Review Article

Effect of Associated Autoimmune Diseases on Type 1 Diabetes Mellitus Incidence and Metabolic Control in Children and Adolescents

Table 2

Characteristics of PAS, adapted from Betterle et al. [24, 25].

PASMajor components and autoantigen targetsMinor components and autoantigen targetsGenetic

IAddison’s disease21-HydroxylaseGonadal failureP450 side-chain cleavage enzyme, 17a-hydroxylaseAIRE gene mutations (chromosome 21)
Chronic hypoparathyroidism
Chronic candidiasis
(at least 2 present)
Calcium-sensing receptorVitiligoSOX9, SOX10, tyrosinase
AlopeciaTyrosine hydroxylase
IIAddison’s disease (always present)21-HydroxylaseAtrophic gastritis H+/K+ pump ATPasePolygenic inheritance (HLA-DR3, chromosome 6)
Pernicious anaemiaIntrinsic factor
Thyroid autoimmune diseasesTSH-receptor
Thyroid peroxidase
Thyroglobulin
Celiac disease Transglutaminase
Autoimmune hepatitisP450 (IID6, IA2)
Type 1 diabetes mellitusGlutamic acid decarboxylase
Tyrosine-phosphatase
Insulin
Hypophysitis and so forth68, 49, 43 kD from human
IIIThyroid autoimmune diseases associated with endocrinopathy other than Addison’s diseaseTSH-receptor
Thyroid peroxidase
Thyroglobulin
Celiac diseaseTransglutaminasePolygenic inheritance (HLA-DR3, chromosome 6)
Autoimmune hepatitisP450 (IID6, IA2)
Myasthenia gravis and so forthAcetylcholine receptor
IIIAAutoimmune thyroiditisThyroid peroxidase
Type 1 diabetes mellitusGlutamic acid decarboxylase
Tyrosine-phosphatase
Insulin
IIIBAutoimmune thyroiditisThyroid peroxidase
Pernicious anaemiaIntrinsic factor
IIICAutoimmune thyroiditisThyroid peroxidase
VitiligoSOX9, SOX10, tyrosinase
AlopeciaTyrosine hydroxylase
Other organ-specific autoimmune disease
IVCombination of organ-specific autoimmune diseases that do not fall in the previous typesGonadal failureP450 side-chain cleavage enzyme, 17a-hydroxylasePolygenic inheritance (HLA-DR3, chromosome 6)
VitiligoSOX9, SOX10, tyrosinase
AlopeciaTyrosine hydroxylase
Atrophic gastritisH+/K+ pump ATPase
Pernicious anaemiaIntrinsic factor
Celiac disease Transglutaminase
Autoimmune hepatitisP450 (IID6, IA2)
Hypophysitis and so forth68, 49, 43 kD from human