“…Unlike T1D where the MHC region of chromosome 6 accounts for approximately 40% of the genetic risk of the disease in concert with other genes [25], and in T2D where genome-wide association studies have identified approximately 50 genetic loci associated with T2D in lean and obese individuals [26][27][28], there are no distinct genes that are unique to double diabetes. However, it is believed that the major genes that are independently associated with susceptibility to either T1D (e.g., the MHC and cytotoxic T lymphocyte-associated antigen-4 (CTLA-4) [29] or T2D (e.g., the genes encoding adiponectin (APM1) and transcription factor 7-like 2 (TCF7L2) [30] can serve as genetic determinants for double diabetes, such that the frequency of the major T1D genetic susceptibility gene (MHC) is reduced, whereas the expression of the genes associated with T2D is enhanced [31].…”