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基因参与 I 型干扰素系统(STAT4 和 IRF5)的遗传多态性:与亚洲系统性红斑狼疮患者的关联。

Genetic polymorphisms in genes involved in the type I interferon system (STAT4 and IRF5): association with Asian SLE patients.

机构信息

The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, China.

The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, China.

出版信息

Clin Rheumatol. 2024 Aug;43(8):2403-2416. doi: 10.1007/s10067-024-07046-8. Epub 2024 Jul 4.


DOI:10.1007/s10067-024-07046-8
PMID:38963465
Abstract

Systemic lupus erythematosus (SLE) is a common autoimmune disease with a polymorphic clinical presentation involving multisystem damages with significant differences in prevalence and disease severity among different ethnic groups. Although genetic, hormonal, and environmental factors have been demonstrated to contribute a lot to SLE, the pathogenesis of SLE is still unknown. Numerous evidence revealed that gene variants within the type I interferons (IFN) signaling pathway performed the great genetic associations with autoimmune diseases including SLE. To date, through genome-wide association studies (GWAS), genetic association studies showed that more than 100 susceptibility genes have been linked to the pathogenesis of SLE, among which TYK2, STAT1, STAT4, and IRF5 are important molecules directly connected to the type I interferon signaling system. The review summarized the genetic associations and the detailed risk loci of STAT4 and IRF5 with Asian SLE patients, explored the genotype distributions associated with the main clinical manifestations of SLE, and sorted out the potential reasons for the differences in susceptibility in Asia and Europe. Moreover, the therapies targeting STAT4 and IRF5 were also evaluated in order to propose more personalized and targeted treatment plans in SLE.

摘要

系统性红斑狼疮(SLE)是一种常见的自身免疫性疾病,其临床表现多样,涉及多系统损害,在不同种族中的患病率和疾病严重程度存在显著差异。尽管遗传、激素和环境因素已被证明对 SLE 有很大的贡献,但 SLE 的发病机制仍不清楚。大量证据表明,I 型干扰素(IFN)信号通路内的基因变异与包括 SLE 在内的自身免疫性疾病具有很强的遗传关联。迄今为止,通过全基因组关联研究(GWAS),遗传关联研究表明,已有 100 多个易感基因与 SLE 的发病机制有关,其中 TYK2、STAT1、STAT4 和 IRF5 是与 I 型干扰素信号系统直接相关的重要分子。本综述总结了 STAT4 和 IRF5 与亚洲 SLE 患者的遗传关联和详细风险位点,探讨了与 SLE 主要临床表现相关的基因型分布,并梳理了亚洲和欧洲易感性差异的潜在原因。此外,还评估了针对 STAT4 和 IRF5 的治疗方法,以期为 SLE 提出更个性化和针对性的治疗方案。

相似文献

[1]
Genetic polymorphisms in genes involved in the type I interferon system (STAT4 and IRF5): association with Asian SLE patients.

Clin Rheumatol. 2024-8

[2]
A redundant epistatic interaction between IRF5 and STAT4 of the type I interferon pathway in susceptibility to lupus and rheumatoid arthritis.

Lupus. 2013-11

[3]
Gene-gene interactions of IRF5, STAT4, IKZF1 and ETS1 in systemic lupus erythematosus.

Tissue Antigens. 2014-6

[4]
Genome-wide profiling of target genes for the systemic lupus erythematosus-associated transcription factors IRF5 and STAT4.

Ann Rheum Dis. 2012-6-23

[5]
Genetic association and interaction between the IRF5 and TYK2 genes and systemic lupus erythematosus in the Han Chinese population.

Inflamm Res. 2015-10

[6]
Association of IRF5, STAT4 and BLK with systemic lupus erythematosus and other rheumatic diseases.

Nihon Rinsho Meneki Gakkai Kaishi. 2010

[7]
Role of STAT4 polymorphisms in systemic lupus erythematosus in a Japanese population: a case-control association study of the STAT1-STAT4 region.

Arthritis Res Ther. 2008

[8]
A risk haplotype of STAT4 for systemic lupus erythematosus is over-expressed, correlates with anti-dsDNA and shows additive effects with two risk alleles of IRF5.

Hum Mol Genet. 2008-9-15

[9]
Investigation of systemic lupus erythematosus (SLE) with integrating transcriptomics and genome wide association information.

Gene. 2019-5-11

[10]
High-density genotyping of STAT4 reveals multiple haplotypic associations with systemic lupus erythematosus in different racial groups.

Arthritis Rheum. 2009-4

引用本文的文献

[1]
Genetic association between and primary Sjögren's syndrome in Han Chinese women.

Front Genet. 2025-7-23

[2]
Changes in Gut Microbiota According to Disease Severity in a Lupus Mouse Model.

Int J Mol Sci. 2025-1-24

[3]
Association between arthropathies and postpartum hemorrhage: a bidirectional Mendelian randomization study.

Front Genet. 2024-12-11

本文引用的文献

[1]
Precision medicine in systemic lupus erythematosus.

Nat Rev Rheumatol. 2023-6

[2]
The global epidemiology of SLE: narrowing the knowledge gaps.

Rheumatology (Oxford). 2023-3-29

[3]
An autoimmune pleiotropic SNP modulates IRF5 alternative promoter usage through ZBTB3-mediated chromatin looping.

Nat Commun. 2023-3-3

[4]
Down-Regulation-Resistant STAT4 Risk Haplotype Contributes to Lupus Nephritis Through CD4+ T Cell Interferon-γ Production.

Arthritis Rheumatol. 2023-6

[5]
Anifrolumab efficacy and safety by type I interferon gene signature and clinical subgroups in patients with SLE: post hoc analysis of pooled data from two phase III trials.

Ann Rheum Dis. 2022-7

[6]
Deconvoluting the heterogeneity of SLE: The contribution of ancestry.

J Allergy Clin Immunol. 2022-1

[7]
Phase 1 double-blind randomized safety trial of the Janus kinase inhibitor tofacitinib in systemic lupus erythematosus.

Nat Commun. 2021-6-7

[8]
Interaction between the rs11889341(T) risk allele and smoking confers increased risk of myocardial infarction and nephritis in patients with systemic lupus erythematosus.

Ann Rheum Dis. 2021-9

[9]
Association of the STAT4, CDKN1A, and IRF5 variants with risk of lupus nephritis and renal biopsy classification in patients in Vietnam.

Mol Genet Genomic Med. 2021-4

[10]
STAT4 Is Largely Dispensable for Systemic Lupus Erythematosus-like Autoimmune- and Foreign Antigen-Driven Antibody-Forming Cell, Germinal Center, and Follicular Th Cell Responses.

Immunohorizons. 2021-1-14

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