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Nomenclature for Factors of the HLA System, Update July, August and September 2025 HLA系统因子命名法,2025年7月、8月和9月更新。
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-10-25 DOI: 10.1111/iji.70020
Steven G. E. Marsh
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引用次数: 0
Cytokine and IRF5 Gene Polymorphisms Associated With Susceptibility and Organ Damage in Systemic Lupus Erythematosus 细胞因子和IRF5基因多态性与系统性红斑狼疮易感性和器官损伤相关。
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-10-03 DOI: 10.1111/iji.70016
Ines Allam, Yousra Hassinet, Chahrazad Zeghichi, Lylia Meriem Berkani, Brahim Belaid, Sihem Oulakrouz, Messaoud Saidani, Soraya Ayoub, Reda Djidjik

Background: Systemic lupus erythematosus (SLE) is a multifactorial autoimmune disease resulting from the complex interplay between genetic, environmental, and immunological factors. Genetic polymorphisms in cytokine and transcription factor genes have been proposed as key contributors to disease susceptibility and clinical heterogeneity.

Objective: To evaluate the association between selected single nucleotide polymorphisms (SNPs) in TNF-α, IL-1, IL-8, and IRF5 genes and the risk of SLE, as well as their correlation with specific organ system involvement.

Methods:We conducted a case-control study including 156 SLE patients and 104 healthy controls from the Algerian population. Seven SNPs were genotyped using TaqMan assays: IL-1 (-31 C/T and -511 C/T), TNF-α (-308 G/A and -238 G/A), IL-8 (-251 A/T), and IRF5 (-13176 A/C and -3835 G/T). Genotype and allele frequencies were compared between groups and correlated with clinical phenotypes.

Results:The immunogenetic study revealed a significant association between G allele of the -3835 G/T polymorphism of the IRF5 gene and the risk of genetic susceptibility to the lupus (p = 0.012). Stratification according to clinical manifestations has showed that the G allele of the -31 C/T polymorphism of the IL-1 gene is associated with joint damage (p = 0.024) and the A allele of -511 C/T polymorphism predisposes to hematological damage (p = 0.041) in lupus patients. Also, the A allele of the TNFα -238 G/A polymorphism was associated with neuropsychiatric impairment (p = 0.036) and the A allele of -251A/T SNP of the IL-8 gene to the joint damage (p = 0.04).

Conclusion:Our findings support a role for IRF5 and cytokine gene polymorphisms in the genetic predisposition to SLE and its clinical manifestations. These polymorphisms may serve as potential biomarkers for disease risk stratification and personalized patient management, particularly in underrepresented populations such as North Africans.

背景:系统性红斑狼疮(SLE)是一种多因素自身免疫性疾病,是遗传、环境和免疫因素复杂相互作用的结果。细胞因子和转录因子基因的遗传多态性被认为是疾病易感性和临床异质性的关键因素。目的:评估TNF-α、IL-1、IL-8和IRF5基因中选定的单核苷酸多态性(snp)与SLE风险的关系,以及它们与特定器官系统受累的相关性。方法:我们进行了一项病例对照研究,包括来自阿尔及利亚人群的156名SLE患者和104名健康对照者。采用TaqMan方法对7个snp进行基因分型:IL-1 (-31 C/T和-511 C/T)、TNF-α (-308 G/A和-238 G/A)、IL-8 (-251 A/T)和IRF5 (-13176 A/C和-3835 G/T)。基因型和等位基因频率在组间比较,并与临床表型相关。结果:免疫遗传学研究显示,IRF5基因-3835 G/T多态性的G等位基因与狼疮遗传易感性风险之间存在显著相关性(p = 0.012)。根据临床表现分层发现,狼疮患者IL-1基因-31 C/T多态性的G等位基因与关节损伤相关(p = 0.024), -511 C/T多态性的A等位基因易导致血液学损伤(p = 0.041)。此外,TNFα -238 G/A多态性的A等位基因与神经精神障碍相关(p = 0.036), IL-8基因-251A/T SNP的A等位基因与关节损伤相关(p = 0.04)。结论:我们的研究结果支持IRF5和细胞因子基因多态性在SLE遗传易感性及其临床表现中的作用。这些多态性可以作为疾病风险分层和个性化患者管理的潜在生物标志物,特别是在代表性不足的人群中,如北非人。
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引用次数: 0
Association of IL-13 Gene Polymorphism (rs20541) With Chronic Inflammatory Diseases: A Systematic Review and Meta-Analysis IL-13基因多态性(rs20541)与慢性炎性疾病的关联:一项系统综述和荟萃分析
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-09-30 DOI: 10.1111/iji.70018
Geetha Letchumanan, Yee-How Say

