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Preliminary analysis of lifestyle and genetic factors for hyperuricemia and gout prevalence in the Yunnan Miao population of China. 云南苗族人群高尿酸血症和痛风流行的生活方式及遗传因素初步分析。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-29 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1729712
Qiaohong Li, Salma Saeed Khan, Hao Yan, Weiying Kong, Lu Qin, Linmei Wu, Lingjie Li, Weijun Gong, Hua Zheng, Haiyan Li

Objectives: Hyperuricemia and gout are common public health problems, stemming from both genetic and lifestyle factors. Evidence from multi-ethnic regions in Yunnan Province remains limited. This preliminary study examined hyperuricemia and gout prevalence, related biomarkers, lifestyle patterns, and SLC2A9/SLC22A12 genetics variations among 88 participants from the Miao community in Yunnan Province China.

Methods: A cross-sectional survey and biochemical study were conducted. Demographic and lifestyle data were collected, and blood samples were analyzed for serum biochemical indicators. Eight SNPs in SLC2A9 and SLC22A12 were genotyped. Logistic regression models were applied to allele and genotype data.

Results: Demographic and clinical analyses for Miao villagers (n = 88) suggested that the morbidities of hyperuricemia and gout were more frequent in male and showed significant association with alcohol consumption, smoking, and elevated BMI. While dietary patterns showed no significant differences. Compared with non-hyperuricemia/non-gout individuals (n = 56), the hyperuricemia/gout group (n = 57) showed 56% higher uric acid (553.13 vs. 354.73 μmol/L), 37% elevated creatinine (84.66 vs. 61.80 μmol/L), and higher triglycerides (3.35 vs. 1.80 mmol/L), along with hematological abnormalities, e.g., elevated hemoglobin (162.77 vs. 147.50 g/L) and lower platelets counts (161.09 vs. 194.14 × 109/L). Preliminary genetic analyses indicated a possible association between SLC2A9_rs10939650 and hyperuricemia/gout risk, whereas variant SLC22A12 polymorphisms showed no association. After Bonferroni correction, no SNPs remained statistically significant.

Conclusion: This preliminary study suggested that the relatively higher burden of hyperuricemia and gout in the Miao population may be influenced by ethnicity, sex, lifestyle factors, metabolic alteration, and potential genetic components. Given the small sample size, the genetic findings should be interpreted cautiously and validated in larger studies for that disease (hyperuricemia and gout) and for similar ethnic community.

目的:高尿酸血症和痛风是常见的公共卫生问题,源于遗传和生活方式因素。来自云南省多民族地区的证据仍然有限。这项初步研究调查了来自中国云南省苗族社区的88名参与者的高尿酸血症和痛风患病率、相关生物标志物、生活方式和SLC2A9/SLC22A12遗传变异。方法:采用横断面调查和生化研究。收集人口统计学和生活方式资料,分析血液样本的血清生化指标。SLC2A9和SLC22A12的8个snp进行了基因分型。对等位基因和基因型数据采用Logistic回归模型。结果:对苗族村民(88例)的人口统计学和临床分析表明,高尿酸血症和痛风的发病率在男性中更为常见,并与饮酒、吸烟和BMI升高有显著关联。而饮食模式没有显著差异。与非高尿酸血症/非痛风组(n = 56)相比,高尿酸血症/痛风组(n = 57)尿酸升高56% (553.13 μmol/L vs. 354.73 μmol/L),肌酐升高37% (84.66 μmol/L vs. 61.80 μmol/L),甘油三酯升高(3.35 vs. 1.80 mmol/L),血液学异常,如血红蛋白升高(162.77 vs. 147.50 g/L)和血小板计数降低(161.09 vs. 194.14 × 109/L)。初步的遗传分析表明SLC2A9_rs10939650与高尿酸血症/痛风风险之间可能存在关联,而SLC22A12变异多态性则没有关联。经Bonferroni校正后,没有snp仍然具有统计学意义。结论:苗族人群较高的高尿酸血症和痛风负担可能与民族、性别、生活方式、代谢改变和潜在的遗传因素有关。鉴于样本量小,基因研究结果应谨慎解释,并在针对该疾病(高尿酸血症和痛风)和类似种族社区的更大规模研究中得到验证。
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引用次数: 0
Editorial: Vascular aging through understanding of inherited basis of aortic disease. 社论:通过了解主动脉疾病的遗传基础,血管衰老。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-29 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1778745
Maya S Safarova, Katherine Athayde Teixeira de Carvalho, Cornelie Nienaber-Rousseau
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引用次数: 0
Identification of potentially deleterious mutations in gastric cancer using patient-derived xenograft models. 利用病人来源的异种移植模型鉴定胃癌中潜在的有害突变。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-29 eCollection Date: 2025-01-01 DOI: 10.3389/fgene.2025.1571535
Luke Kong, Jie Wang, Junqi Zheng, Xihua Yang, Ruifang Sun, Jiahui Kou, Yujie Yao, Feng Li, Fuhua Wang, Sutang Guo

