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Retrospective analysis of patients with severe combined immunodeficiency and alternative diagnostic criteria: A 20-year single centre experience 严重联合免疫缺陷患者的回顾性分析和替代诊断标准:20年单中心经验。
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-06-12 DOI: 10.1111/iji.12624
Sevim Busra Korkmaz, Mehmet Ali Karaselek, Selma Erol Aytekin, Huseyin Tokgoz, Ismail Reisli, Sukru Guner, Sevgi Keles

Severe combined immunodeficiency (SCID) is an inborn errors of immunity (IEI) disorder characterized by impairment in the development and function of lymphocytes and could be fatal if not treated with hematopoietic stem cell transplant in the first 2 years of life. There are various diagnostic criteria for SCID among different primary immunodeficiency societies. We retrospectively evaluated clinical and laboratory findings of 59 patients followed up with the diagnosis of SCID at our clinic over the past 20 years in order to develop an algorithm that would help diagnosis of SCID for the countries where a high ratio of consanguineous marriage is present because these countries have not launched TREC assay in their newborn screening programs. The mean age at diagnosis was 5.80 ± 4.90 months, and the delay was 3.29 ± 3.99 months. The most common complaint and physical examination findings were cough (29.05%), eczematous rash (63%) and organomegaly (61%). ADA (17%), Artemis (14%), RAG1/2 (15%), MHC Class II (12%) and IL-2R (12%) deficiencies were the most common genetic defects. Lymphopenia (87.5%) was the most frequent abnormal laboratory finding and below 3000/mm3 in 95% of the patients. The CD3+ T cell count was 300/mm3 and below in 83% of the patients. As a result, a combination of low lymphocyte count and CD3 lymphopenia for SCID diagnosis would be more reliable for countries with high rate of consanguineous marriage. Physicians should consider diagnosis of SCID in a patient presenting with severe infections and lymphocyte counts below 3000/mm3 under 2 years of age.

严重联合免疫缺陷(SCID)是一种先天性免疫缺陷(IEI)疾病,其特征是淋巴细胞的发育和功能受损,如果在生命的前2年不进行造血干细胞移植治疗,可能会致命。不同的原发性免疫缺陷学会对SCID有不同的诊断标准。我们回顾性评估了过去20年来在我们诊所诊断为SCID的59名患者的临床和实验室结果,以开发一种算法,帮助那些近亲结婚率高的国家诊断SCID,因为这些国家尚未在其新生儿筛查计划中启动TREC检测。诊断时的平均年龄为5.80±4.90个月,延迟为3.29±3.99个月。最常见的主诉和体检结果是咳嗽(29.05%)、湿疹样皮疹(63%)和器官肿大(61%)。ADA(17%)、Artemis(14%)、RAG1/2(15%)、MHC II类(12%)和IL-2R(12%)缺陷是最常见的遗传缺陷。淋巴细胞减少(87.5%)是最常见的实验室异常发现,95%的患者低于3000/mm3。83%的患者的CD3+T细胞计数为300/mm3及以下。因此,低淋巴细胞计数和CD3淋巴细胞减少症联合诊断SCID对于近亲结婚率高的国家来说更可靠。医生应考虑在2岁以下出现严重感染和淋巴细胞计数低于3000/mm3的患者中诊断为SCID。
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引用次数: 0
Interleukin-21 receptor gene polymorphism (rs2285452 A/G) is associated with susceptibility to Behçet's disease 白介素-21受体基因多态性(rs2285452 A/G)与behet病的易感性相关
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-05-27 DOI: 10.1111/iji.12623
Rajaa Lahmar, Elyes Chabchoub, Ramzi Zemni, Mzabi Anis, Neirouz Ghannouchi, Foued Ben Hadj Slama