Over the years, accumulating evidence has been associating interleukin-13 gene (IL-13) variants with a wide array of chronic inflammatory diseases. Also, recent findings have associated the potential role of a single nucleotide polymorphism (SNP) of IL-13, rs20541, to promote either anti- or pro-inflammatory responses in chronic inflammatory diseases. Although rs20541 has been widely associated with various immune-related and inflammatory conditions, its precise functional relevance in the pathogenesis of human diseases has yet to be fully clarified. Nonetheless, its consistent associations and known effects on IL-13 signalling underscore its potential biological importance. Hence, this meta-analysis aimed to investigate the associations between IL-13 SNP rs20541 with distinct groups of chronic inflammatory diseases. Eligible studies were selected from seven databases including PubMed, EBSCO Host (all databases), Medline, CINAHL Plus, Scopus, SNPedia and GWAS. In total, 45 case–control studies with 16,045 cases and 23,312 controls were categorised into four major groups: atopic, cardiopulmonary and autoimmune diseases as well as cancer and tumour. While no consistent associations emerged for asthma or overall atopic and cardiopulmonary groups, protective associations for psoriasis and glioma were observed across multiple genetic contrasts. The A allele of rs20541 was significantly associated with higher risk of chronic obstructive pulmonary diseases (COPDs) [1.17 (1.03–1.32)] but reduced risk of cardiovascular diseases (CVDs) [0.87 (0.75–1.00)], psoriasis [allele model: 0.71 (0.65–0.77); dominant model: 0.69 (0.62–0.76)], overall cancer [allele model: 0.82 (0.66–0.98); dominant model: 0.82 (0.67–0.98) and glioma [allele model: 0.82 (0.68–0.95); dominant model: 0.72 (0.57–0.87)]. In subgroup analysis and meta-regression, sources of between-study heterogeneity were associated with ethnicity, age, gender and sample size in respective disease groups (pz < 0.05, pres > 0.05). Overall, this meta-analysis demonstrates that IL-13 rs20541 is a key immunogenetic variant exerting context-dependent effects, either via direct lgE-dependent or indirect regulatory effects across chronic inflammatory diseases. These mechanistic differences help explain why rs20541 confers susceptibility in some diseases while providing protection in others, reflecting the pleiotropic and tissue-specific functions of IL-13. Future research should integrate transcriptional studies and eQTL analyses of rs20541 to clarify its downstream impact on inflammation-specific genes, ultimately informing cytokine-targeted therapies to more precisely manage and prevent chronic inflammatory disease.

