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Polymorphism Analysis as Biomarker in Genes AIRE, CD40, HLA-DRB1 and TRAF1/C5 SNPs in Rheumatoid Arthritis Patients 类风湿关节炎患者AIRE、CD40、HLA-DRB1和TRAF1/C5 snp基因多态性分析
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-07-22 DOI: 10.1111/iji.70007
Yalong Liu, Ayesha Chaudhary, Kanza Quddus, Mehwish Aslam, Anisa Iftikhar, Azmat Ali Khan, Amer M. Alanazi, Kashif Bashir

The main objective of the study was to determine the association of genes AIRE (rs2075876), CD40 (rs4810485), HLA-DRB1 (rs6457617) and TRAF1/C5 (rs10818488) polymorphisms with rheumatoid arthritis (RA) from the population of Pakistan. Blood samples of 300 RA patients and 300 healthy controls were taken from different hospitals in Pakistan. Extraction of DNA was carried out; a specific region of DNA was amplified using PCR. Polymorphic analysis was performed for genes AIRE (rs2075876), CD40 (rs4810485), HLA-DRB1 (rs6457617) and TRAF1/C5 (rs10818488). The demographic parameters, like age, showed statistically significant association and increased the risk of the disease up to 2-fold (odds ratio [OR] = 2.57; 95% confidence interval [CI] = 1.60–4.12; p = 0.0001). Gender and family history did not show any significant association with arthritis (OR = 1.12; 95% CI = 0.69–1.81; p = 0.6260; OR = 0.70; 95% CI = 0.44–1.11; p = 0.1313, respectively). In the case of smoking status, the difference was statistically significant for both smokers and non-smokers. In smokers, there was a decreased risk of RA (OR = 0.45; 95% CI = 0.28–0.73; p = 0.0011), and in non-smokers, there was an increased risk of disease up to 2-fold (OR = 2.17; 95% CI = 1.36–3.47; p = 0.0011). In AIRE gene, heterozygous (AG) of rs2075876 showed a highly significant association with increased risk of RA up to 3-fold (OR = 3.39; 95% CI = 2.08–5.54; p = 0.0001), whereas homozygous mutant (GG) also showed significant association (OR = 0.43; 95% CI = 0.26–0.72; p = 0.0014) but with decreased risk. In CD40 gene, heterozygous (AG) of rs4810485 showed significant association with a decreased risk of RA (OR = 0.59; 95% CI = 0.377–0.945; p = 0.027), whereas the homozygous mutant (GG) of rs4810485 showed highly significant association by increasing risk of up to 4-fold (OR = 4.318; 95% CI = 2.553–7.303; p = 0.0001). In HLA-DRB1 gene, heterozygous (CT) of rs6457617 showed significant association with a decreased risk of disease (OR = 0.52; 95% CI = 0.35–0.85; p = 0.007), whereas the homozygous mutant (TT) of rs6457617 showed highly significant association by increasing the risk of RA up to 4-fold (OR = 4.37; 95% CI = 2.55–7.47; p = 0.0001). In the TRAF1/C5 gene, heterozygosity (AG) of rs10818488 showed a significant association with an increased risk of disease up to 4-fold (OR = 4.06; 95% CI = 2.38–6.98; p = 0.0001). Highly significant associations of genes AIRE (rs2075876), CD40 (rs4810485), HLA-DRB1 (rs6457617) and TRAF1/C5 (rs10818488) polymorphisms were observed with RA.