Behçet's disease (BD) is a chronic auto inflammatory disorder of unknown aetiology. Recently, the dysregulation of interleukin-21 receptor (IL-21R) has been incriminated in different autoimmune and auto-inflammatory diseases, such as systemic lupus erythematous, rheumatoid arthritis, and type 1 diabetes. Herein, we aimed to investigate the association of two Il-21R gene polymorphisms with BD. IL-21R rs2214537 and IL-21R rs2285452 genotypings were investigated in a cohort of 110 adult patients with BD and 116 age and gender unmatched healthy controls. Genotyping was performed by mutagenically separated polymerase chain reaction with newly designed primers. IL-21R rs2285452 genotypes and alleles distribution were statistically different between patients with BD and controls. GA and AA genotypes carrying the minor A allele were more frequent in patients with BD than in healthy controls (37.3% and 11.8% vs. 23.3% and 3.4%, respectively). The minor A allele was associated with an increased BD risk (odds ratios = 2.42, 95% confidence interval = 1.214.87, p = .005). IL-21R rs2214537 GG genotype was found to be associated with susceptibility to BD in the recessive model (GG vs. CC + CG; p = .046, OR =  1.91, 95% CI =  1.003.650. IL-21R rs2285452 and IL-21R rs2214537 were not in linkage disequilibrium (D' = 0.42). The AG haplotype was more frequently observed in patients with BD than in controls (0.247 vs. 0.056, p =  .0001). This study for the first time reports the association of IL-21R rs2285452 and IL-21R rs2214537 with BD. Functional studies are required to elucidate the exact role of these genetic variants.

behet病(BD)是一种病因不明的慢性自身炎症性疾病。近年来,白细胞介素-21受体(IL-21R)的失调被认为与不同的自身免疫性和自身炎症性疾病有关,如系统性红斑狼疮、类风湿性关节炎和1型糖尿病。在此,我们旨在研究两种Il-21R基因多态性与BD的关系。我们在110名成年BD患者和116名年龄和性别不匹配的健康对照中研究了Il-21R rs2214537和Il-21R rs2285452基因分型。用新设计的引物进行突变分离聚合酶链反应进行基因分型。患者与对照组IL-21R rs2285452基因型及等位基因分布差异有统计学意义。携带A等位基因的GA和AA基因型在BD患者中比健康对照组更常见(分别为37.3%和11.8%,分别为23.3%和3.4%)。较小的A等位基因与BD风险增加相关(优势比= 2.42,95%置信区间= 1.214.87,p = 0.005)。在隐性模型中发现IL-21R rs2214537 GG基因型与BD易感性相关(GG vs. CC + CG;p = 0.046, OR = 1.91, 95% CI = 1.003.650。IL-21R rs2285452和IL-21R rs2214537不存在连锁不平衡(D' = 0.42)。AG单倍型在BD患者中比在对照组中更常见(0.247比0.056,p = 0.0001)。本研究首次报道了IL-21R rs2285452和IL-21R rs2214537与BD的关联,需要通过功能研究来阐明这些遗传变异的确切作用。
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引用次数: 0
Genetic landscape of human platelet antigen variants in the Indian population analysed from 1029 whole genomes 从1029个全基因组分析了印度人群中人类血小板抗原变异的遗传景观
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-05-09 DOI: 10.1111/iji.12622
Mercy Rophina, Rahul C. Bhoyar, Mohamed Imran, Vigneshwar Senthivel, Mohit Kumar Divakar, Anushree Mishra, Aastha Vatsyayan, Bani Jolly, Sridhar Sivasubbu, Vinod Scaria

Genetic variants in human platelet antigens (HPAs) considered allo- or auto antigens are associated with various disorders, including neonatal alloimmune thrombocytopenia, platelet transfusion refractoriness and post-transfusion purpura. Although global differences in genotype frequencies were observed, the distributions of HPA variants in the Indian population are largely unknown. This study aims to explore the landscape of HPA variants in India to provide a basis for risk assessment and management of related complications. Population-specific frequencies of genetic variants associated with the 35 classes of HPAs (HPA-1 to HPA-35) were estimated by systematically analysing genomic variations of 1029 healthy Indian individuals as well as from global population genome datasets. Allele frequencies of the most clinically relevant HPA systems in the Indian population were found as follows, HPA-1a – 0.884, HPA-1b – 0.117, HPA-2a – 0.941, HPA-2b – 0.059, HPA-3a – 0.653, HPA-3b – 0.347, HPA-4a – 0.999, HPA-4b – 0.0010, HPA-5a – 0.923, HPA-5b – 0.077, HPA-6a – 0.998, HPA-6b – 0.002, HPA-15a – 0.582 and HPA-15b – 0.418. This study provides the first comprehensive analysis of HPA allele and genotype frequencies using large scale representative whole genome sequencing data of the Indian population.