多年来,越来越多的证据表明白细胞介素-13基因(IL-13)变异与一系列慢性炎症性疾病有关。此外,最近的研究发现,IL-13 rs20541的单核苷酸多态性(SNP)可能在慢性炎症性疾病中促进抗炎或促炎反应。尽管rs20541与多种免疫相关和炎症性疾病广泛相关,但其在人类疾病发病机制中的确切功能相关性尚不完全清楚。尽管如此,其对IL-13信号传导的一致关联和已知影响强调了其潜在的生物学重要性。因此,本荟萃分析旨在探讨IL-13 SNP rs20541与不同组慢性炎性疾病之间的关系。从PubMed、EBSCO Host(所有数据库)、Medline、CINAHL Plus、Scopus、SNPedia和GWAS等7个数据库中选择符合条件的研究。总共有45项病例对照研究,涉及16,045例病例和23,312例对照,分为四大类:特应性、心肺和自身免疫性疾病以及癌症和肿瘤。虽然在哮喘或整体特应性和心肺组中没有一致的关联,但在多个遗传对比中观察到牛皮癣和胶质瘤的保护性关联。rs20541的A等位基因与慢性阻塞性肺疾病(COPDs)风险升高[1.17(1.03-1.32)]、心血管疾病(cvd)风险降低[0.87(0.75-1.00)]、牛皮癣[等位基因模型:0.71(0.65-0.77)]显著相关;显性模型:0.69(0.62-0.76),总癌[等位基因模型:0.82 (0.66-0.98)];显性模型:0.82(0.67-0.98),胶质瘤[等位基因模型:0.82 (0.68-0.95)];优势模型:0.72(0.57-0.87)]。在亚组分析和meta回归中,研究间异质性的来源与各自疾病组的种族、年龄、性别和样本量有关(pz < 0.05, press > 0.05)。总的来说,这项荟萃分析表明IL-13 rs20541是一个关键的免疫遗传变异,通过直接的大依赖或间接的调节作用,在慢性炎症性疾病中发挥上下文依赖的作用。这些机制差异有助于解释为什么rs20541在某些疾病中赋予易感性,而在其他疾病中提供保护,反映了IL-13的多效性和组织特异性功能。未来的研究应整合rs20541的转录研究和eQTL分析,以阐明其对炎症特异性基因的下游影响,最终为细胞因子靶向治疗提供信息,以更精确地管理和预防慢性炎症疾病。
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引用次数: 0
New Evidence of TLR4 and TLR9 Variants Influencing Parasitaemia and Symptoms of Plasmodium vivax Infection TLR4和TLR9变异影响间日疟原虫感染寄生虫血症和症状的新证据
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-09-18 DOI: 10.1111/iji.70014
Mikaele Monik Rodrigues Inácio Silva, Gabriela Maria Andrade Correia, Juliana Dal-Ri Lindenau, Maristela Gomes Cunha, Maria Deise Oliveira Ohnishi, Ana Maria Revoredo Silva Ventura, Ândrea Ribeiro-dos-Santos, Mara Helena Hutz, Vinicius Albuquerque Sortica

Toll-like receptors (TLRs) induce the production of pro-inflammatory cytokines and regulate the immune response to Plasmodium vivax infection. Genetic variants of TLRs are associated with susceptibility and severity of malaria in different populations. This study aimed to evaluate the association between polymorphisms in TLR1, TLR4, TLR7, TLR8, TLR9 and TIRAP and the clinical manifestations of malaria caused by P. vivax in a population from the Amazon region of Pará, Brazil. A total of 148 individuals with symptomatic uncomplicated malaria were genotyped for rs4833095, rs1927911, rs179008, rs3764880, rs352140 and rs8177374 variants, and their associations with parasitaemia levels, gametocytaemia and clinical index were analysed using generalised linear models. TLR9 rs352140TT homozygotes had higher parasitaemia levels than C allele carriers (p = 0.034). TLR4 rs1927911GG homozygotes had a higher clinical index than A allele carriers (p = 0.018). Our results describe, for the first time, the association of the rs1927911 variant found in intron 1 of TLR4 with P. vivax malaria symptoms in Brazilian Amazonian population.

