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COP27 Climate Change Conference: Urgent Action Needed for Africa and the World COP27气候变化会议:非洲和世界需要采取紧急行动
Pub Date : 2022-10-26 DOI: 10.1002/ggn2.202200028
Lukoye Atwoli, Maha El Adawy, Gregory E. Erhabor, Aiah A. Gbakima, Abraham Haileamlak, Jean-Marie Kayembe Ntumba, James Kigera, Laurie Laybourn-Langton, Fhumulani Mavis Malaudzi, Robert Mash, Joy Muhia, David Ofori-Adjei, Fricay Okonofua, Arash Rashidian, Sahar Yassien Mohammad, Siaka Sidibe, Abdelmadjid Snouber, James Tumwine, Paul Yonga, Lilia Zakhama, Chris Zielinski

The 2022 report of the Intergovernmental Panel on Climate Change (IPCC) paints a dark picture of the future of life on earth, characterised by ecosystem collapse, species extinction, and climate hazards such as heatwaves and floods.[1] These are all linked to physical and mental health problems, with direct and indirect consequences of increased morbidity and mortality. To avoid these catastrophic health effects across all regions of the globe, there is broad agreement—as 231 health journals argued together in 2021—that the rise in global temperature must be limited to less than 1.5°C compared with pre-industrial levels.

While the Paris Agreement of 2015 outlines a global action framework that incorporates providing climate finance to developing countries, this support has yet to materialise.[2] COP27 is the fifth Conference of the Parties (COP) to be organised in Africa since its inception in 1995. Ahead of this meeting, we—as health journal editors from across the continent—call for urgent action to ensure it is the COP that finally delivers climate justice for Africa and vulnerable countries. This is essential not just for the health of those countries, but for the health of the whole world.

In the interest of transparency the authors wish to declare the following roles and relationships: J.K. is the Ex-Officio, President and Secretary of the Kenya Orthopedic Association; J.M. is an unpaid board member of the International Working Group for Health Systems Strengthening; D.O.-A. has a relationship with GLICO Healthcare Ltd.; P.Y. been paid to speak or participate at events by Novartis, bioMerieux and Pfizer; C.Z. is a paid consultant for the UK Health Alliance on Climate Change. The authors declare no further conflicts of interest beyond those inherent in the editorial roles listed above.

政府间气候变化专门委员会(IPCC) 2022年的报告描绘了一幅地球生命未来的黑暗图景,其特征是生态系统崩溃、物种灭绝,以及热浪和洪水等气候灾害。[1]这些都与身体和精神健康问题有关,造成发病率和死亡率增加的直接和间接后果。为了在全球所有地区避免这些灾难性的健康影响,正如231家卫生期刊在2021年共同提出的那样,人们普遍认为,与工业化前水平相比,全球气温的上升必须限制在1.5°C以下。虽然2015年的《巴黎协定》概述了一个全球行动框架,其中包括向发展中国家提供气候资金,但这种支持尚未实现。[2]COP27是自1995年成立以来在非洲举办的第五次缔约方会议。在本次会议召开之前,我们——来自非洲大陆各地的卫生期刊编辑——呼吁采取紧急行动,确保缔约方会议最终为非洲和脆弱国家实现气候正义。这不仅对这些国家的健康至关重要,而且对整个世界的健康也至关重要。为了透明起见,作者希望声明以下角色和关系:J.K.是肯尼亚骨科协会的当然主席兼秘书;J.M.是加强卫生系统国际工作组的无薪董事会成员;D.O.-A。与GLICO Healthcare Ltd.有合作关系;P.Y.被诺华(Novartis)、生物梅里埃(bioMerieux)和辉瑞(Pfizer)聘请发言或参加活动;C.Z.是英国气候变化健康联盟的有偿顾问。作者声明,除了上述编辑角色所固有的利益冲突之外,没有进一步的利益冲突。
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引用次数: 0
Liver Metastasis Modulate Responses of Suppressive Macrophages and Exhausted T Cells to Immunotherapy Revealed by Single Cell Sequencing 单细胞测序揭示肝转移调节抑制性巨噬细胞和耗竭T细胞对免疫治疗的反应
Pub Date : 2022-10-11 DOI: 10.1002/ggn2.202200002
Qiming Zhang, Siyuan Liu, Yedan Liu, Dev Bhatt, Juan Estrada, Brian Belmontes, Xianwen Ren, Jude Canon, Wenjun Ouyang

