Inflammatory Bowel Diseases 1990
Inflammatory Bowel Diseases 1990
复制标题
炎症性肠病 1990
DOI:
--
复制
发表时间:
1990
期刊:
影响因子:
--
通讯作者:
R. H. Riddell
中科院分区:
文献类型:
--
作者:
Inflammatory Bowel;D. Rachmilewitz;R. H. Riddell
There is substantial evidence that genetic factors playa role, possibly even the preeminent role, in the predisposition to the inflammatory bowel diseases (IBD) Crohn's disease (CD) and ulcerative colitis (UC). The lines of evidence include ethnic differences in disease frequency, familial aggregation, spouse and twin studies, and the existence of genetic syndromes that feature IBD. Indeed, some of the responsible genes are being identified, by a combination of genetic marker and family based physiologic studies. The best evidence exists for the HLA and complement systems. Important physiologic abnormalities being examined autoantibodies, permeability, and colonic mucins. To further these advances, and to utilize the power of modern linkage technology and human gene mapping, an international registry of mapping cell lines from IBD families is being established. The existence of a substantial genetic component to IBD susceptibility means that etiologic studies must include a consideration of the genetic components. Genetic studies will aid in the delineation of the basic etiologies of lBD, which should lead to new therapies, and will eventually provide the means to identify those at highest risk for disease prevention. 1. IBD IS A GENETIC DISEASE I 1.1. Ethnic and familial aggregation. Epidemiologic data regarding IBD demonstrate dramatic differences in disease frequency between geographic areas and ethnic groups. Familial aggregation, i.e. an increased occurrence of disease in relatives is also well documented. These data suggest, but by themselves do not prove, that genetic factors may playa role in the etiology of IBD. From a genetic point of view, perhaps the most interesting epidemiologic observations are the reports of comparatively higher prevalence rates for the Jewish populations in the USA, Europe, and South Africa, in comparison with those of the general population in these areas (1-3). However, the frequency of IBD among Jews, although usually considerably higher than in the general population in which they reside, varies as well among the different historical ethnic subgroups within the Jewish population.
影响因子:
3.8
作者:
Jacobs,DO;Evans,DA;Mealy,K;O'Dwyer,ST;Smith,RJ;Wilmore,DW
通讯作者:
Wilmore,DW
DOI:
--
发表时间:
1988
期刊:
JAMA : the journal of the American Medical Association
影响因子:
--
作者:
Shupack,JL;Webster,GF
通讯作者:
Webster,GF
DOI:
10.1056/nejm198105143042005
发表时间:
1981
期刊:
The New England journal of medicine
影响因子:
--
作者:
Johnson,RA;Baker,SS;Fallon,JT;Maynard3rd,EP;Ruskin,JN;Wen,Z;Ge,K;Cohen,HJ
通讯作者:
Cohen,HJ