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Diabetes, Vol 49, Issue 4 555-561, Copyright © 2000 by American Diabetes Association
Sex-determining region Y-related protein SOX13 is a diabetes autoantigen expressed in pancreatic islets
H Kasimiotis, MA Myers, A Argentaro, S Mertin, S Fida, T Ferraro, J Olsson, MJ Rowley and VR Harley
Department of Biochemistry and Molecular Biology, Monash University, Clayton, Australia.
The SOX (sex-determining region [SRY]-type high mobility group [HMG] box)
family of transcription factors play key roles in determining cell fate
during organ development. In this study, we have identified a new human SOX
gene, SOX13, as encoding the type 1 diabetes autoantigen, islet cell
antigen 12 (ICA12). Sequence analysis showed that SOX13 belongs to the
class D subgroup of SOX transcription factors, which contain a leucine
zipper motif and a region rich in glutamine. SOX13 autoantibodies occurred
at a significantly higher frequency among 188 people with type 1 diabetes
(18%) than among 88 with type 2 diabetes (6%) or 175 healthy control
subjects (4%). Deletion mapping of the antibody epitopes showed that the
autoantibodies were primarily directed against an epitope requiring the
majority of the protein. SOX13 RNA was detected in most human tissues, with
the highest levels in the pancreas, placenta, and kidney.
Immunohistochemistry on sections of human pancreas identified SOX13 in the
islets of Langerhans, where staining was mostly cytoplasmic. In mouse
pancreas, Sox13 was present in the nucleus and cytoplasm of beta-cells as
well as other islet cell types. Recombinant SOX13 protein bound to the SOX
consensus DNA motif AACAAT, and binding was inhibited by homodimer
formation. These observations-along with the known molecular interactions
of the closely related protein, rainbow trout Sox23-suggest that SOX13 may
be activated for nuclear import and DNA binding through heterodimer
formation. In conclusion, we have identified ICA12 as the putative
transcription factor SOX13 and demonstrated an increased frequency of
autoantibody reactivity in sera from type 1 diabetic subjects compared with
type 2 diabetic and healthy control subjects.

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Copyright © 2000 by the American Diabetes Association.
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