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補完遺伝子は,様々な疾患における性偏りの脆弱性に貢献する
Nolan Kamitaki1,2, Aswin Sekar3,4, Robert E Handsaker3,4
1Department of Genetics, Harvard Medical School, Boston, MA, USA. nolan_kamitaki@hms.harvard.edu.
Nature
|June 6, 2020
まとめ
複合体成分4 (C4) の遺伝的変異は,狼やシェーグレン症候群,統合失調症などの自己免疫疾患のリスクに影響を与え,性別によって異なる効果が観察されています.
科学分野:
- 遺伝学
- 免疫学
- 神経科学
背景:
- 性別による疾患の有病率の違い,例えば女性におけるSLEやシェーグレン病,男性における統合失調症の有病率の上昇は,十分に記録されているが,理解は不十分である.
- メジャー・ヒストコンパティビリティ・コンプレックス (MHC) ローカスは,ヒト白血球抗原 (HLA) 遺伝子に歴史的焦点を当てて,これらの状態と遺伝的に関連しています.
研究 の 目的:
- 性別特有の疾患リスクを説明するMHCロカス内の補完成分4 (C4) 遺伝子変異の役割を調査する.
- C4遺伝子アレルが,全身性狼 (SLE),シェーグレン症候群,および統合失調症において観察された差異的脆弱性に貢献するかどうかを決定する.
主な方法:
- C4遺伝子 (C4AとC4B) 変異の分析と,その疾患リスクとの関連.
- 性別による差異を評価するために,脳脊髄液と血におけるC4およびC3タンパク質のレベルを定量化する.
- C4遺伝子型,性別,SLE,シェーグレン症候群,統合失調症の疾患リスクの相互作用の検討
主要な成果:
- C4遺伝子の変異は,SLE (7倍) とSjögren症候群 (16倍) のリスクを有意に変化させ,C4AはC4Bよりも強力な保護を提供します.
- 統合失調症のリスクを増加させるアレルは,SLEとシェーグレン症候群のリスクを低下させることが判明しました.
- C4遺伝子アレルは3つの疾患すべてにおいて男性よりも強い効果を示し,性別のリスクの変動は統合失調症の1.7倍からショーグレン症候群の31倍に及ぶ.
- 血と脳脊髄液では,男性よりC4とC3の濃度が高いことが観察されました.
結論:
- 補足成分4 (C4) の遺伝子変異は,SLE,シェーグレン症候群,および統合失調症に対する脆弱性の性による二変性において重要な要因である.
- 補完体系タンパク質のレベルにおける性別差異は,男性におけるC4アレルの強力な影響の根底にある可能性があり,観察された疾患の流行の格差に貢献している.
- 補完系は,様々な一般的な病気に対する感受性における性二形化に重要な貢献者として関与しています.
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