toll样受体(TLRs)诱导促炎细胞因子的产生并调节间日疟原虫感染的免疫反应。tlr的遗传变异与不同人群的疟疾易感性和严重程度有关。本研究旨在探讨TLR1、TLR4、TLR7、TLR8、TLR9和TIRAP基因多态性与巴西par亚马逊地区间日疟原虫疟疾临床表现的关系。采用广义线性模型分析148例症状性无并发症疟疾患者rs4833095、rs1927911、rs179008、rs3764880、rs352140和rs8177374变异与寄生虫血症水平、配子体血症和临床指标的相关性。TLR9 rs352140TT纯合子的寄生水平高于C等位基因携带者(p = 0.034)。TLR4 rs1927911GG纯合子的临床指标高于a等位基因携带者(p = 0.018)。我们的研究结果首次描述了在TLR4内含子1中发现的rs1927911变异与巴西亚马逊人群间日疟原虫疟疾症状的关联。
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引用次数: 0
HLAtools, Searching Shared HLA Amino Acid Residue Prevalence, and the Global Frequency Browsers: New Computational Resources for Working With HLA Data and Visualizing Global Patterns of HLA Variation HLA工具,搜索共享的HLA氨基酸残基流行率和全球频率浏览器:处理HLA数据和可视化HLA变异全球模式的新计算资源。
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-09-14 DOI: 10.1111/iji.70013
Livia Tran, Ryan Nickens, Vinh Luu, Effie W. Petersdorf, Steven J. Mack

The highly polymorphic HLA genes inform susceptibility and resistance to infectious and autoimmune diseases and cancers and are key for successful solid-organ and stem-cell transplantation therapies. Over 41,000 HLA alleles are known and are unevenly distributed across the human population. Here, we describe HLAtools, Searching Shared HLA Amino-Acid Residue Prevalence (SSHAARP) and the Global Frequency Browser (GFB), new informatic tools developed to facilitate working with HLA data and visualizing the global distribution of HLA variants in human populations. HLAtools is an R package that consumes static resources for HLA alleles and sequences and makes these data locally computable alongside data-query, data-customization and data-analysis functions. The package further includes new reference datasets that dissect and catalogue HLA regions and HLA gene structures and provide insight into the organization of HLA pseudogenes and gene fragments. SSHAARP is an R package that describes the frequency distributions of individual HLA haplotypes, alleles and amino-acid motifs as global heatmaps. Allele frequency maps for more than 800 HLA alleles can be browsed using the GFB web and mobile applications. HLAtools and SSHAARP are available from the Comprehensive R Archive Network, and the GFB apps are available on GitHub.

高度多态性的HLA基因告知感染性和自身免疫性疾病和癌症的易感性和抵抗力,是成功的实体器官和干细胞移植治疗的关键。已知的HLA等位基因超过41,000个,在人群中分布不均匀。在这里,我们描述了HLA工具,搜索共享HLA氨基酸残基流行率(SSHAARP)和全球频率浏览器(GFB),这些新的信息工具的开发有助于处理HLA数据和可视化HLA变异在人群中的全球分布。HLA工具是一个R包,它消耗HLA等位基因和序列的静态资源,并使这些数据与数据查询、数据定制和数据分析功能一起在本地计算。该软件包进一步包括新的参考数据集,剖析和编目HLA区域和HLA基因结构,并提供对HLA假基因和基因片段的组织的见解。SSHAARP是一个R包,它将单个HLA单倍型、等位基因和氨基酸基序的频率分布描述为全球热图。超过800个HLA等位基因的等位基因频率图可以通过GFB网站和移动应用程序浏览。hlattools和SSHAARP可以从综合R档案网络中获得,而GFB应用程序可以在GitHub上获得。
{"title":"HLAtools, Searching Shared HLA Amino Acid Residue Prevalence, and the Global Frequency Browsers: New Computational Resources for Working With HLA Data and Visualizing Global Patterns of HLA Variation","authors":"Livia Tran,&nbsp;Ryan Nickens,&nbsp;Vinh Luu,&nbsp;Effie W. Petersdorf,&nbsp;Steven J. Mack","doi":"10.1111/iji.70013","DOIUrl":"10.1111/iji.70013","url":null,"abstract":"<p>The highly polymorphic HLA genes inform susceptibility and resistance to infectious and autoimmune diseases and cancers and are key for successful solid-organ and stem-cell transplantation therapies. Over 41,000 HLA alleles are known and are unevenly distributed across the human population. Here, we describe HLAtools, Searching Shared HLA Amino-Acid Residue Prevalence (SSHAARP) and the Global Frequency Browser (GFB), new informatic tools developed to facilitate working with HLA data and visualizing the global distribution of HLA variants in human populations. HLAtools is an R package that consumes static resources for HLA alleles and sequences and makes these data locally computable alongside data-query, data-customization and data-analysis functions. The package further includes new reference datasets that dissect and catalogue HLA regions and HLA gene structures and provide insight into the organization of HLA pseudogenes and gene fragments. SSHAARP is an R package that describes the frequency distributions of individual HLA haplotypes, alleles and amino-acid motifs as global heatmaps. Allele frequency maps for more than 800 HLA alleles can be browsed using the GFB web and mobile applications. HLAtools and SSHAARP are available from the Comprehensive R Archive Network, and the GFB apps are available on GitHub.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"52 6","pages":"358-370"},"PeriodicalIF":1.1,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abstract 摘要
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-09-03 DOI: 10.1111/iji.70006
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引用次数: 0
The Association of IL-17RC Polymorphisms rs708567 and rs76999397 With Acute Lymphoblastic Leukaemia IL-17RC多态性rs708567和rs76999397与急性淋巴细胞白血病的关系
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-08-31 DOI: 10.1111/iji.70012
Ali Aljuaimlani, Lamjed Mansour, Jameel Al-Tamimi, Jamilah Alshammari, Safa A. Alqarzae, Fadwa M. Alkhulaifi, Suliman Alomar