Liver metastasis is associated with immunotherapy resistance, although the underlying mechanisms remain incompletely understood. By applying single cell RNA-sequencing to a concurrent subcutaneous and liver tumor murine model to recapitulate liver metastases, it is identified that subsets within tumor-infiltrating exhausted CD8+ T (Tex) cells and immunosuppressive tumor-associated macrophages (TAMs) display opposite responses to concurrent liver tumors and anti-PD-1 treatment, suggesting a complex immune regulating network. Both angiogenic and interferon-reactive TAMs show increased frequencies in implanted liver tumors, and anti-PD-1 treatment further elevates the frequencies of angiogenic TAMs. Such TAMs frequencies negatively correlate with the proportions of cytotoxic T cell subsets. Further, expression of interferon-stimulated genes in TAMs is dramatically reduced under effective anti-PD-1 treatment, while such tendencies are diminished in mice with implanted liver tumors. Therefore, the study indicates that liver metastases could increase immunosuppressive TAMs frequencies and inhibit Tex responses to PD-1 blockade, resulting in compromised systemic antitumor immunity and limited immunotherapy efficacy.

肝转移与免疫治疗耐药有关,尽管其潜在机制尚不完全清楚。通过对并发皮下和肝脏肿瘤小鼠模型应用单细胞rna测序来概括肝转移,研究人员发现,肿瘤浸润耗尽的CD8+ T (Tex)细胞和免疫抑制性肿瘤相关巨噬细胞(tam)内的亚群对并发肝脏肿瘤和抗pd -1治疗表现出相反的反应,表明存在复杂的免疫调节网络。血管生成性和干扰素反应性tam在植入式肝肿瘤中均显示频率增加,抗pd -1治疗进一步提高血管生成性tam的频率。这种tam频率与细胞毒性T细胞亚群的比例负相关。此外,在有效的抗pd -1治疗下,tam中干扰素刺激基因的表达显著减少,而在植入肝肿瘤的小鼠中,这种倾向也会减少。因此,该研究表明,肝转移可增加免疫抑制性tam频率,抑制Tex对PD-1阻断的反应,导致全身抗肿瘤免疫功能降低,免疫治疗效果有限。
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引用次数: 0
An Improved Model for Circular RNA Overexpression: Using the Actin Intron Reveals High Circularization Efficiency 环状RNA过度表达的改进模型:使用肌动蛋白内含子显示高循环效率。
Pub Date : 2022-10-09 DOI: 10.1002/ggn2.202200019
Feiya Li, Juanjuan Lyu, Yang Yang, Qiwei Yang, Cristian Santos, Burton B. Yang

Traditionally, the group 1 intron of the T4 td gene is used to generate a foreign circular sequence. However, the T4 system has been shown to be fairly inefficient in expressing circular RNA (circRNA). Here, a new method is developed to express circular sequences with high circularization efficiency to strengthen the confidence for future circRNA functional studies. CircRNA expression plasmids, constructed with different lengths derived from the actin intron (15-nt, 30-nt, 60-nt, 100-nt, 180-nt) and T4 intron, are introduced into human and mouse cell lines 293T and B16. Junction detection and sequencing are used to determine successful circularization of introns and their expression efficiencies. An actin intron with a medium length (60-nt–100-nt) shows significantly increased efficiency of circularization, whereas intron-100-nt shows the best efficiency in most conditions. RNA pull-down assays are designed to precipitate the splicing factors that are bound to the introns and intron/exon junction. The precipitated proteins are analyzed by mass spectrometry (MS), aiming to identify the possible underlying mechanism behind the high circularization efficiency. This expression system has been validated using different circRNAs, and such method shows potential in contributing to the expanding field of circRNA studies.