该研究的主要目的是确定AIRE (rs2075876)、CD40 (rs4810485)、HLA-DRB1 (rs6457617)和TRAF1/C5 (rs10818488)基因多态性与巴基斯坦人群类风湿关节炎(RA)的关系。300名RA患者和300名健康对照者的血液样本取自巴基斯坦不同的医院。提取DNA;用PCR扩增DNA的特定区域。对AIRE (rs2075876)、CD40 (rs4810485)、HLA-DRB1 (rs6457617)和TRAF1/C5 (rs10818488)基因进行多态性分析。人口统计学参数,如年龄,显示有统计学意义的相关性,并使疾病的风险增加2倍(优势比[OR] = 2.57;95%置信区间[CI] = 1.60-4.12;p = 0.0001)。性别和家族史与关节炎无显著相关性(OR = 1.12;95% ci = 0.69-1.81;p = 0.6260;or = 0.70;95% ci = 0.44-1.11;P = 0.1313)。在吸烟的情况下,吸烟者和不吸烟者的差异在统计上都是显著的。吸烟者患类风湿性关节炎的风险降低(OR = 0.45;95% ci = 0.28-0.73;p = 0.0011),而在非吸烟者中,患病风险增加了2倍(OR = 2.17;95% ci = 1.36-3.47;p = 0.0011)。在AIRE基因中,rs2075876的杂合(AG)与RA风险增加的相关性高达3倍(OR = 3.39;95% ci = 2.08-5.54;p = 0.0001),而纯合突变体(GG)也显示出显著的相关性(OR = 0.43;95% ci = 0.26-0.72;P = 0.0014),但风险降低。在CD40基因中,rs4810485的杂合子(AG)与RA风险降低显著相关(OR = 0.59;95% ci = 0.377-0.945;p = 0.027),而rs4810485的纯合突变体(GG)显示出高度显著的相关性,其风险增加高达4倍(OR = 4.318;95% ci = 2.553-7.303;p = 0.0001)。在HLA-DRB1基因中,rs6457617的杂合子(CT)与疾病风险降低显著相关(OR = 0.52;95% ci = 0.35-0.85;p = 0.007),而rs6457617的纯合突变体(TT)显示出高度显著的相关性,使RA的风险增加了4倍(OR = 4.37;95% ci = 2.55-7.47;p = 0.0001)。在TRAF1/C5基因中,rs10818488的杂合性(AG)与疾病风险增加的显著相关性高达4倍(OR = 4.06;95% ci = 2.38-6.98;p = 0.0001)。AIRE (rs2075876)、CD40 (rs4810485)、HLA-DRB1 (rs6457617)和TRAF1/C5 (rs10818488)基因多态性与RA高度相关。
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引用次数: 0
Interleukin 6 Promoter Region Polymorphism in Patients With Type 2 Diabetes Mellitus, Study in One Egyptian Centre 2型糖尿病患者白细胞介素6启动子区多态性,在一个埃及中心的研究
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-07-14 DOI: 10.1111/iji.70004
Mohamad Mohsen Motawea, Ahmed Mohsen Faheem, Maysaa El Sayed Zaki, Mohamed Saleh Ismail, Noha Tharwat Abou El-khier, Aml Mohamed Nada

Evidence indicates a connection between diabetes mellitus type 2 (DM2) and a chronic inflammatory reaction controlled by cytokines such as interleukin 6 (IL-6). This study examines the genetic variation in the IL-6 promoter region (rs1800796) among patients with DM2 compared to healthy individuals. Additionally, the study intends to quantify the levels of IL-6 in both groups.

We evaluated the IL-6 levels in the blood samples from both groups and used restriction fragment length polymorphism to assess the presence of polymorphism in the IL-6 promoter region rs1800796. The study included 100 patients with DM2 and 100 healthy control subjects.

The prevalence of the GC genotype was significantly higher in patients (72%) compared to controls (51%), with a p value of 0.001. Additionally, there was a substantial rise in the CC genotype among patients (10%) compared to controls (4%). IL-6 levels were considerably elevated in individuals with the CC genotype compared to those with the GG genotype (p1 = 0.001). Additionally, IL-6 levels were significantly higher than those with the GC genotype (75.1) than those with the GG genotype (p2 = 0.001).

This study highlights the increased levels of IL-6 in DM2, indicating a persistent inflammatory response that may contribute to developing DM2. There is an apparent increase in the GC and CC genotypes in the promoter rs1800796 among people with diabetes. This suggests these genotypes may be genetic risk factors for DM2 in Egyptians. Furthermore, we linked these genetic variations to increased levels of IL-6.