Background: Acute lymphoblastic leukaemia (ALL) is characterized by the clonal proliferation of immature lymphoid precursors in the bone marrow or peripheral blood. This study investigates whether genetic polymorphisms in IL-17RC are associated with an increased risk of ALL in the Saudi population.

Methods: This case-control study included 95 patients with ALL and 95 matched controls. Genetic polymorphisms and their associations with ALL risk were identified using logistic regression analysis. Additionally, quantitative real-time polymerase chain reaction (qRT-PCR) was used to assess the level of IL-17RC mRNA.

Results: The results revealed that carriers of the GA and AA genotypes of rs76999397 had a significantly increased risk of ALL (GA: odds ratios [OR] = 63.78, 95% confidence interval [CI] = 25.51–159.43, p < 0.0001; AA: OR = 18.22, 95% CI = 1.50–221.37, p < 0.0001). Additionally, we identified that an increased risk of ALL was associated with two haplotypes in IL-17RC, C-A and T-A (in the order of rs708567 and rs76999397) (OR = 46.73, 95% CI = 17.30–126.28; OR = 49.42, 95% CI = 6.95–351.45, respectively).

Conclusions: The results suggested that the GA and AA genotypes of rs76999397 were significantly associated with an increased risk of ALL, whereas rs708567 did not show a significant association. Furthermore, the CA and TA haplotypes (rs708567/rs76999397) were found to be associated with increased susceptibility to ALL.