Background: This study aimed to identify novel mutations associated with the progression of gastric cancer by establishing patient-derived xenograft (PDX) models and performing comprehensive genomic characterization of these PDX models and their corresponding primary tumors.

Methods: Fresh gastric cancer tissue samples were collected from 20 patients who underwent surgical resection at Shanxi Cancer Hospital and were subsequently implanted into NOD-SCID mice to establish PDX models. Histopathological features were evaluated using hematoxylin and eosin (H&E) staining. Whole-exome sequencing (WES) was performed on both primary tumors and their corresponding F1-PDX and F3-PDX tumors, focusing on mutations within 559 cancer-related genes. Predictive tools, including SIFT, Polyphen2_HVAR, Polyphen2_HDIV, and Mutation Taster, were utilized to identify potentially deleterious mutations, while I-Mutant and MUpro were employed to assess protein stability.

Results: Nine gastric cancer PDX models were successfully established, with seven models propagated to the third generation (F3-PDX), achieving an initial engraftment success rate of 45%. The latency of tumor establishment significantly decreased with each successive generation. The histological characteristics of the primary tumors were well preserved in the PDX models. WES of the three selected models revealed key mutated genes in primary tumors (F0), including IRS2, BLM, PDE4DIP, NUMA1, MYH9, TP53, PIK3CD, ERCC5, and ASXL1. A total of 28 somatic mutations were conserved across all three generations (F0, F1-PDX, and F3-PDX) in these models, representing a conservation rate of 43.75% (28/64). Among these conserved mutations, 10 were identified as potentially deleterious by multiple bioinformatics algorithms. Mutations in PTPRK (p.L988S), PIK3CB (p.F934L), LRP1B (p.A1912T), and IGF2R (p.G2052R) were predicted to significantly decrease protein stability.

Conclusion: This study demonstrated that PDX models effectively preserve the biological and genetic characteristics of primary gastric tumors, underscoring their utility in studying tumor heterogeneity. The integrated analysis of longitudinal WES data from primary tumors and matched PDXs enabled the identification of a core set of conserved, potentially deleterious mutations. The four prioritized mutations (PTPRK, PIK3CB, LRP1B, and IGF2R) provide new insights into the genetic landscape of gastric cancer and represent promising candidates for the development of targeted therapeutic strategies.

