Zhao Yongzhong, Forst Christian V, Sayegh Camil E, Wang I-Ming, Yang Xia, Zhang Bin
Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine, 1425 Madison Avenue, NY 10029, USA.
Vertex Pharmaceuticals (Canada) Incorporated, 275 Armand-Frappier, Laval, Quebec H7V 4A7, Canada.
Mol Biosyst. 2016 Jul 19;12(8):2318-41. doi: 10.1039/c6mb00240d.
It has been well-recognized that inflammation alongside tissue repair and damage maintaining tissue homeostasis determines the initiation and progression of complex diseases. Albeit with the accomplishment of having captured the most critical inflammation-involved molecules, genetic susceptibilities, epigenetic factors, and environmental factors, our schemata on the role of inflammation in complex diseases remain largely patchy, in part due to the success of reductionism in terms of research methodology per se. Omics data alongside the advances in data integration technologies have enabled reconstruction of molecular and genetic inflammation networks which shed light on the underlying pathophysiology of complex diseases or clinical conditions. Given the proven beneficial role of anti-inflammation in coronary heart disease as well as other complex diseases and immunotherapy as a revolutionary transition in oncology, it becomes timely to review our current understanding of the molecular and genetic inflammation networks underlying major human diseases. In this review, we first briefly discuss the complexity of infectious diseases and then highlight recently uncovered molecular and genetic inflammation networks in other major human diseases including obesity, type II diabetes, coronary heart disease, late onset Alzheimer's disease, Parkinson's disease, and sporadic cancer. The commonality and specificity of these molecular networks are addressed in the context of genetics based on genome-wide association study (GWAS). The double-sword role of inflammation, such as how the aberrant type 1 and/or type 2 immunity leads to chronic and severe clinical conditions, remains open in terms of the inflammasome and the core inflammatome network features. Increasingly available large Omics and clinical data in tandem with systems biology approaches have offered an exciting yet challenging opportunity toward reconstruction of more comprehensive and dynamic molecular and genetic inflammation networks, which hold great promise in transiting network snapshots to video-style multi-scale interplays of disease mechanisms, in turn leading to effective clinical intervention.
人们已经充分认识到,炎症与组织修复和损伤共同维持组织稳态,决定了复杂疾病的发生和发展。尽管已经捕获了最关键的炎症相关分子、遗传易感性、表观遗传因素和环境因素,但我们关于炎症在复杂疾病中作用的模式仍然很大程度上不完整,部分原因是还原论在研究方法本身上的成功。组学数据以及数据集成技术的进步,使得能够重建分子和遗传炎症网络,从而揭示复杂疾病或临床病症的潜在病理生理学。鉴于抗炎在冠心病以及其他复杂疾病中的有益作用已得到证实,并且免疫疗法是肿瘤学中的一次革命性转变,因此及时回顾我们目前对主要人类疾病潜在分子和遗传炎症网络的理解变得很有必要。在这篇综述中,我们首先简要讨论传染病的复杂性,然后重点介绍最近在其他主要人类疾病中发现的分子和遗传炎症网络,包括肥胖症、II型糖尿病、冠心病、晚发性阿尔茨海默病、帕金森病和散发性癌症。基于全基因组关联研究(GWAS),在遗传学背景下探讨了这些分子网络的共性和特异性。炎症的双刃剑作用,例如异常的1型和/或2型免疫如何导致慢性和严重的临床病症,就炎性小体和核心炎症组网络特征而言仍然未知。越来越多的大型组学和临床数据与系统生物学方法相结合,为重建更全面、动态的分子和遗传炎症网络提供了一个令人兴奋但具有挑战性的机会,这在将网络快照转变为疾病机制的视频式多尺度相互作用方面具有巨大潜力,进而实现有效的临床干预。