Genetic variation in IBD: progress, clues to pathogenesis and possible clinical utility

被引:75
作者
Ye, Byong Duk [1 ,2 ,3 ]
McGovern, Dermot P. B. [3 ]
机构
[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Gastroenterol, Seoul, South Korea
[2] Univ Ulsan, Coll Med, Asan Med Ctr, Ctr Inflammatory Bowel Dis, Seoul, South Korea
[3] F Widjaja Fdn, Cedars Sinai Med Ctr, Inflammatory Bowel & Immunobiol Res Inst, Med Genet Res Inst, Los Angeles, CA 90048 USA
基金
美国国家卫生研究院;
关键词
Inflammatory bowel disease; Crohn's disease; ulcerative colitis; disease susceptibility; heritability; genetics; sequencing; genome-wide association study; pharmacogenetics; GENOME-WIDE ASSOCIATION; INFLAMMATORY-BOWEL-DISEASE; ADDITIONAL SUSCEPTIBILITY LOCI; COLITIS-RISK LOCI; CROHNS-DISEASE; ULCERATIVE-COLITIS; JAPANESE PATIENTS; NOD2; VARIANTS; CONFER SUSCEPTIBILITY; TNFSF15; POLYMORPHISMS;
D O I
10.1080/1744666X.2016.1184972
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
Epidemiological and clinical studies have suggested that the pathogenesis of inflammatory bowel disease (IBD) is strongly influenced by genetic predisposition. Beyond the limitations of linkage analysis, multiple genome-wide association studies, their meta-analyses, and targeted genotyping array techniques have broadened our understanding of the genetic architecture of IBD. Currently, over 200 single nucleotide polymorphisms are known to be associated with susceptibility to IBD and through functional analysis of genes and loci, a substantial proportion of pathophysiologic mechanisms have been revealed. However, because only a modest fraction of predicted heritability can be explained by known genes/loci, additional strategies are needed including the identification of rare variants with large effect sizes to help explain the missing heritability. Considerable progress is also being made on applying outcomes of genetic research in diagnostics, classification, prognostics, and the development of new therapeutics of IBD.
引用
收藏
页码:1091 / 1107
页数:17
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