Genetic burden across core genes of the PI3K-AKT-mTOR pathway is associated with susceptibility to microscopic

Lizhen Li1,2,3, Jing Yang1, Chao Xue4

  • 1Department of Nephrology, Hunan Clinical Research Center for Chronic Kidney Disease, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.

Abstract

Insights

Genetic variations in the PI3K-AKT-mTOR pathway increase microscopic polyangiitis (MPA) risk, particularly in females. A higher genetic burden score correlates with MPA susceptibility, suggesting a threshold effect.

Area of Science:

  • Immunogenetics
  • Molecular Biology
  • Rheumatology

Background:

  • The PI3K-AKT-mTOR pathway is crucial for immune regulation and linked to autoimmune diseases.
  • Understanding genetic contributions to microscopic polyangiitis (MPA) is vital for disease insights.

Purpose of the Study:

  • To investigate the association between genetic variations in PI3K-AKT-mTOR pathway genes and MPA susceptibility.
  • To explore potential sex-specific effects and pathway-level genetic burden in MPA.

Main Methods:

  • A genetic association study was conducted in a Chinese cohort of MPA patients and controls.
  • Four single nucleotide polymorphisms (SNPs) in PIK3CA, AKT1, and MTOR were analyzed.
  • A cumulative genetic burden score was calculated, and logistic regression was used.

Main Results:

  • Increased genetic burden in the PI3K-AKT-mTOR pathway was linked to higher MPA susceptibility.
  • A threshold-dependent effect was observed, with stronger associations in females.
  • Pathway-level genetic burden correlated with MPO-ANCA positivity, and protective haplotypes were identified.

Conclusions:

  • Genetic variations in core PI3K-AKT-mTOR pathway genes may influence MPA susceptibility.
  • Potential sex-related trends warrant further investigation in larger cohorts.
  • These findings suggest a pathway-level genetic architecture contributing to MPA.

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