被认为是同种异体或自身抗原的人血小板抗原(HPAs)的遗传变异与各种疾病有关,包括新生儿同种免疫血小板减少症、血小板输血难耐性和输血后紫癜。虽然观察到基因型频率的全球差异,但印度人群中HPA变异的分布在很大程度上是未知的。本研究旨在探讨印度HPA变异的情况,为相关并发症的风险评估和管理提供依据。通过系统分析1029名健康印度人的基因组变异以及全球人口基因组数据集,估计了与35类hpa (HPA-1至HPA-35)相关的遗传变异的人群特异性频率。与印度人群临床最相关的HPA系统等位基因频率分别为:HPA-1a - 0.884、HPA-1b - 0.117、HPA-2a - 0.941、HPA-2b - 0.059、HPA-3a - 0.653、HPA-3b - 0.347、HPA-4a - 0.999、HPA-4b - 0.0010、HPA-5a - 0.923、HPA-5b - 0.077、HPA-6a - 0.998、HPA-6b - 0.002、HPA-15a - 0.582和HPA-15b - 0.418。本研究首次利用大规模代表性的印度人群全基因组测序数据对HPA等位基因和基因型频率进行了全面分析。
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引用次数: 0
Nomenclature for factors of the HLA system, update January, February and March 2023 HLA系统因子命名法,2023年1月、2月和3月更新
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-05-01 DOI: 10.1111/iji.12621
Steven G. E. Marsh, for the WHO Nomenclature Committee for Factors of the HLA System
HLA allele Cell identification Accession number Submitting author A*01:01:01:111 NGS447D5, NGS447D4 OP598190, OP598191 Dr.Meenaskshi Singh, NaviMumbai, India A*01:428 HG00050653 OP830367 Histogenetics, Ossining, NY, USA A*01:429 HG00050662 OP921046 Histogenetics, Ossining, NY, USA A*01:430 HG00050801 OQ267716 Histogenetics, Ossining, NY, USA A*01:431 22031276 OQ513876 Dr. Robert Bray, Atlanta, GA, USA A*02:01:01:243 GR-EVA-53448 OQ357854 Mrs. Diamanto Kouniaki, Athens, Greece A*02:01:01:244 202218040 OQ354660 Dr. Amalia Tejeda Velarde, Salamanca, Spain A*02:01:212 HG00050669 OP966826 Histogenetics, Ossining, NY, USA A*02:03:12 HG00050657 OP830371 Histogenetics, Ossining, NY, USA A*02:06:32 HG00050658 OP830372 Histogenetics, Ossining, NY, USA A*02:1090 HG00050660 OP921044 Histogenetics, Ossining, NY, USA A*02:1091 HG00050654 OP830368 Histogenetics, Ossining, NY, USA A*02:1092 24814908 OQ241003 Dr. Luis A.Marin, Albacete, Spain A*02:1093 TPH21-29-F2, TPH21-29-P OQ268071 Dr. Antonio Nieto, Cadiz, Spain A*02:1094 1978045-1588984 OQ503628 Dr. Jose Samuel da Silva, Aparecida de Goiania Goias, Brazil A*02:1095 HG00050863 OQ357646 Histogenetics, Ossining, NY, USA A*02:1096 HG00050862 OQ357645 Histogenetics, Ossining, NY, USA A*02:1097 HG00050868 OQ436003 Histogenetics, Ossining, NY, USA A*02:1098 2018TB10688 OQ556862 Dr. Keming Du, Shanghai, China A*02:1099 22-1847 OP661183 Korean Red Cross Blood Transfusion Research Institute, Wonju-si, South Korea A*03:01:119 HG00050909 OQ472865 Histogenetics, Ossining, NY, USA (Continues) Below are listed the newly assigned sequences (Table 1) and confirmations of previously reported sequences (Table 2). The accession number of each sequence is given and these can be used to retrieve the sequence files from the EMBL, GenBank or DDBJ data libraries. Although accession numbers have been assigned by the data libraries
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引用次数: 0
Solute carrier family 11 member 1 genetic polymorphisms rs17235409 and rs3731865 associate with susceptibility to extremity post-traumatic osteomyelitis in a Chinese Han population 溶质载体家族11成员1遗传多态性rs17235409和rs3731865与中国汉族人群肢体创伤后骨髓炎易感性相关
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-04-25 DOI: 10.1111/iji.12620
Nan Jiang, Yong-Cong Zhong, Qing-Rong Lin, Chen-Sheng Song, Bin Yu, Yan-Jun Hu

