The Genetics of Primary Biliary Cholangitis: A GWAS and Post-GWAS Update.

The Genetics of Primary Biliary Cholangitis: A GWAS and Post-GWAS Update.
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DOI:
10.3390/genes14020405
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发表时间:
2023-02-03
期刊:
影响因子:
3.5
通讯作者:
Nakamura, Minoru
Nakamura, Minoru
中科院分区:
生物学3区
文献类型:
--
作者:
Hitomi, Yuki;Nakamura, Minoru

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原发性胆管炎(PBC)是一种慢性进行性胆汁淤积性肝病,其自身免疫反应破坏肝内小胆管。自身免疫性疾病是由遗传和环境因素共同作用引起的多基因复杂性状,其中PBC在疾病发展中表现出最强的遗传参与。截至2022年12月,全基因组关联研究(GWASs)和相关的荟萃分析在包括欧洲和东亚后裔在内的各种人群中确定了大约70个PBC易感基因位点。然而,这些易感位点影响PBC发病机制的分子机制尚不完全清楚。本研究概述了关于PBC遗传因素的当前数据,以及gwas后识别疾病易感位点主要功能变异和效应基因的方法。本文还讨论了这些遗传因素在PBC发展中的可能机制,重点讨论了通过硅基因集分析确定的四种主要疾病途径,即(1)人类白细胞抗原的抗原呈递,(2)白细胞介素-12相关途径,(3)肿瘤坏死因子的细胞反应,以及(4)B细胞活化、成熟和分化途径。
Primary biliary cholangitis (PBC) is a chronic, progressive cholestatic liver disease in which the small intrahepatic bile ducts are destroyed by autoimmune reactions. Among autoimmune diseases, which are polygenic complex traits caused by the combined contribution of genetic and environmental factors, PBC exhibits the strongest involvement of genetic heritability in disease development. As at December 2022, genome-wide association studies (GWASs) and associated meta-analyses identified approximately 70 PBC susceptibility gene loci in various populations, including those of European and East Asian descent. However, the molecular mechanisms through which these susceptibility loci affect the pathogenesis of PBC are not fully understood. This study provides an overview of current data regarding the genetic factors of PBC as well as post-GWAS approaches to identifying primary functional variants and effector genes in disease-susceptibility loci. Possible mechanisms of these genetic factors in the development of PBC are also discussed, focusing on four major disease pathways identified by in silico gene set analyses, namely, (1) antigen presentation by human leukocyte antigens, (2) interleukin-12-related pathways, (3) cellular responses to tumor necrosis factor, and (4) B cell activation, maturation, and differentiation pathways.
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