有证据表明,2型糖尿病(DM2)与由白细胞介素6 (IL-6)等细胞因子控制的慢性炎症反应有关。本研究检测了与健康个体相比,DM2患者IL-6启动子区域(rs1800796)的遗传变异。此外,该研究旨在量化两组患者IL-6的水平。我们评估了两组血液样本中的IL-6水平,并使用限制性内切片段长度多态性来评估IL-6启动子区域rs1800796的多态性存在。该研究包括100名DM2患者和100名健康对照者。患者中GC基因型的患病率(72%)明显高于对照组(51%),p值为0.001。此外,与对照组(4%)相比,患者中CC基因型的显著增加(10%)。与GG基因型个体相比,CC基因型个体的IL-6水平显著升高(p1 = 0.001)。此外,GC基因型患者IL-6水平(75.1)显著高于GG基因型患者(p2 = 0.001)。这项研究强调了DM2中IL-6水平的升高,表明持续的炎症反应可能有助于DM2的发展。在糖尿病患者中,启动子rs1800796的GC和CC基因型明显增加。这表明这些基因型可能是埃及人DM2的遗传危险因素。此外,我们将这些遗传变异与IL-6水平升高联系起来。
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引用次数: 0
Co-Occurrence of HIV-Susceptibility and -Protective HLA Alleles Is a Possible Contributor to the Development of Primary HIV-Associated Thrombocytopenia (PHAT): A Cross-Sectional Study hiv易感性和保护性HLA等位基因的共同出现是原发性hiv相关血小板减少症(PHAT)发展的可能因素:一项横断面研究
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-07-14 DOI: 10.1111/iji.70003
Walter J Janse van Rensburg, Anne-Cecilia van Marle, Lomari Geertsema

Primary HIV-associated thrombocytopenia (PHAT) is an isolated thrombocytopenia in HIV-positive individuals in the absence of secondary causes. The presence of certain Human Leukocyte Antigens (HLA) has been linked to individuals’ immune response to HIV and the development of immune-mediated thrombocytopenic disorders. Considering the established associations between HLA and HIV infection and HLA and immune-mediated thrombocytopenias, we hypothesise that specific HLA alleles may also increase the risk of developing PHAT, a condition that links both HIV and immune-mediated thrombocytopenia. Therefore, the study aimed to determine the frequency of high-resolution HLA alleles in patients presenting with possible PHAT. Following a detailed screening process, we evaluated the HLA profiles of 43 participants with probable PHAT using the Axiom Precision Medicine Diversity Array (PMDA) Kit on the GeneTitan Multi-Channel instrument. No single HLA allele was found to be more prominent in our PHAT population. However, 93.02% of participants had both HIV-protective and HIV-susceptible alleles. The potential mechanism causing thrombocytopenia to be the only clinically relevant haematological abnormality in these patients remains to be explored. We concluded that the presence of both an HIV-protective and HIV-susceptibility allele in the same individual may cause antagonistic immune reactions, resulting in thrombocytopenia in HIV-positive individuals. We propose future long-term follow-up studies to determine the progression and outcome in patients with PHAT.

原发性hiv相关血小板减少症(PHAT)是hiv阳性个体在没有继发原因的情况下发生的孤立的血小板减少症。某些人类白细胞抗原(HLA)的存在与个体对HIV的免疫反应和免疫介导的血小板减少性疾病的发展有关。考虑到HLA与HIV感染以及HLA与免疫介导的血小板减少症之间已建立的联系,我们假设特异性HLA等位基因也可能增加发生PHAT的风险,PHAT是一种与HIV和免疫介导的血小板减少症相关的疾病。因此,该研究旨在确定可能出现PHAT的患者中高分辨率HLA等位基因的频率。经过详细的筛选过程,我们使用Axiom精密医学多样性阵列(PMDA)试剂盒在GeneTitan多通道仪器上评估了43名可能患有PHAT的参与者的HLA谱。没有发现单个HLA等位基因在我们的PHAT人群中更突出。然而,93.02%的参与者同时具有hiv保护和hiv易感等位基因。导致血小板减少症成为这些患者唯一临床相关的血液学异常的潜在机制仍有待探索。我们得出结论,在同一个体中同时存在hiv保护等位基因和hiv易感性等位基因可能引起拮抗免疫反应,导致hiv阳性个体的血小板减少。我们建议未来进行长期随访研究,以确定PHAT患者的进展和预后。
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引用次数: 0
The Distribution of HLA-DRB4 Alleles Among HLA-DRB1*07:01-Positive Haplotypes in Saudi Arabia 沙特阿拉伯地区HLA-DRB1*07:01阳性单倍型HLA-DRB4等位基因的分布
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-06-29 DOI: 10.1111/iji.12715
Sheerin A. Alandejani, Fatma Aytül Uyar, Abdullah Alrasheed, Mohammed Alghamdi, Asma Albaihed, Abdullah S. Matyuri, Abdulrahman Alkhaibari, Aishah Alanazi, Mohammed Alzahrani, Abdullah Alshubaili, Hanan Anazi, Ali H. Hajeer

