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Familial autoimmunity: maternal parent-of-origin effect in juvenile idiopathic arthritis
Andrew Zeft1, Edith S Shear, Susan D Thompson
1Division of Immunology and Rheumatology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT 84158-1289, USA.
Insights
Juvenile idiopathic arthritis (JIA) shows increased autoimmune disease prevalence in maternal relatives. This suggests a potential maternal parent-of-origin effect in JIA development.
Area of Science:
- Rheumatology
- Genetics
- Pediatrics
Background:
- Juvenile idiopathic arthritis (JIA) is a chronic autoimmune disease in children.
- Children with JIA and their relatives exhibit a higher prevalence of other autoimmune diseases.
- The genetic or environmental factors contributing to JIA risk require further investigation.
Purpose of the Study:
- To investigate differences in autoimmune disease prevalence between maternal and paternal relatives of children with JIA.
- To explore potential parent-of-origin effects in the inheritance of JIA susceptibility.
Main Methods:
- Structured interviews were conducted with families of children diagnosed with JIA (simplex and multiplex) and control families.
- Data collected included the prevalence of autoimmune diseases among first- and second-degree maternal and paternal relatives.
- Statistical analysis compared autoimmune disease prevalence between relatives of JIA cases and controls, and between maternal and paternal lineages.
Main Results:
- Autoimmune diseases were significantly more prevalent in maternal second-degree relatives of JIA cases compared to controls (14% vs. 4.3%).
- Mothers of JIA cases had a threefold higher prevalence of autoimmune diseases than fathers (32.3% vs. 11.4%).
- Overall autoimmune disease prevalence was higher in maternal second-degree relatives than paternal second-degree relatives of JIA children (14% vs. 7.9%).
Conclusions:
- Maternal relatives of children with JIA demonstrate an increased prevalence of autoimmune diseases compared to paternal relatives.
- These findings suggest a potential maternal parent-of-origin effect influencing JIA susceptibility.
- Further research is warranted to elucidate the specific mechanisms underlying this maternal transmission pattern.
Abstract:
Juvenile idiopathic arthritis (JIA) is an autoimmune (AI) disease characterized by chronic arthritis in children. Children with JIA have increased prevalence of other AI diseases. Furthermore, relatives of children with JIA have been shown to have an increased prevalence of AI diseases. Our objective was to determine if there were differences in the prevalence of AI diseases among maternal and paternal relatives of children with JIA. Information about AI diseases among all living first- and second-degree relatives was collected by structured interviews with families of 121 simplex JIA families, 23 multiplex JIA families, and 45 control families. Overall, the prevalence of AI diseases was significantly increased among maternal second-degree relatives of cases compared to that of maternal second-degree relatives of controls [14% vs. 4.3%; p < 0.001]. The prevalence of AI diseases among mothers of JIA cases was three times that of fathers [32.3% vs. 11.4%; p < 0.0001]. The prevalence of AI diseases among all maternal second-degree relatives of children with JIA was significantly higher than that of all paternal second-degree relatives [14% vs. 7.9%; p < 0.004]. Although additional paternal effects cannot be excluded, together these results demonstrate that maternal relatives of children with JIA have an increased prevalence of autoimmunity compared to paternal relatives, suggesting that there might be a maternal parent-of-origin effect in JIA.
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