Features of celiac disease and type 1 diabetes
Characteristic . | Celiac disease . | . | . | Type 1 diabetes . | . | . | . | . | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Genetics | HLA DQ2 (>85%) | ![]() | Account for ∼50% | HLA DQ8 | ![]() | (>90%) | ![]() | Account for ∼50% | ||||||
(HLA DQ8) | HLA DQ2 | |||||||||||||
Non-HLA genes, account for ∼50% | Non-HLA genes, account for ∼50% | |||||||||||||
Trigger of target cell damage | Infection? | Infection? | ||||||||||||
Driving antigen | Gluten | Dietary? | ||||||||||||
Autoantibodies | Reticulin antibodies, endomysial antibodies, tissue transglutaminase antibodies | Insulin autoantibodies, GAD and IA-2 antibodies | ||||||||||||
Outcome | 1 of 15–20 with HLA-conferred susceptibility progresses to clinical disease | 1 of 15–20 with HLA-conferred susceptibility progresses to clinical disease |
Characteristic . | Celiac disease . | . | . | Type 1 diabetes . | . | . | . | . | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Genetics | HLA DQ2 (>85%) | ![]() | Account for ∼50% | HLA DQ8 | ![]() | (>90%) | ![]() | Account for ∼50% | ||||||
(HLA DQ8) | HLA DQ2 | |||||||||||||
Non-HLA genes, account for ∼50% | Non-HLA genes, account for ∼50% | |||||||||||||
Trigger of target cell damage | Infection? | Infection? | ||||||||||||
Driving antigen | Gluten | Dietary? | ||||||||||||
Autoantibodies | Reticulin antibodies, endomysial antibodies, tissue transglutaminase antibodies | Insulin autoantibodies, GAD and IA-2 antibodies | ||||||||||||
Outcome | 1 of 15–20 with HLA-conferred susceptibility progresses to clinical disease | 1 of 15–20 with HLA-conferred susceptibility progresses to clinical disease |