This study investigates the distribution of human leukocyte antigen (HLA)-DRB4 alleles in HLA-DRB1*07:01-positive haplotypes within a Saudi cohort of 313 individuals. It identifies strong linkage disequilibrium between HLA-DRB1*07:01 and specific alleles. The most prevalent HLA-DRB1∼DQB1 combination identified is DRB1*07:01∼DQB1*02:02. Additionally, for the HLA-DRB1*07:01∼DQB1*03:03 association, DRB4*01:01 was found to be more common than the DRB4*01:03N allele. The most frequently observed extended haplotype is HLA-A*02:01∼C*06:02∼B*50:01∼DRB1*07:01∼DRB4*01:03∼DQA1*02:01∼DQB1*02:02∼DPA1*01:03∼DPB1*04:01. These findings emphasize the distinct genetic characteristics of the Saudi population and contribute to understanding haplotypic diversity, particularly the prevalence of HLA-DR7-related alleles and their implications for disease susceptibility and transplantation compatibility.

本研究调查了313名沙特人HLA- drb1 *07:01阳性单倍型中人类白细胞抗原(HLA)-DRB4等位基因的分布。发现HLA-DRB1*07:01与特定等位基因之间存在强烈的连锁不平衡。最常见的HLA-DRB1 ~ DQB1组合是DRB1*07:01 ~ DQB1*02:02。此外,对于HLA-DRB1*07:01 ~ DQB1*03:03关联,发现DRB4*01:01比DRB4*01:03N等位基因更常见。最常见的扩展单倍型是HLA-A*02:01 ~ C*06:02 ~ B*50:01 ~ DRB1*07:01 ~ DRB4*01:03 ~ DQA1*02:01 ~ DQB1*02:02 ~ DPA1*01:03 ~ DPB1*04:01。这些发现强调了沙特人群独特的遗传特征,有助于理解单倍型多样性,特别是hla - dr7相关等位基因的患病率及其对疾病易感性和移植相容性的影响。
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引用次数: 0
Association Between Pathogenic Variants in NLRP12 and Autoinflammatory Disease: A Comprehensive Systematic Review NLRP12致病变异与自身炎症性疾病之间的关系:一项全面的系统综述。
IF 1.1 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-06-24 DOI: 10.1111/iji.70001
Nasimeh Vatandoost, Sajjad Biglari, Tayebeh Ranjbarnejad, Hassan Vahidnezhad, Sima Jafarpour, Mohammad Abdolvand, Mansour Salehi, Roya Sherkat

Systemic auto-inflammatory diseases (SAID) are rare inherited conditions characterized by dysregulation of the immune system, which leads to recurrent episodes of fever and systemic inflammation. Recent studies have identified pathogenic variants in the nucleotide-binding leucine-rich repeat-containing receptor 12 (NLRP12) gene as potential contributors to autoinflammatory syndromes. Therefore, evaluating NLRP12 gene variants is crucial for the differential diagnosis of patients presenting symptoms associated with autoinflammatory diseases, specifically those known as NLRP12-associated autoinflammatory disease (NLRP12-AID). This study aims to identify causal variants in the NLRP12 gene encoding for NLRP12 and to discuss its pathogenesis, clinical features, and emerging treatment approaches. We used specific keywords for a systematic literature review via EMBASE, Scopus, ScienceDirect, Web of Science, and PubMed. Out of 874 articles, 27 met the inclusion criteria. To our knowledge, 103 patients with NLRP12 variants have been reported in the literature. All 60 variants in the NLRP12 coding gene were identified, including 49 classified as variants of uncertain significance (VUS), pathogenic, and likely pathogenic. The results show that the mean age of onset was 13.18 years. Fever was reported as the main symptom in 90% of cases of NLRP12-AID. Other symptoms, such as rash and urticaria, occurred in 59% of cases, myalgia and arthralgia in 39% of cases, arthritis in less than 20%, and abdominal pain/diarrhea in 50% of patients.

In summary, the clinical features of NLRP12-AID are diverse and impact several tissues, particularly the musculoskeletal and gastrointestinal systems. In addition to familial cold autoinflammatory syndrome (FCAS) symptoms. Owing to its variable expression and incomplete penetrance, NLRP12-AID is often misdiagnosed. Therefore, we believe that patients with a syndrome of undifferentiated recurrent fever should also undergo genetic evaluation for NLRP12.