传统上,T4 td基因的第1组内含子用于产生外源环状序列。然而,T4系统已被证明在表达环状RNA(circRNA)方面相当低效。在这里,开发了一种新的方法来表达具有高环化效率的环状序列,以增强对未来circRNA功能研究的信心。将由肌动蛋白内含子(15nt、30nt、60nt、100nt、180nt)和T4内含子构建的具有不同长度的CircRNA表达质粒引入人和小鼠细胞系293T和B16中。连接检测和测序用于确定内含子的成功环化及其表达效率。中等长度的肌动蛋白内含子(60-nt-100-nt)显示出显著提高的环化效率,而内含子100-nt在大多数条件下显示出最佳效率。RNA下拉测定被设计用于沉淀与内含子和内含子/外显子连接结合的剪接因子。通过质谱(MS)分析沉淀的蛋白质,旨在确定高环化效率背后可能的潜在机制。该表达系统已使用不同的circRNA进行了验证,这种方法显示出有助于扩大circRNA研究领域的潜力。
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引用次数: 0
Editorial Board: (Advanced Genetics 3/03) 编委会:(Advanced Genetics 3/03)
Pub Date : 2022-09-12 DOI: 10.1002/ggn2.202270032
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引用次数: 0
Persistent Parental RNAi in the Beetle Tribolium castaneum Involves Maternal Transmission of Long Double-Stranded RNA (Advanced Genetics 3/03) 长双链RNA在castaneum甲虫中的持续亲本RNAi参与母体传播(高级遗传学3/03)
Pub Date : 2022-09-12 DOI: 10.1002/ggn2.202270031
Thorsten Horn, Kalin D. Narov, Kristen A. Panfilio

dsRNA Uptake

In article 2100064 by Kristen A. Panfilio and co-workers, the cuticle exoskeleton of flour beetle larvae reveals normal anatomy (above: head-to-tail in blue-to-red) and long-term parental RNAi knockdown (below), here showing a mirror-image duplication of the abdomen (red termini to yellow center). Strong knockdown can persist for months despite transmission of full-length double-stranded RNA (dsRNA) from the mother into the egg, depleting maternal dsRNA levels.

在Kristen a . Panfilio及其同事的2100064篇文章中,粉甲虫幼虫的表皮外骨骼显示出正常的解剖结构(上图:从头到尾从蓝色到红色)和长期的亲本RNAi缺失(下图),这里显示了腹部的镜像复制(红色末端到黄色中心)。尽管全长双链RNA (dsRNA)从母体传播到卵子,耗尽母体dsRNA水平,但强敲低可以持续数月。
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引用次数: 1
Trauma Matters: Integrating Genetic and Environmental Components of PTSD 创伤问题:整合创伤后应激障碍的遗传和环境因素。
Pub Date : 2022-09-07 DOI: 10.1002/ggn2.202200017
Shelby Marchese, Laura M. Huckins

Trauma is ubiquitous, but only a subset of those who experience trauma will develop posttraumatic stress disorder (PTSD). In this review, it is argued that to determine who is at risk of developing PTSD, it is critical to examine the genetic etiology of the disorder and individual trauma profiles of those who are susceptible. First, the state of current PTSD genetic research is described, with a particular focus on studies that present evidence for trauma type specificity, or for differential genetic etiology according to gender or race. Next, approaches that leverage non-traditional phenotyping approaches are reviewed to identify PTSD-associated variants and biology, and the relative advantages and limitations inherent in these studies are reflected on. Finally, it is discussed how trauma might influence the heritability of PTSD, through type, risk factors, genetics, and associations with PTSD symptomology.

