Rodríguez E, Eyerich K, Weidinger S
Klinik und Poliklinik für Dermatologie und Allergologie, Technische Universität München, Germany.
Hautarzt. 2011 Feb;62(2):107-18. doi: 10.1007/s00105-010-2053-1.
Atopic dermatitis and psoriasis are two common chronic inflammatory skin diseases. Both are multifactorial disorders caused by an interaction between genetic and environmental factors. Epidemiological studies estimated a high heritability of up to 80% for both diseases, indicating a major role of genetic susceptibility factors in disease development and progression. However, in contrast to monogenic disorders, complex diseases are not caused by single gene mutations, but are the result of a complicated network of numerous susceptibility loci, many of which exert additive or synergistic effects, but have only a small role when considered in isolation. Knowledge on the genetic architecture of atopic dermatitis and psoriasis is still incomplete, but major advances have been made in the past years, in particular through genome-wide association approaches.
特应性皮炎和银屑病是两种常见的慢性炎症性皮肤病。两者都是由遗传和环境因素相互作用引起的多因素疾病。流行病学研究估计这两种疾病的遗传度高达80%,表明遗传易感因素在疾病发生和发展中起主要作用。然而,与单基因疾病不同,复杂疾病不是由单基因突变引起的,而是由众多易感基因座组成的复杂网络导致的结果,其中许多基因座具有累加或协同效应,但单独来看作用较小。关于特应性皮炎和银屑病遗传结构的知识仍然不完整,但在过去几年中已经取得了重大进展,特别是通过全基因组关联研究方法。