Genetic variations in the solute carrier family 11 member 1 (SLC11A1) gene have been implicated in developing inflammatory disorders. However, it is still unclear whether such polymorphisms contribute to the pathogenesis of post-traumatic osteomyelitis (PTOM). Therefore, this study investigated the roles of genetic variations of the SLC11A1 gene (rs17235409 and rs3731865) in PTOM development in a Chinese Han cohort. The SNaPshot method was used for genotyping 704 participants (336 patients and 368 controls) for rs17235409 and rs3731865. Outcomes revealed that rs17235409 increased the risk of PTOM occurrence by dominant (p = .037, odds ratio [OR] = 1.44) and heterozygous models (p = .035, OR = 1.45), implying AG genotype as a risk factor for PTOM development. In addition, patients with AG genotype had relatively higher levels of inflammatory biomarkers than those with AA and GG genotypes, especially for the white blood cell count and C-reactive protein. Despite no statistically significant differences achieved, rs3731865 may reduce the PTOM susceptibility, suggested by the results of dominant (p = .051, OR = 0.67) and heterozygous (p = .068, OR = 0.69) models. In short, rs17235409 confers an elevated chance of developing PTOM, with AG genotype as a risk factor. Whether rs3731865 involves in the pathogenesis of PTOM requires further investigations.

溶质载体家族11成员1 (SLC11A1)基因的遗传变异与炎性疾病的发生有关。然而,目前尚不清楚这种多态性是否与创伤后骨髓炎(PTOM)的发病机制有关。因此,本研究探讨了SLC11A1基因(rs17235409和rs3731865)的遗传变异在中国汉族人群PTOM发生中的作用。采用SNaPshot方法对704名参与者(336名患者和368名对照)进行rs17235409和rs3731865基因分型。结果显示,rs17235409通过显性模型(p = 0.037,优势比[OR] = 1.44)和杂合模型(p = 0.035, OR = 1.45)增加PTOM发生的风险,提示AG基因型是PTOM发生的危险因素。此外,AG基因型患者的炎症生物标志物水平相对高于AA和GG基因型患者,尤其是白细胞计数和c反应蛋白。显性(p = 0.051, OR = 0.67)和杂合(p = 0.068, OR = 0.69)模型的结果表明,rs3731865可能降低PTOM易感性。简而言之,rs17235409增加了患PTOM的机会,AG基因型是一个危险因素。rs3731865是否参与PTOM的发病机制有待进一步研究。
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引用次数: 0
Investigation of the relationship between IL17A, IL17F and ILR1N polymorphisms and COVID-19 severity: The predictive role of IL17A rs2275913 polymorphism in the clinical course of COVID-19 IL17A、IL17F和ILR1N多态性与COVID-19严重程度的关系研究:IL17A rs2275913多态性在COVID-19临床病程中的预测作用
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-04-13 DOI: 10.1111/iji.12619
Gunes Cakmak Genc, Sevim Karakas Celik, Busra Yilmaz, Nihal Piskin, Bulent Altinsoy, Ahmet Dursun

Coronavirus disease 2019 (COVID-19) is an infectious respiratory disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Although the mortality rate of the disease has been relatively under control as of 2022, more than 15 million confirmed COVID-19 cases have been detected in Turkey to date, causing more than 100,000 deaths. The clinical manifestation of the disease varies widely, ranging from asymptomatic to acute respiratory distress syndrome causing death. The immune response mechanisms have an important impact on the fine adjustment between healing and enhanced tissue damage. This study aims to investigate the relationship between the variants of the interleukin 1 receptor antagonist (IL1RN), interleukin 17A (IL17A), and interleukin 17F (IL17F) genes and COVID-19 severity. The study population comprised 202 confirmed COVID-19 cases divided into three groups according to severity. The IL1RN variable number of a tandem repeat (VNTR) polymorphism was genotyped by polymerase chain reaction (PCR), and IL17A rs2275913, IL17F rs763780 and rs2397084 polymorphisms were genotyped by the PCR-based restriction fragment length polymorphism method. Statistical analysis revealed a significant association between IL17A rs2275913 variant and COVID-19 severity. The AA genotype and the A allele of IL17A rs2275913 were found significant in the severe group. Additionally, we found a significant relationship between haplotype frequency distributions and severity of COVID-19 for the IL17F rs763780/rs2397084 (p = 0.044) and a combination of IL17F rs763780/rs2397084/ IL17A rs2275913 (p = 0.04). The CG and CGA haplotype frequencies were significantly higher in the severe group. IL17A rs2275913, IL17F rs763780 and rs2397084 variants appear to have important effects on the immune response in COVID-19. In conclusion, variants of IL17A rs2275913, IL17F rs763780 and rs2397084 may be the predictive markers for the clinical course and potential immunomodulatory treatment options in COVID-19, a disease that has placed a significant burden on our country.