背景:本研究旨在通过建立患者来源的异种移植瘤(PDX)模型,并对这些PDX模型及其相应的原发肿瘤进行全面的基因组表征,以确定与胃癌进展相关的新突变。方法:选取山西省肿瘤医院20例手术切除患者的新鲜胃癌组织,植入NOD-SCID小鼠体内,建立PDX模型。采用苏木精和伊红(H&E)染色评价组织病理学特征。对原发肿瘤及其相应的F1-PDX和F3-PDX肿瘤进行了全外显子组测序(WES),重点研究了559个癌症相关基因的突变。预测工具,包括SIFT, Polyphen2_HVAR, Polyphen2_HDIV和Mutation Taster,用于识别潜在的有害突变,而I-Mutant和MUpro用于评估蛋白质稳定性。结果:成功建立了9个胃癌PDX模型,其中7个模型传代到第三代(F3-PDX),初始移植成功率为45%。每代小鼠肿瘤形成潜伏期明显缩短。原发肿瘤的组织学特征在PDX模型中得到很好的保留。三种模型的WES结果显示原发肿瘤中的关键突变基因(F0),包括IRS2、BLM、PDE4DIP、NUMA1、MYH9、TP53、PIK3CD、ERCC5和ASXL1。在这些模型中,共有28个体细胞突变在所有三代(F0、F1-PDX和F3-PDX)中保守,保守率为43.75%(28/64)。在这些保守突变中,有10个被多种生物信息学算法鉴定为潜在的有害突变。PTPRK (p.L988S)、PIK3CB (p.F934L)、LRP1B (p.A1912T)和IGF2R (p.G2052R)突变预计会显著降低蛋白质的稳定性。结论:本研究表明PDX模型有效地保留了原发性胃肿瘤的生物学和遗传学特征,强调了其在研究肿瘤异质性方面的应用价值。对来自原发肿瘤和匹配的pdx的纵向WES数据进行综合分析,能够鉴定出一组保守的、潜在有害的核心突变。这四个优先突变(PTPRK, PIK3CB, LRP1B和IGF2R)为胃癌的遗传格局提供了新的见解,并代表了有希望的靶向治疗策略的发展。
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引用次数: 0
Differential effects on tumor progression by APOBEC3A, APOBEC3B, and APOBEC3H Haplotype I in a breast cancer mouse xenograft model. APOBEC3A、APOBEC3B和APOBEC3H单倍型I在乳腺癌小鼠异种移植模型中对肿瘤进展的差异影响
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-28 eCollection Date: 2025-01-01 DOI: 10.3389/fgene.2025.1425483
Milaid Granadillo Rodríguez, Lai Wong, Arzhang Shayeganmehr, Diogo Pellegrina, Frederick S Vizeacoumar, Franco J Vizeacoumar, Mohamed Helmy, Linda Chelico

Introduction: The APOBEC3 family of cytidine deaminases induces somatic mutations that are highly prevalent in cancers, but the functional consequences remain largely unknown.

Methods: To determine these consequences, we exposed MCF7 tumorigenic breast epithelial cells to APOBEC3A, APOBEC3B or APOBEC3H Haplotype I.

Results: Comparative analysis between cells pre and post -APOBEC3 exposure revealed fewer deamination-dependent γH2AX foci post-APOBEC3 exposure, despite maintaining APOBEC3 protein expression. In a mouse xenograft model, high expressing, but not low expressing APOBEC3A-exposed cells caused increased tumor progression. In contrast, high expressing, but not low expressing APOBEC3B-exposed cells decreased tumor size. APOBEC3H Haplotype I-exposed cells stochastically increased tumor progression independent of expression levels. Consistent with tumor data, RNA-seq showed upregulation of tumor enhancing pathways only in cells that enhanced tumor progression.

Discussion: The results indicate that in a breast cancer xenograft model, APOBEC3A and APOBEC3H Haplotype I are more likely to contribute to enhanced tumor progression than APOBEC3B.

胞苷脱氨酶APOBEC3家族诱导在癌症中非常普遍的体细胞突变,但其功能后果在很大程度上仍然未知。方法:为了确定这些后果,我们将MCF7致瘤性乳腺上皮细胞暴露于APOBEC3A、APOBEC3B或APOBEC3H单倍型i中。结果:对暴露于APOBEC3前后的细胞进行比较分析发现,尽管APOBEC3蛋白表达保持不变,但暴露于APOBEC3后,脱氮依赖性γ - h2ax灶减少。在小鼠异种移植模型中,高表达而非低表达的apobec3a暴露细胞导致肿瘤进展加快。相反,高表达而非低表达的apobec3b暴露细胞减小肿瘤大小。APOBEC3H单倍型i暴露的细胞随机增加肿瘤进展,与表达水平无关。与肿瘤数据一致,RNA-seq显示仅在促进肿瘤进展的细胞中肿瘤增强通路上调。讨论:结果表明,在乳腺癌异种移植模型中,APOBEC3A和APOBEC3H单倍型I比APOBEC3B更有可能促进肿瘤进展。
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引用次数: 0
Chromosome-level reference genome of Tylorrhynchus heterochaetus (Annelida, Nereididae). 异毛tylorrhynchus heterochaetus的染色体水平参考基因组(环节动物,neridae)。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1753621
Wei Yang, Xuemin Zhang, Bin Fan, Yuanyuan Si, Ruiwen Xu, Shengkang Li, Zining Meng, Xinghan Chen