系统性自身炎症性疾病(SAID)是一种罕见的遗传性疾病,其特征是免疫系统失调,导致反复发作的发烧和全身性炎症。最近的研究已经确定了核苷酸结合富亮氨酸重复受体12 (NLRP12)基因的致病变异是自身炎症综合征的潜在因素。因此,评估NLRP12基因变异对于出现与自身炎症性疾病相关症状的患者的鉴别诊断至关重要,特别是那些被称为NLRP12相关自身炎症性疾病(NLRP12- aid)的患者。本研究旨在确定编码NLRP12的NLRP12基因的因果变异,并讨论其发病机制、临床特征和新兴的治疗方法。我们通过EMBASE、Scopus、ScienceDirect、Web of Science和PubMed对特定的关键词进行了系统的文献综述。在874篇文章中,27篇符合纳入标准。据我们所知,文献中报道了103例NLRP12变异体患者。NLRP12编码基因的所有60个变异被鉴定出来,其中49个被分类为不确定意义(VUS)、致病和可能致病的变异。结果显示,患者平均发病年龄为13.18岁。90%的NLRP12-AID病例以发热为主要症状。59%的患者出现皮疹和荨麻疹等其他症状,39%的患者出现肌痛和关节痛,不到20%的患者出现关节炎,50%的患者出现腹痛/腹泻。综上所述,NLRP12-AID的临床特征多种多样,影响多种组织,尤其是肌肉骨骼和胃肠道系统。除了家族性感冒自身炎症综合征(FCAS)症状。由于NLRP12-AID的表达变化多端和外显率不完全,常被误诊。因此,我们认为患有未分化性反复发热综合征的患者也应该对NLRP12进行遗传评估。
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引用次数: 0
Association of HLA-G 14-bp Insertion/Deletion Polymorphism With Recurrent Spontaneous Abortion: A Meta-Analysis HLA-G 14bp插入/缺失多态性与复发性自然流产的关联:一项荟萃分析。
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-06-16 DOI: 10.1111/iji.70000
Yan Sun, Mingzhu Huo, Jihua Zhao, Wenbin Niu

We performed a meta-analysis to study the relationship between HLA-G 14-bp insertion/deletion polymorphism and recurrent spontaneous abortion (RSA). All literature was searched from PubMed, Web of Science, Embase and Wanfang databases. Statistical analyses were performed by the STATA software (Version 16.0). A total of 35 studies were analysed which included 3652 women with RSA and 3331 normal control subjects. The current meta-analysis revealed that 14-bp insertion/deletion polymorphism has a significant association with RSA (I vs. D: OR: 1.17; 95% CI (1.05–1.30); II + ID vs. DD: OR: 1.33; 95% CI (1.11–1.59); II vs. DD: OR: 1.34; 95% CI (1.07–1.66); ID vs. DD: OR: 1.30; 95% CI (1.08–1.58)). Subgroup analysis by the number of abortions indicated that there was no significant association between HLA-G 14-bp insertion/deletion polymorphism and RSA risk in women with two or more abortions. However, HLA-G 14-bp insertion/deletion polymorphism was associated with the risk of RSA in women with three or more abortions as well as the overall population (I vs. D: OR: 1.26; 95% CI (1.04–1.52); II + ID vs. DD: OR: 1.47; 95% CI (1.09–1.98); II vs. DD: OR: 1.52; 95% CI (1.08–2.13); ID vs. DD: OR: 1.45; 95% CI (1.06–1.99)). Subgroup analysis by ethnicity indicated that HLA-G 14-bp insertion/deletion polymorphism increased RSA risk in both Asian ancestry group (II + ID vs. DD: OR: 1.35; 95% CI (1.06–1.73); ID vs. DD: OR: 1.37; 95% CI (1.06–1.78)) and European ancestry group (I vs. D: OR: 1.25; 95% CI (1.08–1.45); II vs. ID + DD: OR: 1.48; 95% CI (1.14–1.91); II vs. DD: OR: 1.61; 95% CI (1.19–2.18)). A pOR value of < 0.05 was considered statistically significant for these analyses. Our current meta-analysis demonstrated that the HLA-G 14-bp insertion/deletion polymorphism increased the risk of RSA in Asian ancestry group and European ancestry group.