冠状病毒病2019 (COVID-19)是由严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)引起的一种传染性呼吸道疾病。尽管截至2022年,该疾病的死亡率已相对得到控制,但迄今为止,土耳其已发现1500多万例COVID-19确诊病例,造成10万多人死亡。该病的临床表现差异很大,从无症状到可导致死亡的急性呼吸窘迫综合征。免疫应答机制对愈合与组织损伤增强之间的精细调节有重要影响。本研究旨在探讨白细胞介素1受体拮抗剂(IL1RN)、白细胞介素17A (IL17A)和白细胞介素17F (IL17F)基因变异与COVID-19严重程度的关系。研究人群包括202例新冠肺炎确诊病例,根据严重程度分为三组。采用聚合酶链反应(PCR)对IL1RN可变数目串联重复序列(VNTR)多态性进行基因分型,采用基于PCR的限制性片段长度多态性方法对IL17A rs2275913、IL17F rs763780和rs2397084多态性进行基因分型。统计分析显示IL17A rs2275913变异与COVID-19严重程度显著相关。重度组AA基因型和IL17A rs2275913等位基因A显著。此外,我们发现IL17F rs763780/rs2397084单倍型频率分布与COVID-19严重程度之间存在显著关系(p = 0.044), IL17F rs763780/rs2397084/ IL17A rs2275913的组合(p = 0.04)。重度组的CG和CGA单倍型频率显著增高。IL17A rs2275913、IL17F rs763780和rs2397084变体似乎对COVID-19的免疫反应有重要影响。总之,IL17A rs2275913、IL17F rs763780和rs2397084变异可能是COVID-19临床病程和潜在免疫调节治疗方案的预测指标,这一疾病给我国带来了重大负担。
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引用次数: 0
Research progress of B subfamily of leucocyte immunoglobulin-like receptors in inflammation 白细胞免疫球蛋白样受体B亚家族在炎症中的研究进展
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-04-11 DOI: 10.1111/iji.12618
Mengting Zhang, Jun Yang, Jing Zhang, Cuiyuan Huang, Haiyin Liu, Peiyue Zhang, Yuhong Zhai, Li Liu, Jian Yang

Leucocyte immunoglobulin-like receptors subfamily B (LILRB) belongs to the type I transmembrane glycoproteins, which is the immunosuppressive receptor. LILRBs are widely expressed in bone marrow cells, hematopoietic stem cells, nerve cells and other body cells. Studies have found that LILRBs receptor can bind to a variety of ligands and has a variety of biological functions such as regulating inflammatory response, immune tolerance and cell differentiation. Inflammatory reaction plays a vital role in resisting microorganisms. The function of inhibitory immune receptors can recognize the signs of infection and promote the function of anti-microbial effect. The inflammatory response must be strictly regulated to prevent excessive inflammation and tissue damage. Therefore, it is of general interest to understand the role of LILRBs in the inflammatory response. Because they can inhibit the anti-microbial response of neutrophils, some human pathogens use these receptors to escape immunity. This article reviews the biological role of LILRBs in the inflammatory response. We focus on the known ligands of LILRBs, their different roles after binding with ligands, and how these receptors help to form neutrophil responses during infection. Recent studies have shown that LILRBs recruit phosphatases through intracellular tyrosine-based immunoreceptor inhibitory motifs to negatively regulate immune activation, thereby transmitting inflammation-related signals, suggesting that LILRBs may be an ideal target for the treatment of inflammatory diseases. Here, we describe in detail the regulation of LILRBs on the inflammatory response, its signal transduction mode in inflammation, and the progress in the treatment of inflammatory diseases, providing a reference for further research.