The Tylorrhynchus heterochaetus, a polychaete benthic invertebrate belonging to the Nereididae family, has emerged as a promising aquaculture species. It is highly regarded for its nutritional profile, with protein accounting for up to 60% of its dry weight, as well as its balanced amino acid composition. This has earned it the nickname "aquatic cordyceps". However, wild populations of this species have declined significantly due to environmental shifts and human activities, with local extinctions reported in certain regions. A critical barrier to advancing its population genetics and conservation biology has been the absence of a chromosomal-level reference genome for T. heterochaetus. To address this gap, we present the first chromosome-level genome assembly of T. heterochaetus, generated using PacBio HiFi sequencing data and Hi-C technology. The final assembly spans 782.25 Mb with a scaffold N50 of 75.39 Mb, successfully anchored to 11 pseudo-chromosomes. Repetitive sequences account for 428.09 Mb (54.73%) of the genome, and 20,145 protein-coding genes were annotated. This study provides foundational insights into the genetics, genomics, and evolutionary history of T. heterochaetus, laying a critical groundwork for future research and enabling the development of targeted genetic conservation strategies.

Tylorrhynchus heterochaetus是一种多毛纲底栖无脊椎动物,属于Nereididae科,是一种很有前途的水产养殖物种。它的营养价值备受推崇,蛋白质占其干重的60%,氨基酸组成也很平衡。这为它赢得了“水生冬虫夏草”的绰号。然而,由于环境变化和人类活动,该物种的野生种群数量显著下降,在某些地区有局部灭绝的报道。一个关键的障碍,以推进其种群遗传学和保护生物学是缺乏染色体水平的参考基因组的异毛龙。为了解决这一空白,我们提出了第一个利用PacBio HiFi测序数据和Hi-C技术生成的T. heterochaetus染色体水平基因组组装。最终组装全长782.25 Mb,支架N50为75.39 Mb,成功地固定在11条假染色体上。重复序列占基因组的428.09 Mb(54.73%),有20145个蛋白质编码基因被注释。本研究为进一步了解异毛龙的遗传学、基因组学和进化史奠定了基础,为今后的研究奠定了基础,并为制定有针对性的遗传保护策略奠定了基础。
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引用次数: 0
RNA networks of lysosomal-related biomarkers in Parkinson's disease and their correlations with freezing of gait-associated genes. 帕金森病溶酶体相关生物标志物的RNA网络及其与步态相关基因冷冻的相关性
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-28 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1632163
Zheng Qibin, Lin Lin, Chen Yibiao, Lin Peng, Wang Huiqing, Su Daoqing, Yu Lianghong

Background: Parkinson's disease (PD) is influenced by various factors, with lysosome function playing a critical role. However, the specific involvement of lysosome-related genes (LRGs) in PD remains unclear.

Objective: This study aims to identify biomarkers specific to PD that exhibit robust disease prediction capabilities.

Methods: Datasets for patients with PD, LRGs, and inflammation-related genes (IRGs) were retrieved from online databases. miRNAs and mRNAs within key modules were selected through Weighted Gene Co-expression Network Analysis (WGCNA), revealing strong associations with PD. A miRNA-mRNA network was constructed based on highly correlated PD-related LRGs (PD-LRGs) and miRNAs within these modules. Candidate genes were identified by intersecting target genes, differentially expressed genes (DEGs), PD-LRGs, and module-associated mRNAs. Machine learning and expression validation were employed to confirm these biomarkers. A nomogram was established, and its diagnostic performance was evaluated using a confusion matrix. Drug predictions were conducted based on these biomarkers. Spearman's correlation analyses were performed to assess the relationship between IRGs, freezing of gait (FOG)-related genes, and biomarkers. Molecular regulatory networks were constructed using datasets and online resources. Finally, clinical samples were collected for quantitative PCR (qPCR) validation of biomarker expression.