创伤无处不在,但只有一小部分经历过创伤的人会发展成创伤后应激障碍(PTSD)。在这篇综述中,有人认为,为了确定谁有患创伤后应激障碍的风险,检查该疾病的遗传病因和易感人群的个体创伤特征至关重要。首先,描述了当前创伤后应激障碍基因研究的现状,特别关注那些为创伤类型特异性或根据性别或种族的差异遗传病因提供证据的研究。接下来,回顾了利用非传统表型方法来识别PTSD相关变体和生物学的方法,并反映了这些研究中固有的相对优势和局限性。最后,讨论了创伤如何通过类型、风险因素、遗传学以及与PTSD症状学的关联来影响PTSD的遗传性。
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引用次数: 2
Editorial Board: (Advanced Genetics 3/03) 编委会:(Advanced Genetics 3/03)
Pub Date : 2022-09-01 DOI: 10.1002/ggn2.202270032
N. Barzilai, Albert B. Einstein, J. Batley
Nadav Ahituv, University of California, San Francisco, San Francisco, CA USA Nir Barzilai, Albert Einstein College of Medicine, Bronx, NY USA Jacqueline Batley, University of Western Australia, Perth, Australia Touati Benoukraf,Memorial University of Newfoundland, St. John’s, NL, Canada Ewan Birney, EMBL-EBI, Cambridge, UK Catherine A. Brownstein, Boston Children’s Hospital, Boston, MA USA Stephen J. Chanock, National Cancer Institute, Bethesda, MD USA George Church, Harvard Medical School, Boston, MA USA Francesco Cucca, University of Sassari, Sassari, Sardinia, Italy Marcella Devoto, Istituto di Ricerca Genetica e Biomedica, Consiglio Nazionale delle Ricerche, Cagliari, Italy Roland Eils, Berlin Institue of Health, Berlin, Germany Jeanette Erdmann, Institute for Cardiogenetics, University of Lubeck, Lubeck, Germany Andrew Feinberg, Johns Hopkins University, Baltimore, MD USA Claudio Franceschi, University of Bologna, Bologna, Italy Paul W. Franks, Lund University, Malmö, Sweden Rachel Freathy, University of Exeter, Exeter, UK Jingyuan Fu, University Medical Center Groningen, Groningen, The Netherlands Eileen Furlong, European Molecular Biology Laboratory, Heidelberg, Germany Tom Gilbert, University of Copenhagen, The Globe Institute, Copenhagen, Denmark Joseph G. Gleeson, University of California, San Diego, Howard Hughes Medical Institute for Genomic Medicine, La Jolla, CA USA Erica Golemis, Fox Chase Cancer Center, Philadelphia, PA USA Sarah Hearne, International Maize and Wheat Improvement Centre (CIMMYT), Texcoco, Mexico Agnar Helgason, deCODE Genetics, Reykjavik, Iceland Kristina Hettne, Leiden University Libraries, Leiden, The Netherlands Sanwen Huang, Agricultural Genomics Institute at Shenzhen, Chinese Academy of Agricultural Sciences, Shenzhen, China Youssef Idaghdour, New York University, Abu Dhabi, Abu Dhabi, UAE Rosalind John, Cardiff University, Cardiff, UK Moien Kanaan, Bethlehem University, Bethlehem, Palestine Beat Keller, University of Zurich, Zurich, Switzerland Tuuli Lappalainen, New York Genome Center, Columbia University, New York, NY USA Luis F. Larrondo, Pontifica Universidad Catolica de Chile, Santiago, Chile Suet-Yi Leung, The University of Hong Kong, Hong Kong, China Ryan Lister, The University of Western Australia, Perth, Australia Jianjun Liu, Genome Institute Singapore, Singapore Naomichi Matsumoto, Yokohama City University, Yokohama, Japan Rachel S. Meyer, University of