背景:急性淋巴细胞白血病(ALL)的特点是骨髓或外周血中未成熟淋巴细胞前体的克隆性增殖。本研究调查了沙特人群中IL-17RC基因多态性是否与ALL风险增加有关。方法:本病例-对照研究纳入95例ALL患者和95例匹配对照。使用逻辑回归分析确定遗传多态性及其与ALL风险的关联。采用实时定量聚合酶链反应(qRT-PCR)检测IL-17RC mRNA表达水平。结果:rs76999397的GA和AA基因型携带者患ALL的风险显著增高(GA:优势比[OR] = 63.78, 95%可信区间[CI] = 25.51 ~ 159.43, p)。结论:rs76999397的GA和AA基因型与ALL风险增高有显著相关性,rs708567基因型与ALL风险增高无显著相关性。此外,CA和TA单倍型(rs708567/rs76999397)被发现与ALL易感性增加相关。
{"title":"The Association of IL-17RC Polymorphisms rs708567 and rs76999397 With Acute Lymphoblastic Leukaemia","authors":"Ali Aljuaimlani,&nbsp;Lamjed Mansour,&nbsp;Jameel Al-Tamimi,&nbsp;Jamilah Alshammari,&nbsp;Safa A. Alqarzae,&nbsp;Fadwa M. Alkhulaifi,&nbsp;Suliman Alomar","doi":"10.1111/iji.70012","DOIUrl":"10.1111/iji.70012","url":null,"abstract":"<p>Background: Acute lymphoblastic leukaemia (ALL) is characterized by the clonal proliferation of immature lymphoid precursors in the bone marrow or peripheral blood. This study investigates whether genetic polymorphisms in <i>IL-17RC</i> are associated with an increased risk of ALL in the Saudi population.</p><p>Methods: This case-control study included 95 patients with ALL and 95 matched controls. Genetic polymorphisms and their associations with ALL risk were identified using logistic regression analysis. Additionally, quantitative real-time polymerase chain reaction (qRT-PCR) was used to assess the level of <i>IL-17RC</i> mRNA.</p><p>Results: The results revealed that carriers of the GA and AA genotypes of rs76999397 had a significantly increased risk of ALL (GA: odds ratios [OR] = 63.78, 95% confidence interval [CI] = 25.51–159.43, <i>p</i> &lt; 0.0001; AA: OR = 18.22, 95% CI = 1.50–221.37, <i>p</i> &lt; 0.0001). Additionally, we identified that an increased risk of ALL was associated with two haplotypes in <i>IL-17RC</i>, C-A and T-A (in the order of rs708567 and rs76999397) (OR = 46.73, 95% CI = 17.30–126.28; OR = 49.42, 95% CI = 6.95–351.45, respectively).</p><p>Conclusions: The results suggested that the GA and AA genotypes of rs76999397 were significantly associated with an increased risk of ALL, whereas rs708567 did not show a significant association. Furthermore, the CA and TA haplotypes (rs708567/rs76999397) were found to be associated with increased susceptibility to ALL.</p>","PeriodicalId":14003,"journal":{"name":"International Journal of Immunogenetics","volume":"52 6","pages":"352-357"},"PeriodicalIF":1.1,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iji.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144953374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Prospective Pilot Study to Investigate Whether Donor-Derived Cell-Free DNA Can Be Used as a Biomarker of Recurrent IgA Nephropathy Post–Kidney Transplantation 一项前瞻性试点研究,探讨供体来源的无细胞DNA是否可以作为肾移植后复发性IgA肾病的生物标志物。
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-08-28 DOI: 10.1111/iji.70010
Judith Owusuwaah Asiedu-Basoah, Stephen Weston, Jonathan Barratt, Justyna Szklarzewicz, Paul Dunn