Results: Key modules related to PD were identified, comprising 190 miRNAs and 7,633 mRNAs. A miRNA-mRNA network was constructed based on 55 PD-LRGs and 181 miRNAs, resulting in the identification of 26 candidate genes strongly linked to lysosomal function. FGD4 and MAN2B1 were selected as biomarkers, and a gene expression-based risk prediction table was created. These biomarkers were significantly correlated with IRGs and several FOG-related genes. Gene localization analysis revealed that FGD4 and LRRK2, both critical to the FOG pathway, are located on chromosome 12. Drug prediction revealed that Tetrachlorodibenzodioxin and bisphenol A target both FGD4 and MAN2B1. qPCR analysis confirmed that FGD4 and MAN2B1 expression levels were significantly higher in patients with PD compared to healthy controls (p < 0.05).

Conclusion: FGD4 and MAN2B1 act as lysosomal biomarkers associated with PD and exhibit strong correlations with genes involved in PD-related freezing of gait. This study offers novel insights into PD diagnosis.

背景:帕金森病(PD)受多种因素影响,溶酶体功能在其中起关键作用。然而,溶酶体相关基因(LRGs)在PD中的具体参与尚不清楚。目的:本研究旨在确定PD特异性的生物标志物,这些生物标志物具有强大的疾病预测能力。方法:从在线数据库中检索PD患者、LRGs和炎症相关基因(IRGs)的数据集。通过加权基因共表达网络分析(Weighted Gene Co-expression Network Analysis, WGCNA)选择关键模块内的mirna和mrna,揭示了与PD的强相关性。基于pd相关LRGs (PD-LRGs)和这些模块内的mirna,构建了一个miRNA-mRNA网络。候选基因通过交叉靶基因、差异表达基因(DEGs)、PD-LRGs和模块相关mrna鉴定。使用机器学习和表达验证来确认这些生物标志物。建立了nomogram,并利用混淆矩阵对其诊断性能进行了评价。药物预测是基于这些生物标志物进行的。采用Spearman相关分析评估IRGs、步态冻结(FOG)相关基因和生物标志物之间的关系。利用数据集和在线资源构建分子调控网络。最后,收集临床样本进行定量PCR (qPCR)验证生物标志物的表达。结果:鉴定出PD相关的关键模块,包括190个mirna和7633个mrna。基于55个PD-LRGs和181个mirna构建了miRNA-mRNA网络,鉴定出26个与溶酶体功能密切相关的候选基因。选择FGD4和MAN2B1作为生物标志物,建立基于基因表达的风险预测表。这些生物标志物与IRGs和一些fogg相关基因显著相关。基因定位分析显示,FGD4和LRRK2都位于12号染色体上,它们都是FOG通路的关键。药物预测表明,四氯二苯并二辛和双酚A同时靶向FGD4和MAN2B1。qPCR分析证实PD患者FGD4和MAN2B1表达水平明显高于健康对照组(p < 0.05)。结论:FGD4和MAN2B1是PD相关的溶酶体生物标志物,与PD相关的步态冻结相关基因有很强的相关性。这项研究为帕金森病的诊断提供了新的见解。
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引用次数: 0
Case Report: Novel ADAMTSL2 compound heterozygous mutations in geleophysic dysplasia with bilateral glaucoma and keratoconus-like corneal ectasia. 病例报告:新型ADAMTSL2复合杂合突变在视网膜物理发育不良伴双侧青光眼和圆锥角膜样角膜扩张。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-26 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1751809
Chung-Lin Lee, Chih-Kuang Chuang, Huei-Ching Chiu, Ya-Hui Chang, Yuan-Rong Tu, Yun-Ting Lo, Jun-Yi Wu, Hsiang-Yu Lin, Shuan-Pei Lin

