在家族性类风湿性关节炎发作之前预测风险因素:塔塔斯坦队列研究
Marina I Arleevskaya1,2, Regina V Larionova1,2, Elena I Shagimardanova2
1Central Research Laboratory, Kazan State Medical Academy, Kazan, Russia.
Frontiers in medicine
|October 25, 2023
概括
患有类风湿性关节炎 (RA) 的家族史,患有关节痛和早晨硬的人可能患有RA的风险更高. 某些遗传因素和生活方式选择也会影响RA的发展.
科学领域:
- 类风湿病学 类风湿病学
- 遗传学 是一个遗传学.
- 流行病学 流行病学
背景情况:
- 风湿性关节炎 (RA) 的家族病史增加了个体患病的风险.
- 了解早期的风险因素对于有RA倾向的个体的及时干预至关重要.
研究的目的:
- 调查塔塔尔斯坦家庭RA队列中转化为RA的相关因素.
- 确定临床前,社会人口统计学,个体和遗传因素,区分那些进展为RA的人与那些没有进展的人.
主要方法:
- 一项队列研究,将144名RA前患者 (面临家族性RA风险) 与328名非转换的第一级亲属 (FDR) 和355名健康对照 (HC) 进行比较.
- 在入学时对临床前参数,社会人口统计数据和HLA遗传因子的分析,在RA转换前2年 (范围:2-21岁).
主要成果:
- 与FDR和HC组相比,RA前个体表现出关节痛,严重的早晨症状,较低的教育程度和农村位置.
- HLA-DRB1 SE风险因子与对称关节痛和被动吸烟有关.
- 妇女的酒精消费和无子期显示出一种保护作用,与HLA-DRB1*07:01位点相关.
结论:
- 个人和遗传因素的结合使得在有病史的家庭中,有风险发展为RA的个体具有特征.
- 这些因素的早期识别可以帮助预测风险亲属的RA发作.
相关概念视频
Genome-wide Association Studies-GWAS
13.5K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.5K
The JAK-STAT Signaling Pathway
8.9K
Several cytokine receptors have tightly bound Janus kinase or JAK proteins attached at their cytosolic tail. Small signaling molecules such as cytokines, growth hormones, or prolactins bind to the cytokine receptors and initiate their dimerization. The dimerization brings the cytosolic JAKs together that trans-phosphorylate and activates each other. The activated JAKs now phosphorylate cytosolic tails of the cytokine receptors, which serve as binding sites for adaptor proteins such as SH2...
8.9K
Cancer Prevention
6.2K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.2K
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
37
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
37
Relative Risk
191
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
191
Autoimmune Disorders
456
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
456