白细胞免疫球蛋白样受体亚家族B (LILRB)属于I型跨膜糖蛋白,是一种免疫抑制受体。LILRBs广泛表达于骨髓细胞、造血干细胞、神经细胞等机体细胞中。研究发现,LILRBs受体可与多种配体结合,具有调节炎症反应、免疫耐受、细胞分化等多种生物学功能。炎症反应在抵抗微生物中起着至关重要的作用。抑制性免疫受体的功能可以识别感染迹象,促进抗微生物作用的功能。必须严格调节炎症反应,以防止过度炎症和组织损伤。因此,了解LILRBs在炎症反应中的作用是人们普遍感兴趣的。因为它们可以抑制中性粒细胞的抗微生物反应,一些人类病原体利用这些受体来逃避免疫。本文综述了LILRBs在炎症反应中的生物学作用。我们重点关注已知的LILRBs配体,它们与配体结合后的不同作用,以及这些受体在感染期间如何帮助形成中性粒细胞反应。最近的研究表明,LILRBs通过细胞内酪氨酸免疫受体抑制基序募集磷酸酶,负向调节免疫激活,从而传递炎症相关信号,提示LILRBs可能是治疗炎症性疾病的理想靶点。本文详细介绍了LILRBs对炎症反应的调控、其在炎症中的信号转导模式以及在炎症性疾病治疗中的进展,为进一步研究提供参考。
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引用次数: 1
Issue Information 问题信息
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-03-01 DOI: 10.1176/rcp2.1060
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引用次数: 0
Killer cell immunoglobulin-like receptor three domains long cytoplasmic tail 1 gene *007 may modulate disease progression of human immunodeficiency virus-1 infection in the Japanese population 杀伤细胞免疫球蛋白样受体三域长胞浆尾1基因*007可能调节日本人群人类免疫缺陷病毒-1感染的疾病进展
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-02-17 DOI: 10.1111/iji.12617
Taeko K. Naruse, Makiko Konishi-Takemura, Risa Yanagida, Gaurav Sharma, Madhu Vajpayee, Hiroshi Terunuma, Narinder K. Mehra, Gurvinder Kaur, Akinori Kimura

One of the KIR allele, KIR3DL1*007, was associated with the progression to acquired immunodeficiency syndrome and not with the susceptibility to HIV-1 infection in the Japanese and Indian populations, implying that KIR3DL1*007-positive NK cells might eliminate HIV-infected cells less effectively than NK cells bearing the other KIR3DL1 alleles or KIR3DS1 alleles.

在日本和印度人群中,其中一个KIR等位基因KIR3DL1*007与获得性免疫缺陷综合征的进展有关,而与HIV-1感染的易感性无关,这意味着KIR3DL1*007阳性NK细胞可能比携带其他KIR3DL1等位基因或KIR3DS1等位基因的NK细胞消除hiv感染细胞的效率要低。
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引用次数: 0
IL-17A and IL-17F polymorphisms and asthma risk: A meta-analysis IL-17A和IL-17F多态性与哮喘风险:一项荟萃分析
IF 2.2 4区 医学 Q3 GENETICS & HEREDITY Pub Date : 2023-02-13 DOI: 10.1111/iji.12616
Young Ho Lee
Thank you for your comment on the publication ‘Associations between interleukin 17A and 17F polymorphisms and asthma susceptibility: A meta-analysis’ (Lee & Song, 2023). Your suggestion to focus on the effects of unexpected and potentially confounding genetic variations in future research is particularly important in light of the complexity and ongoing nature of the field of genetic research. As you pointed out, asthma is a complex disease with multiple contributing factors, and it is crucial that future research takes a comprehensive approach in order to fully understand the underlying mechanisms of the disease (Toskala & Kennedy, 2015). By focusing on unexpected and potentially confounding genetic variations, we can expand our understanding of the genetic factors associated with asthma susceptibility and identify new therapeutic targets for the treatment of this condition (Friedrich et al., 2022). Your suggestion is particularly important given the rapid advancements in genetic research and the emergence of new technologies that allow for the identification and characterization of genetic variations. By utilizing these technologies, future research can more efficiently identify novel genetic variations that may be associated with asthma susceptibility, as well as better explain the functional implications of these variations. We will take your suggestion into consideration as we continue to advance our understanding of the genetic factors associated with asthma susceptibility. Young Ho Lee
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引用次数: 0
期刊
International Journal of Immunogenetics
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