我们进行了一项荟萃分析,研究HLA-G 14bp插入/缺失多态性与复发性自然流产(RSA)的关系。所有文献检索自PubMed、Web of Science、Embase和万方数据库。采用STATA软件(Version 16.0)进行统计分析。共分析了35项研究,其中包括3652名RSA女性和3331名正常对照受试者。目前的荟萃分析显示,14bp插入/删除多态性与RSA显著相关(I vs. D: OR: 1.17;95% ci (1.05-1.30);II + ID vs. DD: OR: 1.33;95% ci (1.11-1.59);II vs. DD: OR: 1.34;95% ci (1.07-1.66);ID vs. DD: OR: 1.30;95% ci(1.08-1.58))。流产次数的亚组分析表明,在两次或两次以上流产的妇女中,HLA-G 14bp插入/缺失多态性与RSA风险之间没有显著关联。然而,HLA-G 14bp插入/缺失多态性与三次或三次以上流产妇女以及总体人群的RSA风险相关(I vs. D: or: 1.26;95% ci (1.04-1.52);II + ID vs. DD: OR: 1.47;95% ci (1.09-1.98);II vs. DD: OR: 1.52;95% ci (1.08-2.13);ID vs. DD: OR: 1.45;95% ci(1.06-1.99))。种族亚组分析表明,HLA-G 14bp插入/缺失多态性增加了亚洲血统组的RSA风险(II + ID vs. DD: OR: 1.35;95% ci (1.06-1.73);ID vs. DD: OR: 1.37;95% CI(1.06-1.78))和欧洲血统组(I vs. D: OR: 1.25;95% ci (1.08-1.45);II vs. ID + DD: OR: 1.48;95% ci (1.14-1.91);II vs. DD: OR: 1.61;95% ci(1.19-2.18))。pOR值< 0.05被认为在这些分析中具有统计学意义。我们目前的荟萃分析表明,HLA-G 14bp插入/删除多态性增加了亚洲血统组和欧洲血统组的RSA风险。
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引用次数: 0
Identification of a Novel Homozygous C1QB Mutation in an Iranian Girl: Expanding the Clinical Spectrum of C1q Deficiency 在伊朗女孩中鉴定一种新的纯合子C1QB突变:扩大C1q缺乏症的临床谱
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-06-12 DOI: 10.1111/iji.12717
Nassim Gorjizadeh, Negar Gorjizadeh, Fatemeh Bitarafan, Mina Mohammadi-Sarband, Masoud Garshasbi

C1q deficiency is a rare autosomal recessive disease associated with recurrent skin lesions, chronic infections and an increased risk of autoimmune disorders, particularly systemic lupus erythematosus (SLE) or SLE-like disorders. Additionally, it has been linked to chronic glomerulonephritis and renal failure. C1q is the initial subcomponent of the classical pathway of the complement system and serves as a crucial linking factor between innate and acquired immunity. The C1 complex comprises three proteins: C1q, C1r and C1s. C1q comprises three chains: the A, B and C. The C1QB gene encodes the B-chain polypeptide of the serum complement subcomponent C1q. We report the case of an Iranian girl from a consanguineous family who suffers from C1q deficiency, presenting with some SLE symptoms that have not previously been described in the literature. She presented with progressive weakness in walking, tissue injury, skin lesions and subjective cognitive complaints regarding concentration and memory. The proband exhibited mild asymmetric uptake in the pelvic region, resulting in a waddling gait. Additionally, she showed abnormal circulating homocysteine levels, skin abnormalities and early inflammatory arthritis symptoms associated with SLE. Whole-exome sequencing (WES) was performed on the proband. A novel homozygous likely pathogenic missense variant in the C1QB gene, NM_001378156.1:c.263G>A, was identified. The variant was confirmed by Sanger sequencing in the proband, her parents and her healthy sister. This case highlights the significance of identifying a novel mutation in the C1QB gene, which expands the clinical spectrum of C1q deficiency. This finding contributes to the broader understanding of the disease's phenotype, helping to refine diagnostic criteria, particularly in cases with atypical manifestations. Furthermore, identifying such mutations in consanguineous families aids in genetic counselling and early diagnosis, allowing for better clinical management and prevention strategies.