Geleophysic dysplasia represents an exceedingly uncommon autosomal recessive skeletal disorder marked by profound growth restriction, contractures affecting multiple joints, and cardiac valve abnormalities. The molecular foundation involves ADAMTSL2 gene mutations disrupting extracellular matrix architecture. We document a 29-year-old Taiwanese woman followed longitudinally for 25 years, presenting with severe short stature measuring 141.2 cm, widespread joint contractures, thoracolumbar scoliosis, and distinctive gait abnormalities. Whole-exome sequencing identified compound heterozygous ADAMTSL2 mutations: c.286C>T resulting in p. Arg96Trp and c.454_459del causing p. Cys152_Thr153del deletion. The clinical course revealed musculoskeletal deterioration alongside mild mitral valve involvement and os odontoideum. Bilateral glaucoma, consistent with previously reported ocular manifestations in geleophysic dysplasia, was diagnosed at age 26. Notably, recent ophthalmologic evaluation revealed keratoconus-like corneal ectasia with paradoxically increased central corneal thickness measuring 690-693 μm bilaterally, substantially exceeding normal values of 520-560 μm. This paradoxical corneal thickening, contrasting with the stromal thinning characteristic of classical keratoconus, represents a novel ADAMTSL2-related corneal phenotype. The patient maintained normal intellectual capacity despite physical limitations, contrasting with published early mortality rates approaching 33%. This extended clinical documentation establishes keratoconus-like corneal ectasia with paradoxical corneal thickening as a novel ophthalmologic manifestation in geleophysic dysplasia, while adding to prior reports of glaucoma in this condition. These findings emphasize the necessity for comprehensive ophthalmologic monitoring in ADAMTSL2-related disorders and supporting multidisciplinary management strategies.

骨物理发育不良是一种非常罕见的常染色体隐性骨骼疾病,其特征是严重的生长限制,影响多个关节的挛缩和心脏瓣膜异常。分子基础涉及ADAMTSL2基因突变破坏细胞外基质结构。我们记录了一位29岁的台湾女性,纵向随访25年,表现为严重的身材矮小,身高141.2厘米,广泛的关节挛缩,胸腰椎侧凸和明显的步态异常。全外显子组测序鉴定出复合杂合的ADAMTSL2突变:c.286C>T导致p. Arg96Trp和c.454_459del导致p. Cys152_Thr153del缺失。临床过程显示肌肉骨骼恶化,伴有轻度二尖瓣受累和齿状突脱落。双侧青光眼,与先前报道的视网膜物理发育不良的眼部表现一致,被诊断为26岁。值得注意的是,最近的眼科检查显示角膜圆锥样角膜扩张,双侧角膜中央厚度增加690-693 μm,大大超过正常值520-560 μm。这种矛盾的角膜增厚,与经典圆锥角膜的基质变薄特征形成对比,代表了一种新的adamtsl2相关的角膜表型。尽管身体受限,患者仍保持正常的智力,与已公布的接近33%的早期死亡率形成对比。本扩展的临床文献证实圆锥状角膜样角膜扩张伴反常的角膜增厚是角膜物理发育不良的一种新的眼科表现,同时补充了先前对这种情况下青光眼的报道。这些发现强调了对adamtsl2相关疾病进行全面眼科监测和支持多学科管理策略的必要性。
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引用次数: 0
The mechanism and clinical significance of FKBP5 gene DNA methylation in various psychiatric, metabolic and tumor-related diseases. FKBP5基因DNA甲基化在各种精神、代谢和肿瘤相关疾病中的作用机制及临床意义
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-26 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1734673
Changliang Wang, Zhixiu Xia

