Murdoch Children's Research Institute, Melbourne, Australia.
Center for Regenerative Medicine of Boston University and Boston Medical Center, Boston, MA, USA.
Eur Respir Rev. 2024 May 29;33(172). doi: 10.1183/16000617.0019-2024. Print 2024 Apr 30.
COPD is a major cause of morbidity and mortality globally. While the significance of environmental exposures in disease pathogenesis is well established, the functional contribution of genetic factors has only in recent years drawn attention. Notably, many genes associated with COPD risk are also linked with lung function. Because reduced lung function precedes COPD onset, this association is consistent with the possibility that derangements leading to COPD could arise during lung development. In this review, we summarise the role of leading genes (, , , and ) identified by genome-wide association studies in lung development and COPD. Because many COPD genome-wide association study genes are enriched in lung epithelial cells, we focus on the role of these genes in the lung epithelium in development, homeostasis and injury.
COPD 是全球范围内主要的发病和致死原因。尽管环境暴露在疾病发病机制中的重要性已得到充分证实,但遗传因素的功能贡献直到近年来才引起关注。值得注意的是,许多与 COPD 风险相关的基因也与肺功能有关。由于肺功能降低先于 COPD 发病,这种关联与导致 COPD 的紊乱可能发生在肺发育过程中的可能性一致。在这篇综述中,我们总结了全基因组关联研究中确定的主要基因( , , , 和 )在肺发育和 COPD 中的作用。由于许多 COPD 全基因组关联研究基因在肺上皮细胞中富集,我们专注于这些基因在肺上皮细胞发育、稳态和损伤中的作用。