IgA nephropathy (IgAN) is one of the most prevalent glomerulonephropathies and commonly leads to kidney failure. The recurrence of IgAN following transplantation remains a significant concern. Currently, detecting IgAN recurrence requires a kidney biopsy, highlighting the need for non-invasive biomarkers such as donor-derived cell-free DNA (dd-cfDNA) to aid in early detection. This prospective pilot study aims to evaluate dd-cfDNA as a non-invasive biomarker for detecting IgAN recurrence post–kidney transplantation. Specifically, the study seeks to compare %dd-cfDNA levels in transplanted patients with and without IgAN recurrence and correlate these levels with other kidney function parameters. A total of 32 patients with histologically confirmed IgAN were enrolled, including those with documented IgAN recurrence post-transplantation and those without recurrence. Plasma samples were collected and processed using the AlloSeq cfDNA kit to quantify relative %dd-cfDNA levels. Kidney function parameters, including estimated glomerular filtration rate (eGFR) and proteinuria, were also assessed. The study found no significant difference in %dd-cfDNA levels between transplanted patients with IgAN recurrence and those without recurrence (median 0.37% [IQR 0.28%–3.53%] vs. median 0.42% [IQR 0.15%–0.84%], p = 0.67). Also, %dd-cfDNA (AUC = 0.57 [95% CI 0.28–0.85], p = 0.64) failed to effectively discriminate IgAN recurrence compared to traditional kidney function parameters such as proteinuria (AUC = 0.96 [95% CI 0.87–1.00], p = 0.002) and eGFR (AUC = 0.74 [95% CI 0.47–1.00], p = 0.09). Relative (%) dd-cfDNA alone may not be a robust biomarker for detecting IgAN recurrence post-transplantation. While proteinuria proved a more effective indicator in this study, kidney biopsy remains the gold standard for definitive diagnosis. These findings highlight the challenges of using %dd-cfDNA as a standalone diagnostic tool for monitoring IgAN recurrence post-transplantation. Future research should explore larger patient cohorts and longitudinal assessments to refine the utility of dd-cfDNA and investigate potential combination strategies with other biomarkers.

IgA肾病(IgAN)是最常见的肾小球肾病之一,通常导致肾衰竭。移植后IgAN的复发仍然是一个值得关注的问题。目前,检测IgAN复发需要进行肾脏活检,这突出了对非侵入性生物标志物的需求,如供体来源的无细胞DNA (dd-cfDNA)来帮助早期检测。这项前瞻性先导研究旨在评估dd-cfDNA作为检测肾移植后IgAN复发的非侵入性生物标志物。具体而言,该研究旨在比较有和没有IgAN复发的移植患者的%dd-cfDNA水平,并将这些水平与其他肾功能参数相关联。共有32例组织学证实的IgAN患者入组,包括移植后记录的IgAN复发和无复发的患者。收集血浆样本并使用AlloSeq cfDNA试剂盒进行处理,以量化相对%dd-cfDNA水平。肾功能参数,包括估计肾小球滤过率(eGFR)和蛋白尿,也被评估。研究发现,IgAN复发移植患者与未复发移植患者的%dd-cfDNA水平无显著差异(中位数0.37% [IQR 0.28%-3.53%] vs中位数0.42% [IQR 0.15%-0.84%], p = 0.67)。此外,与传统的肾功能参数如蛋白尿(AUC = 0.96 [95% CI 0.87-1.00], p = 0.002)和eGFR (AUC = 0.74 [95% CI 0.47-1.00], p = 0.09)相比,%dd-cfDNA (AUC = 0.57 [95% CI 0.28-0.85], p = 0.64)未能有效鉴别IgAN复发。相对(%)dd-cfDNA单独可能不是检测移植后IgAN复发的可靠生物标志物。虽然蛋白尿在本研究中被证明是一个更有效的指标,但肾活检仍然是明确诊断的金标准。这些发现突出了使用%dd-cfDNA作为监测移植后IgAN复发的独立诊断工具的挑战。未来的研究应该探索更大的患者队列和纵向评估,以完善dd-cfDNA的效用,并研究与其他生物标志物的潜在联合策略。
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引用次数: 0
Risk Genes and Anti-C1q Autoantibodies in Upper Egyptian Patients With Systemic Lupus Erythromatosis—High Frequency of HLA-DRB1*04:05–DQA1*03–DQB1*02 Risk Haplotype in Lupus Nephritis Patients 上埃及地区系统性红斑狼疮患者HLA-DRB1*04:05-DQA1*03-DQB1*02风险单倍型的高危基因及抗c1q自身抗体
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-08-25 DOI: 10.1111/iji.70009
Mostafa I. EL-Amir, Mohamed Ali El-Feky, Abdelkader Ahmed Hashim, Mohammed H. Hassan, Marwa Abdelhady, Wael Abd El Mohsen Abady, Amr Mohamed ElKaber, Jorma Ilonen