C1q缺乏症是一种罕见的常染色体隐性遗传病,与复发性皮肤病变、慢性感染和自身免疫性疾病风险增加有关,尤其是系统性红斑狼疮(SLE)或SLE样疾病。此外,它还与慢性肾小球肾炎和肾功能衰竭有关。C1q是补体系统经典通路的初始子组分,是先天免疫和获得性免疫之间的重要联系因子。C1复合体包括三种蛋白质:C1q、C1r和C1s。C1q由A、B、c三条链组成。C1QB基因编码血清补体亚组分C1q的B链多肽。我们报告一个来自近亲家庭的伊朗女孩患有C1q缺乏症的病例,她表现出一些以前文献中没有描述的SLE症状。她表现为进行性行走无力、组织损伤、皮肤病变以及注意力和记忆力方面的主观认知问题。先证者在骨盆区域表现出轻微的不对称摄取,导致步态摇摇摆摆。此外,她还表现出与SLE相关的循环同型半胱氨酸水平异常、皮肤异常和早期炎性关节炎症状。先证者进行全外显子组测序(WES)。C1QB基因NM_001378156.1:c的一个新的纯合子可能致病性错义变异。263G >a,已被识别。先证者、她的父母和她健康的妹妹的桑格测序证实了这种变异。该病例强调了鉴定C1QB基因新突变的重要性,该突变扩大了C1q缺乏症的临床谱。这一发现有助于更广泛地了解该疾病的表型,有助于完善诊断标准,特别是在非典型表现的病例中。此外,在近亲家庭中确定这种突变有助于遗传咨询和早期诊断,从而允许更好的临床管理和预防战略。
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引用次数: 0
Genetic Variations in TLR2 and TLR4 Genes and Their Association With COVID-19 Severity and Inflammatory Markers in the Moroccan Population 摩洛哥人群中TLR2和TLR4基因的遗传变异及其与COVID-19严重程度和炎症标志物的关系
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-06-07 DOI: 10.1111/iji.70002
Rachid Noureddine, Asmaa Haddaji, Hanâ Baba, Ahd Ouladlahsen, Safaa Aqillouch, Oumaima Laazaazia, Achraf Aainouss, Hind Dehbi, Sayeh Ezzikouri

The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has significantly impacted global health, with Morocco reporting over 1.2 million confirmed cases and more than 16,300 deaths. The severity of COVID-19 varies, ranging from asymptomatic cases to mild symptoms, acute respiratory failure and death. Genetic factors are believed to influence individual responses to the virus. This study investigates the association between two common single nucleotide polymorphisms (SNPs) in Toll-like receptors (TLRs)—TLR2 rs3804099 (+597 C/T) and TLR4 rs4986790 (+896 A/G)—and disease severity and inflammatory markers in Moroccan COVID-19 patients. A total of 452 COVID-19 patients (259 with mild/moderate disease and 193 with severe disease) were included. TLR2 and TLR4 SNPs were genotyped using a predesigned TaqMan real-time allelic discrimination assay. Complete blood count samples, along with levels of C-reactive protein (CRP), ferritin, procalcitonin and D-dimer, were assessed using automated methods. No significant associations were observed between either SNP in TLR2 and TLR4 and disease severity under various genetic models. However, in severe cases, TLR4 rs4986790 showed a significant association with ferritin levels (p = 0.0002) and lymphocyte count (p < 0.0001). TLR2 rs3804099 was linked to CRP levels in severe patients (p = 0.036). No associations were observed with anti-receptor-binding domain (RBD) IgG or anti-N IgG levels in severe cases (p > 0.05). These findings suggest that although TLR4 and TLR2 polymorphisms are not directly associated with COVID-19 severity, they may influence the inflammatory response. Specifically, TLR4 rs4986790 and TLR2 rs3804099 appear to modulate ferritin and CRP levels, potentially impacting disease progression in severe cases.

由SARS-CoV-2病毒引起的COVID-19大流行严重影响了全球卫生,摩洛哥报告了120多万例确诊病例和16,300多人死亡。COVID-19的严重程度各不相同,从无症状病例到轻度症状、急性呼吸衰竭和死亡。遗传因素被认为会影响个体对病毒的反应。本研究调查了摩洛哥COVID-19患者toll样受体(TLRs)中两种常见的单核苷酸多态性(snp)-TLR2 rs3804099 (+597 C/T)和TLR4 rs4986790 (+896 A/G)-与疾病严重程度和炎症标志物之间的关系。共纳入452例COVID-19患者(轻/中度疾病259例,重度疾病193例)。采用预先设计的TaqMan实时等位基因鉴别法对TLR2和TLR4 snp进行基因分型。全血细胞计数样本,以及c反应蛋白(CRP)、铁蛋白、降钙素原和d -二聚体的水平,使用自动化方法进行评估。在各种遗传模型下,未观察到TLR2和TLR4 SNP与疾病严重程度之间的显著关联。然而,在严重病例中,TLR4 rs4986790与铁蛋白水平(p = 0.0002)和淋巴细胞计数(p 0.05)显著相关。这些发现表明,尽管TLR4和TLR2多态性与COVID-19严重程度没有直接关系,但它们可能影响炎症反应。具体而言,TLR4 rs4986790和TLR2 rs3804099似乎调节铁蛋白和CRP水平,可能影响严重病例的疾病进展。
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引用次数: 0
Association of Vitamin D Deficiency and Vitamin D Receptor FokI Gene Polymorphism With Diabetic Retinopathy Complications in Ethiopian Patients With Type 2 Diabetes Mellitus 维生素D缺乏和维生素D受体FokI基因多态性与埃塞俄比亚2型糖尿病患者糖尿病视网膜病变并发症的关系
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-06-03 DOI: 10.1111/iji.12719
Addisu Melake, Getachew Alamnie, Melaku Mekonnen

