ene expression rather than with specific alleles. The proximal promote
r region of HLA-DQA2 was sequenced in three homozygous DR4;DQ8 subject
s with IDDM, six homozygous DR3;DQ2 subjects (three healthy controls a
nd three with IDDM), and selected DR4 and DRG cell lines. This 388-bp
region encompassed the known control W/Z/H/S, X, and Y boxes and inclu
ded a previously unremarked variant octamer sequence 40 bp upstream of
the transcription start site. Only one polymorphic site was present a
mong these 15 sequences, found in one DR3;DQ2 subject and a DR6;DQ6 ce
ll line. This indicates that any disease association with HLA-DQA2, at
least among DR3;DQ2 individuals, cannot be accounted for solely by po
lymorphism of the proximal promoter region.