Human Medical Genetics Program, University of Colorado School of Medicine, Aurora, CO 80045, USA.
J Genet Genomics. 2011 Jul 20;38(7):271-8. doi: 10.1016/j.jgg.2011.05.005. Epub 2011 Jun 12.
Vitiligo is an acquired disease characterized principally by patchy depigmentation of skin and overlying hair. Generalized vitiligo (GV), the predominant form of the disorder, results from autoimmune loss of melanocytes from affected regions. GV is a "complex trait", inherited in a non-Mendelian polygenic, multifactorial manner. GV is epidemiologically associated with other autoimmune diseases, both in GV patients and in their close relatives, suggesting that shared genes underlie susceptibility to this group of diseases. Early candidate gene association studies yielded a few successes, such as PTPN22, but most such reports now appear to be false-positives. Subsequent genomewide linkage studies identified NLRP1 and XBP1, apparent true GV susceptibility genes involved in immune regulation, and recent genome-wide association studies (GWAS) of GV in Caucasian and Chinese populations have yielded a large number of additional validated GV susceptibility genes. Together, these genes highlight biological systems and pathways that reach from the immune cells to the melanocyte, and provide insights into both disease pathogenesis and potential new targets for both treatment and even prevention of GV and other autoimmune diseases in genetically susceptible individuals.
白癜风是一种后天获得性疾病,主要表现为皮肤和毛发的局部色素脱失。白癜风(GV)是最常见的疾病类型,主要是由于自身免疫性黑色素细胞缺失所致。GV 是一种“复杂性状”,以非孟德尔多基因、多因素的方式遗传。GV 在流行病学上与其他自身免疫性疾病有关,包括 GV 患者及其近亲,这表明这一组疾病的易感性与共享基因有关。早期候选基因关联研究取得了一些成功,如 PTPN22,但现在大多数此类报告似乎都是假阳性。随后的全基因组连锁研究鉴定了 NLRP1 和 XBP1,这两个基因似乎是参与免疫调节的真正的 GV 易感基因,最近对高加索人和中国人 GV 的全基因组关联研究(GWAS)也产生了大量其他已验证的 GV 易感基因。这些基因共同强调了从免疫细胞到黑色素细胞的生物系统和途径,为疾病发病机制以及治疗和预防遗传易感个体的 GV 和其他自身免疫性疾病的新靶点提供了深入的了解。