The FK506 Binding Protein 5 (FKBP5) gene encodes a protein that binds to the immunosuppressive agent FK506. FKBP5 expression is regulated by genetic variation and epigenetic mechanisms, including DNA methylation (DNAm). This gene regulates the glucocorticoid receptor (GR), and aberrant FKBP5 methylation is associated with psychiatric and metabolic disorders. Recent evidence also indicates that FKBP5 methylation significantly influences malignant tumors. The methylation status of FKBP5 not only modulates its own expression but also contributes to disease pathogenesis by regulating downstream signaling pathways. Despite extensive research on FKBP5 in individual disease contexts, a critical gap remains in understanding how its DNAm serves as a unifying epigenetic mechanism across psychiatric, metabolic, and neoplastic disorders. Existing reviews often focus on single disease domains or on genetic and protein-level regulation, lacking a systematic, horizontal integration analysis centered on DNAm-a dynamic and reversible modification. This review aims to fill this gap by proposing a coherent "epigenetic regulatory framework" that elucidates how tissue-and site-specific FKBP5 DNAm patterns, through modulating glucocorticoid (GC) signaling, stress responses, and inflammatory pathways (e.g., NF-κB), contribute to divergent pathological outcomes. By integrating evidence from disparate fields, this review summarizes the role of FKBP5 DNAm in disease biology, its functions across various disorders, and its potential as a biomarker and therapeutic target, aiming to provide a theoretical foundation and strategic insights for disease diagnosis and treatment.

FK506结合蛋白5 (FKBP5)基因编码一种结合免疫抑制剂FK506的蛋白。FKBP5的表达受遗传变异和表观遗传机制的调控,包括DNA甲基化(DNAm)。该基因调节糖皮质激素受体(GR),异常的FKBP5甲基化与精神和代谢疾病有关。最近的证据也表明FKBP5甲基化显著影响恶性肿瘤。FKBP5的甲基化状态不仅调节其自身的表达,还通过调节下游信号通路参与疾病的发病。尽管在个体疾病背景下对FKBP5进行了广泛的研究,但在理解其DNAm如何在精神、代谢和肿瘤疾病中作为统一的表观遗传机制方面仍然存在关键差距。现有的综述往往侧重于单一疾病域或遗传和蛋白质水平的调控,缺乏以动态和可逆修饰dnam为中心的系统、水平整合分析。本综述旨在通过提出一个连贯的“表观遗传调控框架”来填补这一空白,该框架阐明了组织和位点特异性FKBP5 DNAm模式如何通过调节糖皮质激素(GC)信号、应激反应和炎症途径(如NF-κB),促成不同的病理结果。本文通过整合不同领域的证据,综述了FKBP5 DNAm在疾病生物学中的作用、在各种疾病中的功能以及作为生物标志物和治疗靶点的潜力,旨在为疾病的诊断和治疗提供理论基础和策略见解。
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引用次数: 0
Referral route: a determinant of inequity for children with undiagnosed genetic diseases? 转诊途径:未确诊遗传病儿童不公平的决定因素?
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-23 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1692489
Zeyu Tang, Emily K Mis, Saquib A Lakhani

Individuals with rare genetic diseases collectively comprise 3.5%-5.9% of the population, roughly 400 million people worldwide. Undiagnosed rare disease programs have leveraged next-generation sequencing technologies to facilitate genetic diagnoses, thereby shortening the complex diagnostic odysseys that many of these patients and their families endure. However, enrollment data suggest disparities in access to undiagnosed genetic disease programs among racial and ethnic minorities. To better understand this issue, we conducted a retrospective review of our rare undiagnosed disease program to assess whether referral route was a determinant of disparities for minoritized racial and ethnic communities. Participants enrolled in the Yale Pediatric Genomics Discovery Program from 2016 to 2022 were self-categorized into four racial and ethnic groups: Hispanic/Latinx (any race), non-Hispanic White, non-Hispanic Black/African American, non-Hispanic Other. Route of referral was classified as Inpatient, Outpatient, or Outside/Self referrals. Completion rates were the percentage of participants who completed enrollment compared to their respective group. Demographics for program participants were different from Yale-New Haven Children's Hospital demographics, with over-representation of non-Hispanics Whites. Direct inpatient recruitment had a higher yield of Hispanic individuals, which was offset by under-representation of minoritized individuals in the Outside/Self setting. Inpatients had lower referral completion rates compared to Outpatient and Outside/Self referrals. These data suggest that the route of referral may represent different levels of access to care, and inpatient recruitment may be leveraged to promote participation by some minoritized communities. We encourage other programs to examine their cohorts for representation and identify strategies for improving participation.

