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迈向多发性硬化症遗传学的全球视野。

Towards a global view of multiple sclerosis genetics.

机构信息

Preventive Neurology Unit, Wolfson Institute of Population Health, Queen Mary University London, London, UK.

Department of Neurology, Royal London Hospital, London, UK.

出版信息

Nat Rev Neurol. 2022 Oct;18(10):613-623. doi: 10.1038/s41582-022-00704-y. Epub 2022 Sep 8.

Abstract

Multiple sclerosis (MS) is a neuroimmunological disorder of the CNS with a strong heritable component. The genetic architecture of MS susceptibility is well understood in populations of European ancestry. However, the extent to which this architecture explains MS susceptibility in populations of non-European ancestry remains unclear. In this Perspective article, we outline the scientific arguments for studying MS genetics in ancestrally diverse populations. We argue that this approach is likely to yield insights that could benefit individuals with MS from all ancestral groups. We explore the logistical and theoretical challenges that have held back this field to date and conclude that, despite these challenges, inclusion of participants of non-European ancestry in MS genetics studies will ultimately be of value to all patients with MS worldwide.

摘要

多发性硬化症(MS)是一种中枢神经系统的神经免疫性疾病,具有很强的遗传性。MS 易感性的遗传结构在欧洲血统人群中得到了很好的理解。然而,这种遗传结构在非欧洲血统人群中解释 MS 易感性的程度尚不清楚。在这篇观点文章中,我们概述了在遗传背景多样化的人群中研究 MS 遗传学的科学依据。我们认为,这种方法很可能会产生对所有祖源群体的 MS 患者都有益的见解。我们探讨了迄今为止阻碍这一领域发展的实际和理论挑战,并得出结论,尽管存在这些挑战,但将非欧洲血统的参与者纳入 MS 遗传学研究最终将对全球所有 MS 患者都有价值。

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