California, Los Angeles, Los Angeles, CA USA Nicola Mulder, University of Cape Town, Cape Town, South Africa Seishi Ogawa, Kyoto University, Kyoto, Japan Guilherme Oliveira, Vale Institute of Technology, Belem, Brazil Qiang Pan-Hammarstrom, Karolinska Institute, Stockholm, Sweden Len A. Pennacchio, Joint Genome Institute, Walnut Creek, CA USA Martin Pera, Jackson Lab, Bar Harbor, ME USA Danielle Posthuma, VU University Amsterdam, Amsterdam, The Netherlands Michael Purugganan, New York University, New York, NY USA Maanasa Raghavan, University of Chic
Nadav Ahituv,加州大学旧金山分校,美国加利福尼亚州旧金山市Nir Barzilai,阿尔伯特·爱因斯坦医学院,美国纽约州布朗克斯市杰奎琳·巴特利,西澳大利亚大学,澳大利亚珀斯市Touati Benoukraf,纽芬兰纪念大学,加拿大新泽西州圣约翰市Ewan Birney, EMBL-EBI,英国剑桥市Catherine A. Brownstein,波士顿儿童医院,美国马萨诸塞州波士顿市Stephen J. Chanock,美国马里兰州贝赛斯达市国家癌症研究所George Church,哈佛医学院波士顿,美国,Francesco Cucca,萨萨里大学,萨萨里,撒丁岛,意大利,Marcella Devoto,里塞卡遗传和生物医学研究所,意大利,卡利亚里,意大利,罗兰德·埃尔斯,柏林卫生研究所,德国,柏林,Jeanette Erdmann,心脏遗传学研究所,吕贝克大学,德国,吕贝克,安德鲁·范伯格,约翰霍普金斯大学,马里兰州巴尔的摩美国,Claudio Franceschi,博洛尼亚大学,意大利,博洛尼亚,保罗·w·弗兰克斯,隆德大学,Malmö,瑞典Rachel Freathy,英国埃克塞特大学,英国格罗宁根大学医学中心,荷兰格罗宁根大学医学中心Eileen Furlong,欧洲分子生物学实验室,德国海德堡Tom Gilbert,哥本哈根大学,丹麦哥本哈根Globe研究所Joseph G. Gleeson,加州大学圣地亚哥分校,Howard Hughes基因组医学研究所,La Jolla, CA USA Erica Golemis, Fox Chase癌症中心,Philadelphia, USA Sarah Hearne,国际玉米小麦改良中心(CIMMYT),墨西哥,Texcoco, Agnar Helgason, deCODE Genetics,冰岛,雷克雅未克,Kristina Hettne,莱顿大学图书馆,荷兰,黄三文,深圳农业基因组研究所,中国,深圳,中国农业科学院,Youssef Idaghdour,纽约大学,阿布扎比,阿布扎比,阿联酋,Rosalind John,卡迪夫大学,卡迪夫,英国,Moien Kanaan,伯利恒大学,巴勒斯坦,Beat Keller,瑞士苏黎世大学Tuuli Lappalainen纽约基因组中心哥伦比亚大学美国纽约纽约Luis F. Larrondo智利天主教大学圣地亚哥梁雪义中国香港香港大学Ryan Lister澳大利亚珀斯西澳大利亚大学刘建军新加坡基因组研究所松本直一日本横滨市大学洛杉矶加州大学Rachel S. Meyer洛杉矶,美国加州开普敦大学Nicola Mulder,南非开普敦大学Seishi Ogawa,日本京都大学Guilherme Oliveira,巴西贝伦Vale理工学院,瑞典斯德哥尔摩Karolinska研究所,瑞典Len A. Pennacchio,联合基因组研究所,美国加州Walnut Creek Martin Pera, Jackson Lab, Bar Harbor,美国ME Danielle Posthuma,阿姆斯特丹自由大学,荷兰阿姆斯特丹Michael Purugganan,纽约大学,纽约纽约美国Maanasa Raghavan,芝加哥大学,芝加哥美国Krishnaraj Rajalingam,德国美因茨约翰内斯古腾堡大学Charmaine Royal,杜克大学,北卡罗来纳州达勒姆美国阮义军,杰克逊基因组学医学实验室,康涅狄格州法明顿美国Stephen W. Scherer,病童医院和多伦多大学,加拿大多伦多Erik Schultes, GO FAIR国际支持和协调办公室,荷兰莱顿Somasekar Seshagiri, SciGenom研究基金会印度班加罗尔,中国南京医科大学,中国南京Nils Stein,德国Seeland,莱布尼茨植物遗传与作物植物研究所(IPK) Patrick Sulem, deCODE Genetics,冰岛雷克雅未克Rajeev K. Varshney,莫道克大学,澳大利亚珀斯,西澳,昆士兰大学,布里斯班,澳大利亚Christina Warinner,马克斯·普朗克人类历史科学研究所,德国耶拿/美国哈佛大学,马萨诸塞州剑桥,Mark Wilkinson,Juliane Winkelmann,慕尼黑工业大学,德国慕尼黑总编:Andrew Hufton
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引用次数: 0
GA4GH Phenopackets: A Practical Introduction GA4GH表型包:实用介绍
Pub Date : 2022-08-25 DOI: 10.1002/ggn2.202200016
Markus S. Ladewig, Julius O. B. Jacobsen, Alex H. Wagner, Daniel Danis, Baha El Kassaby, Michael Gargano, Tudor Groza, Michael Baudis, Robin Steinhaus, Dominik Seelow, Nikolaos E. Bechrakis, Christopher J. Mungall, Paul N. Schofield, Olivier Elemento, Lindsay Smith, Julie A. McMurry, Monica Munoz-Torres, Melissa A. Haendel, Peter N. Robinson

