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乳糜泻的免疫遗传学:以阿拉伯国家为重点。

Immunogenetics of Celiac Disease: A Focus on Arab Countries.

机构信息

College of Health Sciences, Biomedical Sciences Department, Qatar University, Doha, Qatar.

Virology and Microbiology Research Group, College of Pharmacy, City University College of Ajman, Ajman, United Arab Emirates.

出版信息

Curr Mol Med. 2020;20(4):275-285. doi: 10.2174/1566524019666191024104930.

Abstract

Celiac Disease (CD) is a complex immunogenic disease mainly triggered by gluten intake in genetically susceptible individuals with a prevalence of 1 in 100-300. CD results from the interplay between genetic and environmental factors. Genetic susceptibility is believed to play a prominent role in the pathogenicity of CD, mainly due to human leukocyte antigen (HLA)-related class II genes. Although CD is wellrecognized among Arab populations, there are few studies on the genetic epidemiology and prevalence of CD in the Arab countries. Therefore, the aim of this review was to highlight the importance of studying this disease in the Arab world in the context of a global perspective. Within the few studies published so far, it was found that Arab populations have a distinctive susceptibility genetic profile from other ethnic groups with the DQ2.5 and DQ8 genotypes that are considered the major genotypes that confer susceptibility among Arab patients with CD. Our findings will pave the way to perform further epidemiological studies that will help identify potential therapeutic targets against CD among Arab patients that are diagnosed with CD.

摘要

乳糜泻(CD)是一种复杂的免疫性疾病,主要由遗传易感个体摄入麸质触发,患病率为每 100-300 人中有 1 人。CD 是由遗传和环境因素相互作用引起的。遗传易感性被认为在 CD 的发病机制中起重要作用,主要与人类白细胞抗原(HLA)相关的 II 类基因有关。尽管 CD 在阿拉伯人群中得到广泛认识,但关于阿拉伯国家 CD 的遗传流行病学和患病率的研究很少。因此,本综述的目的是强调在全球背景下研究阿拉伯世界中这种疾病的重要性。在迄今为止发表的少数研究中,发现阿拉伯人群具有与其他族群不同的易感遗传特征,其中 DQ2.5 和 DQ8 基因型被认为是赋予 CD 阿拉伯患者易感性的主要基因型。我们的研究结果将为进一步开展流行病学研究铺平道路,这将有助于确定诊断为 CD 的阿拉伯患者中针对 CD 的潜在治疗靶点。

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