后GWAS时代的原发性胆汁性胆管炎的遗传学研究
DOI: 10.3969/j.issn.1001-5256.2022.04.005
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:邱方、王婵、张明明负责完成初稿撰写;史兴娟负责初稿的修订;刘向东负责文章的思路、审核及定稿。
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摘要: 近二十年来随着临床对原发性胆汁性胆管炎(PBC)的认知不断提高和诊断方法的不断改进,PBC在全球的发病率和患病率呈上升趋势,已成为最常见的自身免疫性肝病。早期的家系调查结果表明PBC具有严重的遗传倾向,随后针对不同种群的PBC基因组学分析相继完成,已积累了大量的遗传学分析数据。今后PBC的遗传学研究重点将聚焦在如何将这些遗传学分析结果转化到临床实践中。Abstract: With the constant increase in the awareness of primary biliary cholangitis (PBC) and the continuous improvement in related diagnostic methods in the past two decades, the incidence and prevalence rates of PBC tend to increase and PBC is now the most common autoimmune liver disease worldwide. A series of family-based studies in the early stage have shown that PBC has strong genetic tendency, and subsequent genomic analyses have been performed for PBC in different populations and have obtained a large amount of genetic data. Future genetic studies of PBC will focus on translating these results into clinical practice.
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Key words:
- Primary Biliary Cholangitis /
- Genetics /
- Genome-Wide Association Study
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[1] SELMI C, MAYO MJ, BACH N, et al. Primary biliary cirrhosis in monozygotic and dizygotic twins: genetics, epigenetics, and environment[J]. Gastroenterology, 2004, 127(2): 485-492. DOI: 10.1053/j.gastro.2004.05.005. [2] QIU F, TANG R, ZUO X, et al. A genome-wide association study identifies six novel risk loci for primary biliary cholangitis[J]. Nat Commun, 2017, 8: 14828. DOI: 10.1038/ncomms14828. [3] HIRSCHFIELD GM, LIU X, XU C, et al. Primary biliary cirrhosis associated with HLA, IL12A, and IL12RB2 variants[J]. N Engl J Med, 2009, 360(24): 2544-2555. DOI: 10.1056/NEJMoa0810440. [4] MELLS GF, FLOYD JA, MORLEY KI, et al. Genome-wide association study identifies 12 new susceptibility loci for primary biliary cirrhosis[J]. Nat Genet, 2011, 43(4): 329-332. DOI: 10.1038/ng.789. [5] NAKAMURA M, NISHIDA N, KAWASHIMA M, et al. Genome-wide association study identifies TNFSF15 and POU2AF1 as susceptibility loci for primary biliary cirrhosis in the Japanese population[J]. Am J Hum Genet, 2012, 91(4): 721-728. DOI: 10.1016/j.ajhg.2012.08.010. [6] LIU X, INVERNIZZI P, LU Y, et al. Genome-wide meta-analyses identify three loci associated with primary biliary cirrhosis[J]. Nat Genet, 2010, 42(8): 658-660. DOI: 10.1038/ng.627. [7] CORDELL HJ, HAN Y, MELLS GF, et al. International genome-wide meta-analysis identifies new primary biliary cirrhosis risk loci and targetable pathogenic pathways[J]. Nat Commun, 2015, 6: 8019. DOI: 10.1038/ncomms9019. [8] ASSELTA R, PARABOSCHI EM, GERUSSI A, et al. X chromosome contribution to the genetic architecture of primary biliary cholangitis[J]. Gastroenterology, 2021, 160(7): 2483-2495.e26. DOI: 10.1053/j.gastro.2021.02.061. [9] CORDELL H J, FRYETT J J, UENO K, et al. An international genome-wide meta-analysis of primary biliary cholangitis: Novel risk loci and candidate drugs[J]. J Hepatol, 2021, 75(3): 572-81. DOI: 10.1016/j.jhep.2021.04.055. [10] INVERNIZZI P, SELMI C, POLI F, et al. Human leukocyte antigen polymorphisms in Italian primary biliary cirrhosis: A multicenter study of 664 patients and 1992 healthy controls[J]. Hepatology, 2008, 48(6): 1906-1912. DOI: 10.1002/hep.22567. [11] DONALDSON PT, BARAGIOTTA A, HENEGHAN MA, et al. HLA class Ⅱ alleles, genotypes, haplotypes, and amino acids in primary biliary cirrhosis: A large-scale study[J]. Hepatology, 2006, 44(3): 667-674. DOI: 10.1002/hep.21316. [12] JURAN BD, HIRSCHFIELD GM, INVERNIZZI P, et al. Immunochip analyses identify a novel risk locus for primary biliary cirrhosis at 13q14, multiple independent associations at four established risk loci and epistasis between 1p31 and 7q32 risk variants[J]. Hum Mol Genet, 2012, 21(23): 5209-5221. DOI: 10.1093/hmg/dds359. [13] ONISHI S, SAKAMAKI T, MAEDA T, et al. DNA typing of HLA class Ⅱ genes; DRB1*0803 increases the susceptibility of Japanese to primary biliary cirrhosis[J]. J Hepatol, 1994, 21(6): 1053-1060. DOI: 10.1016/s0168-8278(05)80617-8. [14] WANG C, ZHENG X, TANG R, et al. Fine mapping of the MHC region identifies major independent variants associated with Han Chinese primary biliary cholangitis[J]. J Autoimmun, 2020, 107: 102372. DOI: 10.1016/j.jaut.2019.102372. [15] DONG M, LI J, TANG R, et al. Multiple genetic variants associated with primary biliary cirrhosis in a Han Chinese population[J]. Clin Rev Allergy Immunol, 2015, 48(2-3): 316-321. DOI: 10.1007/s12016-015-8472-0. [16] WANG L, LI J, WANG C, et al. Mapping of de novo mutations in primary biliary cholangitis to a disease-specific co-expression network underlying homeostasis and metabolism[J]. J Genet Genomics, 2021. DOI: 10.1016/j.jgg.2021.07.019. [17] WANG C, ZHENG X, JIANG P, et al. Genome-wide association studies of specific antinuclear autoantibody subphenotypes in primary biliary cholangitis[J]. Hepatology, 2019, 70(1): 294-307. DOI: 10.1002/hep.30604. [18] HIRSCHFIELD GM, GERSHWIN ME, STRAUSS R, et al. Ustekinumab for patients with primary biliary cholangitis who have an inadequate response to ursodeoxycholic acid: A proof-of-concept study[J]. Hepatology, 2016, 64(1): 189-199. DOI: 10.1002/hep.28359. [19] BOWLUS CL, YANG GX, LIU CH, et al. Therapeutic trials of biologics in primary biliary cholangitis: An open label study of abatacept and review of the literature[J]. J Autoimmun, 2019, 101: 26-34. DOI: 10.1016/j.jaut.2019.04.005. [20] SHAH RA, KOWDLEY KV. Current and potential treatments for primary biliary cholangitis[J]. Lancet Gastroenterol Hepatol, 2020, 5(3): 306-315. DOI: 10.1016/S2468-1253(19)30343-7. [21] MORITOKI Y, TSUNEYAMA K, NAKAMURA Y, et al. Anti-drug antibodies against a novel humanized anti-CD20 antibody impair its therapeutic effect on primary biliary cholangitis in human CD20- and FcγR-expressing mice[J]. Front Immunol, 2018, 9: 2534. DOI: 10.3389/fimmu.2018.02534.
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