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.
Background:
The PI3K-AKT-mTOR signaling pathway plays a central role in immune regulation and has been implicated in autoimmune diseases. However, the contribution of genetic variation within key components of this pathway to microscopic polyangiitis (MPA) remains incompletely understood.
Methods:
We conducted a genetic association study in a Chinese cohort including MPA patients and controls. Four single nucleotide polymorphisms (SNPs) within core genes of the PI3K-AKT-mTOR pathway (PIK3CA, AKT1, and MTOR) were analyzed. A cumulative genetic burden score was constructed by summing the number of risk alleles across loci. Participants were stratified into burden categories based on the distribution in controls. Logistic regression, trend analysis, and sensitivity analyses restricted to hospital-based controls were performed.
Results:
A high genetic burden within the PI3K-AKT-mTOR pathway was associated with increased susceptibility to MPA, with a significant linear trend across burden categories, whereas the intermediate burden group showed no significant association, suggesting a threshold-dependent effect. In sex-stratified analyses, associations appeared more evident among females, although a formal test for interaction did not indicate statistical significance. Analyses suggest a potential sex-related trend that warrants further investigation. Sensitivity analyses restricted to hospital-based controls yielded consistent results. Several common haplotypes spanning PIK3CA, AKT1, and MTOR were less frequent among patients, indicating potential protective effects. Pathway-level genetic burden was also associated with MPO-ANCA positivity. Single-variant analyses revealed generally concordant but modest effects.
Conclusions:
Genetic variation across selected core components of the PI3K--AKT--mTOR pathway may contribute to susceptibility to MPA. The observed patterns, including potential sex-related differences, should be interpreted cautiously and require validation in larger and independent cohorts. These findings highlight a potential pathway-level genetic architecture underlying MPA susceptibility.
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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