Immune-mediated disease genetics: the shared basis of pathogenesis

被引:73
作者
Cotsapas, Chris [1 ,2 ]
Hafler, David A. [1 ,3 ]
机构
[1] Yale Univ, Sch Med, Dept Neurol, New Haven, CT 06510 USA
[2] Yale Univ, Sch Med, Dept Genet, New Haven, CT 06510 USA
[3] Yale Univ, Sch Med, Dept Immunobiol, New Haven, CT 06510 USA
关键词
GWAS; shared pathogenesis; disease risk genetics; immune-mediated disease; heritability; GENOME-WIDE ASSOCIATION; MULTIPLE-SCLEROSIS SUSCEPTIBILITY; INFLAMMATORY-BOWEL-DISEASE; CHINESE HAN POPULATION; CROHNS-DISEASE; ULCERATIVE-COLITIS; RHEUMATOID-ARTHRITIS; MISSING HERITABILITY; TYROSINE-PHOSPHATASE; CELIAC-DISEASE;
D O I
10.1016/j.it.2012.09.001
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Recent genetic studies in multiple autoimmune and inflammatory diseases have identified hundreds of genomic loci harboring risk variants. These variants are shared between diseases at unexpectedly high rates, providing a molecular basis for the shared pathogenesis of immune-mediated disease. If properly used, these results could allow us to identify specific pathways underlying disease; explain disease heterogeneity by grouping patients by molecular causes rather than overall symptomatology; and develop more rational approaches to diagnosis and therapy targeting these molecular defects. Here we review the current state of play in the genetics of immune-mediated disease, evidence for this sharing and how this new knowledge can lead to medically actionable discoveries of pathobiology.
引用
收藏
页码:22 / 26
页数:5
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