This study was performed to determine anti-C1q serum level, genetic polymorphism in cytotoxic T lymphocyte–associated antigen 4 gene (CTLA-4 gene) (rs 231775), and HLA class II genes in susceptibility and early prediction of systemic lupus erythematosus (SLE) and lupus nephritis (LN) in Upper Egyptian patients. A total of 60 unrelated cases of SLE (30 cases with LN) and 60 healthy controls were studied for HLA-DQB1, HLA-DQA1, and HLA-DRB1 (DR4 subtypes) alleles. Anti-C1q level was estimated by ELISA. CTLA-4 gene genotypes were detected by PCR-RFLP. The means of age of SLE patients without nephritis and LN patients were 24 ± 5.09 and 32 ± 7.26, respectively. Most of the patients were females (93.3%). Anti-C1q serum level was significantly higher in LN patients (24.11 ± 4.26) versus SLE patients without nephritis (18.17 ± 1.35) (p value < 0.001). The AA genotype of the CTLA-4 gene was significantly higher in patients with LN versus SLE patients without nephritis (53.5% vs. 26.5%; p value = 0.035). (DR7)—DQA1*02-DQB1*0303 haplotype was higher in SLE patients versus the control group and showed the highest odds ratio (7.37) with a significant p value (0.031). Odds ratios of DRB1*0405–DQA1*03–DQB1*0302 and DRB1*0405–DQA1*03–DQB1*02 were 6.263 and 4.214, respectively. DRB1*0405–DQA1*03–DQB1*02 haplotype was detected in 11.7% of LN patients versus 1.7% of SLE patients without nephritis (OR = 8.82, p value = 0.02). DRB1*0405–DQA1*03–DQB1*02 haplotype, in addition to CTLA-4 gene (AA genotype), and high anti-C1q serum level can predict the progression of SLE Upper Egyptian patients to LN.

本研究旨在检测抗c1q血清水平、细胞毒性T淋巴细胞相关抗原4基因(CTLA-4基因)遗传多态性(rs 231775)和HLAⅱ类基因在上埃及患者系统性红斑狼疮(SLE)和狼疮肾炎(LN)易感性和早期预测中的作用。共研究了60例不相关SLE患者(30例合并LN)和60例健康对照者的HLA-DQB1、HLA-DQA1和HLA-DRB1 (DR4亚型)等位基因。ELISA法测定血清抗c1q水平。PCR-RFLP检测CTLA-4基因型。SLE无肾炎患者的平均年龄为24±5.09岁,LN患者的平均年龄为32±7.26岁。患者以女性居多(93.3%)。LN患者血清抗c1q水平(24.11±4.26)明显高于无肾炎的SLE患者(18.17±1.35)(p值< 0.001)。LN患者的CTLA-4基因AA型明显高于无肾炎的SLE患者(53.5% vs. 26.5%, p值= 0.035)。(DR7)-DQA1*02-DQB1*0303单倍型在SLE患者中高于对照组,优势比最高(7.37),p值显著(0.031)。DRB1*0405-DQA1*03-DQB1*0302和DRB1*0405-DQA1*03-DQB1*02的比值比分别为6.263和4.214。LN患者中有11.7%检测到DRB1*0405-DQA1*03-DQB1*02单倍型,SLE无肾炎患者中有1.7%检测到DRB1*0405-DQA1*03-DQB1*02单倍型(OR = 8.82, p值= 0.02)。DRB1*0405-DQA1*03-DQB1*02单倍型、CTLA-4基因(AA基因型)、高抗c1q血清水平可预测SLE上埃及患者向LN的进展。
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引用次数: 0
Nomenclature for Factors of the HLA System, Update April, May and June 2025 HLA系统因子命名法,2025年4、5、6月更新。
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-07-23 DOI: 10.1111/iji.70005
Steven G. E. Marsh, for the WHO Nomenclature Committee for Factors of the HLA System
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International Journal of Immunogenetics
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