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在类风湿关节炎的基因发现中,CD40/NF-κB 信号通路在疾病发病机制中起着重要作用。

Gene discovery in rheumatoid arthritis highlights the CD40/NF-kappaB signaling pathway in disease pathogenesis.

机构信息

Rosalind Russell Medical Research Center for Arthritis, Department of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA.

出版信息

Immunol Rev. 2010 Jan;233(1):55-61. doi: 10.1111/j.0105-2896.2009.00862.x.

Abstract

During the past several years, substantial progress has been made in the identification of genetic variants that predispose to rheumatoid arthritis (RA) and other autoimmune disorders. Progress in this area has been facilitated by the availability of new technology that allows for a much more comprehensive screen of the genome than was possible before, in conjunction with large samples of RA patients with well-characterized disease. Recent RA genetic studies have identified genes with important functions related to intracellular signaling mechanisms, transcription factors, cytokines, membrane receptors, costimulatory molecules, and enzymes. In particular, recent discoveries highlight the importance of the CD40/NF-kappaB signaling pathway in RA, based on genetic association with several genes relevant to this pathway, including CD40, TRAF1, TNFAIP3, and REL. Progress in the identification of genes that contribute to RA is proceeding at a very rapid pace. These genetic discoveries shed light on underlying disease mechanisms in RA and provide targets for the development of novel diagnostic and therapeutic tools for future use in this chronic inflammatory disorder.

摘要

在过去的几年中,人们在鉴定易患类风湿关节炎 (RA) 和其他自身免疫性疾病的遗传变异方面取得了重大进展。这一领域的进展得益于新技术的出现,新技术使得对基因组进行比以前更全面的筛查成为可能,同时还结合了大量具有明确疾病特征的 RA 患者样本。最近的 RA 遗传研究已经确定了与细胞内信号机制、转录因子、细胞因子、膜受体、共刺激分子和酶等相关的具有重要功能的基因。特别是,最近的发现强调了 CD40/NF-κB 信号通路在 RA 中的重要性,这是基于与该通路相关的几个基因的遗传关联,包括 CD40、TRAF1、TNFAIP3 和 REL。导致 RA 的基因的鉴定工作正在迅速推进。这些遗传发现揭示了 RA 中潜在的疾病机制,并为开发新的诊断和治疗工具提供了目标,这些工具将在未来用于这种慢性炎症性疾病。

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