The Global Alliance for Genomics and Health (GA4GH) is developing a suite of coordinated standards for genomics for healthcare. The Phenopacket is a new GA4GH standard for sharing disease and phenotype information that characterizes an individual person, linking that individual to detailed phenotypic descriptions, genetic information, diagnoses, and treatments. A detailed example is presented that illustrates how to use the schema to represent the clinical course of a patient with retinoblastoma, including demographic information, the clinical diagnosis, phenotypic features and clinical measurements, an examination of the extirpated tumor, therapies, and the results of genomic analysis. The Phenopacket Schema, together with other GA4GH data and technical standards, will enable data exchange and provide a foundation for the computational analysis of disease and phenotype information to improve our ability to diagnose and conduct research on all types of disorders, including cancer and rare diseases.

全球基因组学与健康联盟(GA4GH)正在制定一套用于医疗保健的基因组学协调标准。表型包是一种新的GA4GH标准,用于共享个体特征的疾病和表型信息,将个体与详细的表型描述、遗传信息、诊断和治疗联系起来。本文给出了一个详细的例子,说明了如何使用该模式来表示视网膜母细胞瘤患者的临床过程,包括人口统计信息、临床诊断、表型特征和临床测量、切除肿瘤的检查、治疗和基因组分析的结果。表型包图式,连同其他GA4GH数据和技术标准,将使数据交换成为可能,并为疾病和表型信息的计算分析提供基础,以提高我们诊断和开展所有类型疾病(包括癌症和罕见疾病)研究的能力。
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引用次数: 5
Sympatric Speciation in Mole Rats and Wild Barley and Their Genome Repeatome Evolution: A Commentary 鼹鼠和野生大麦的同域物种形成及其基因组重复组进化综述
Pub Date : 2022-08-25 DOI: 10.1002/ggn2.202200009
Eviatar Nevo, Kexin Li

The theories of sympatric speciation (SS) and coding and noncoding (cd and ncd =repeatome)  genome function are still contentious. Studies on SS in our two new models, “Evolution Canyon” and “Evolution Plateau”, in Israel, divergent microclimatically and geologically-edaphically, respectively, indicated that in ecologically divergent microsites SS is a common speciation model across life from bacteria to mammals. Genomically, the intergenic ncd repeatome was and is still regarded by many biologists as “selfish,” “junk,” and non-functional. In contrast, it is considered by the encyclopedia of DNA elements discovery as biochemically functional and regulatory, and the transposable elements were considered earlier by Barbara McClintock as “controlling elements” of genes. Remarkably, it is found that repeated elements can statistically identify significantly, the five species of subterranean mole rats of Spalax ehrenbergi superspecies adapted to increasingly arid climatic trend southward in Israel. Moreover, it is first discovered in the SS studies in two distant taxa, subterranean mole rats and wild barley, and later also in spiny mice in Israel and subterranean zokors in China, that the noncoding repeatome is genomically mirroring the image of the protein-coding genome in divergent ecologies. It is shown that this mirroring image is statistically significant both within and between the ecologically divergent taxa supporting the hypothesis that much of the repeatome might be regulatory and selected as the protein-coding genome by the same ecological stresses.