Several studies suggest that a deficiency in vitamin D might be a potential risk factor for developing diabetic retinopathy. Research has extensively studied vitamin D receptor genes, such as the FokI gene polymorphisms, and found links between these genetic variations and susceptibility to diabetic retinopathy across different populations. This study aimed to investigate how vitamin D deficiency and vitamin D receptor FokI gene polymorphisms influence the risk of diabetic retinopathy complications in individuals with Type 2 diabetes mellitus. This was a hospital-based case-control research with 153 diabetic retinopathy patients, 153 Type 2 diabetes mellitus patients, and 153 age- and sex-matched healthy controls. Through the collection and analysis of clinical and demographic data, the study assessed the diabetic retinopathy risk factors. The FokI genotypes were determined by analysing DNA isolated from blood samples using polymerase chain reaction and agarose gel electrophoresis. Diabetic retinopathy patients had a much higher prevalence of VDD (OR = 6.24, 95% CI = 3.14–12.39; p < 0.001) than Type 2 diabetes patients and healthy controls. Furthermore, diabetic retinopathy patients had significantly higher frequencies of the FokI ff genotype (OR = 2.04; 95% CI = 1.24–3.75; p = 0.005) and the f allele (OR = 1.56; 95% CI = 1.18–2.06; p = 0.001) than Type 2 diabetes patients and healthy controls. These results indicate that vitamin D deficiency and vitamin D receptor FokI gene polymorphisms are risk factors for the onset and progression of diabetic retinopathy. There is a significant correlation between vitamin D deficiency and the development of diabetic retinopathy. Moreover, the FokI gene of the ff genotype and the f allele have been linked to an increased risk of developing diabetic retinopathy complications in patients with a history of Type 2 diabetes mellitus in the Ethiopian population under study.

几项研究表明,维生素D缺乏可能是糖尿病视网膜病变的潜在危险因素。研究人员广泛研究了维生素D受体基因,如FokI基因多态性,并发现这些遗传变异与不同人群对糖尿病视网膜病变的易感性之间存在联系。本研究旨在探讨维生素D缺乏和维生素D受体FokI基因多态性如何影响2型糖尿病患者糖尿病视网膜病变并发症的风险。这是一项以医院为基础的病例对照研究,153名糖尿病视网膜病变患者、153名2型糖尿病患者和153名年龄和性别匹配的健康对照。本研究通过收集和分析临床和人口统计学资料,评估糖尿病视网膜病变的危险因素。采用聚合酶链反应和琼脂糖凝胶电泳技术对血液样本分离的DNA进行分析,确定福氏菌基因型。糖尿病视网膜病变患者的VDD患病率更高(OR = 6.24, 95% CI = 3.14-12.39;p < 0.001)高于2型糖尿病患者和健康对照组。此外,糖尿病视网膜病变患者FokI ff基因型的频率显著高于糖尿病视网膜病变患者(OR = 2.04;95% ci = 1.24-3.75;p = 0.005)和f等位基因(OR = 1.56;95% ci = 1.18-2.06;p = 0.001)高于2型糖尿病患者和健康对照组。这些结果表明,维生素D缺乏和维生素D受体FokI基因多态性是糖尿病视网膜病变发生和发展的危险因素。维生素D缺乏与糖尿病视网膜病变之间存在显著相关性。此外,在研究的埃塞俄比亚人群中,ff基因型的FokI基因和f等位基因与有2型糖尿病史的患者发生糖尿病视网膜病变并发症的风险增加有关。
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引用次数: 0
Professor Paul Dunn, 1958–2025 保罗·邓恩教授(1958-2025
IF 2.3 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2025-06-02 DOI: 10.1111/iji.12718
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引用次数: 0
期刊
International Journal of Immunogenetics
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