患有罕见遗传病的人总共占全球人口的3.5%-5.9%,约有4亿人。未确诊的罕见病项目利用下一代测序技术来促进基因诊断,从而缩短了许多患者及其家属所忍受的复杂诊断过程。然而,注册数据表明,在种族和少数民族中,获得未确诊的遗传病项目的机会存在差异。为了更好地理解这个问题,我们对我们的罕见未确诊疾病项目进行了回顾性回顾,以评估转诊途径是否是少数种族和族裔社区差异的决定因素。2016年至2022年参加耶鲁儿科基因组学发现项目的参与者被自我分类为四个种族和族裔群体:西班牙裔/拉丁裔(任何种族)、非西班牙裔白人、非西班牙裔黑人/非裔美国人、非西班牙裔其他。转诊途径分为住院、门诊或外部/自我转诊。完成率是指完成登记的参与者与各自组相比的百分比。项目参与者的人口统计数据与耶鲁-纽黑文儿童医院的人口统计数据不同,非西班牙裔白人的比例过高。直接住院患者招募的西班牙裔个体的产量更高,这被外部/自我设置中少数族裔个体的代表性不足所抵消。住院患者的转诊完成率低于门诊患者和外部/自我转诊患者。这些数据表明,转诊途径可能代表了获得护理的不同水平,并且可以利用住院患者招募来促进一些少数群体社区的参与。我们鼓励其他项目检查其群体的代表性,并确定提高参与的策略。
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引用次数: 0
Elective genomic screening: results of the implementation of a whole genome sequencing program at a medical check-up unit in Spain. 选择性基因组筛查:在西班牙一个体检单位实施全基因组测序方案的结果。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-23 eCollection Date: 2025-01-01 DOI: 10.3389/fgene.2025.1722462
Bibiana Palao, Miriam Leon-Otegui, Raquel Bernad, Maria Moreno-Coca, Elena Ordoñez, Elena Góngora, Isabel Castilla, Miguel Sogbe, Oscar Beloqui, Ana Patiño-García, Vincenzo Cirigliano, Luis Izquierdo

Elective Genomic Testing (EGT) can identify individuals at risk for actionable conditions that would not come to clinical attention following current testing guidelines. We describe the results of a checkup unit from a leading Spanish University hospital (Clínica Universidad de Navarra, Spain) that has incorporated EGT to their regular clinical practice. Medical anamnesis, biochemistry, low-intensity whole body scan and EGT with interpretation of over 560 genes related to actionable adult-onset diseases (Veritas Intercontinental, Spain) was performed in 400 participants, including medical consultation before and after the checkup. Clinically relevant variants were identified in 79/400 participants (19.8%). Thirteen individuals (3.3%) presented with clinical variants included in the American College of Medical Genetics and Genomics secondary finding list (ACMG SF list); 69.2% of these variants showed potential association with personal or family history (PFH). The study presents the results of the first hospital integrating EGT into the checkup unit.

选择性基因组测试(EGT)可以识别个体的可操作条件的风险,不会引起临床注意,按照目前的测试指南。我们描述了西班牙一家领先的大学医院(Clínica Universidad de Navarra, Spain)将EGT纳入常规临床实践的检查单位的结果。对400名参与者进行了医学回顾、生物化学、低强度全身扫描和EGT,并对560多个与可行动的成人发病疾病相关的基因进行了解释(西班牙Veritas Intercontinental),包括体检前后的医疗咨询。400名参与者中有79人(19.8%)发现了临床相关变异。13人(3.3%)的临床变异被纳入美国医学遗传学和基因组学学院二级发现列表(ACMG SF列表);69.2%的变异与个人或家族病史(PFH)有潜在关联。本研究介绍了第一家将EGT纳入体检单元的医院的结果。
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引用次数: 0
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Frontiers in Genetics
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