同域物种形成(SS)和编码与非编码(cd和ncd =重复组)基因组功能理论仍然存在争议。在以色列的“进化峡谷”和“进化高原”两个新模型中,分别进行了小气候和地质-土壤上的差异研究,表明在生态差异的微点中,从细菌到哺乳动物,SS是一种常见的物种形成模式。从基因组的角度来看,基因间重复组被许多生物学家认为是“自私的”、“垃圾”和无功能的。相反,它被DNA元素发现百科全书认为具有生物化学功能和调控作用,而转座因子早先被Barbara McClintock认为是基因的“控制因子”。值得注意的是,我们发现重复元素可以显著地统计识别出5种Spalax ehrenbergi超种地下鼹鼠适应以色列日益干旱的气候南下趋势。此外,在两个遥远的分类群——地下鼹鼠和野生大麦的SS研究中,以及后来在以色列的刺鼠和中国的地下动物中,我们首先发现,非编码重复组在基因组上反映了不同生态系统中蛋白质编码基因组的图像。结果表明,这一镜像图像在生态不同的类群内部和之间都具有统计学意义,支持了重复组的大部分可能是受相同生态胁迫调控并被选择为蛋白质编码基因组的假设。
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引用次数: 1
Advancing the Genetics of Lewy Body Disorders with Disease-Modifying Treatments in Mind 推进路易体疾病的遗传学与疾病修饰治疗
Pub Date : 2022-08-19 DOI: 10.1002/ggn2.202200011
Gilberto Levy, Bruce Levin, Eliasz Engelhardt

In this article, a caveat for advancing the genetics of Lewy body disorders is raised, given the nosological controversy about whether to consider dementia with Lewy bodies (DLB) and Parkinson's disease (PD) as one entity or two separate entities. Using the framework of the sufficient and component causes model of causation, as further developed into an evolution-based model of causation, it is proposed that a disease of complex etiology is defined as having a relatively high degree of sharing of the component causes (a genetic or environmental factor), that is, a low degree of heterogeneity of the sufficient causes. Based on this definition, only if the sharing of component causes within each of two diseases is similar to their combined sharing can lumping be warranted. However, it is not known whether the separate and combined sharing are similar before conducting the etiologic studies. This means that lumping DLB and PD can be counterproductive as it can decrease the ability to detect component causes despite the potential benefit of conducting studies with larger sample sizes. In turn, this is relevant to the development of disease-modifying treatments, because non-overlapping causal genetic factors may result in distinct pathogenetic pathways providing promising targets for interventions.

鉴于将路易体痴呆(DLB)和帕金森病(PD)作为一个实体还是两个独立实体在分类学上存在争议,本文对推进路易体疾病的遗传学提出了警告。利用充分原因和组成原因因果模型的框架,进一步发展为基于进化的因果模型,提出将复杂病因定义为组成原因(遗传或环境因素)具有相对较高的共享程度,即充分原因的异质性程度较低。根据这一定义,只有当两种疾病中每一种的组成原因的共享与它们的共同共享相似时,才能保证进行集中。然而,在进行病因学研究之前,尚不清楚单独和联合共享是否相似。这意味着将DLB和PD集中在一起可能会适得其反,因为它会降低检测成分原因的能力,尽管进行更大样本量的研究有潜在的好处。反过来,这与疾病修饰治疗的发展有关,因为非重叠的因果遗传因素可能导致不同的发病途径,为干预提供了有希望的目标。
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引用次数: 0
期刊
Advanced genetics (Hoboken, N.J.)
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