喘的遗传和环境风险因素:朝着预防迈进
Gerard H Koppelman1, Maria Pino-Yanes2, Erik Melén3
1University of Groningen, University Medical Center Groningen, Department of Pediatric Pulmonology and Pediatric Allergology, Beatrix Children's Hospital, Groningen, Netherlands; Groningen Research Institute for Asthma and COPD, Groningen, Netherlands.
The Lancet. Respiratory medicine
|October 2, 2025
概括
喘影响全球2.6亿人,遗传和环境因素影响其发展. 高BMI,污染和吸烟等可修改的风险提供了预防机会.
科学领域:
- 肺部病理学 肺部病理学
- 遗传学 是一个遗传学.
- 环境健康 环境健康
背景情况:
- 喘是一种普遍的慢性呼吸道疾病,影响全球2.6亿人,造成严重的发病率和经济负担.
- 它在发病,呈现,炎症类型,预后和治疗反应方面呈现异质性.
- 喘的发病过程涉及整个生命中遗传和环境因素之间的复杂相互作用.
研究的目的:
- 探索遗传因素 (包括多基因风险评分) 在喘诊断和风险预测中的作用.
- 确定可修改的关键环境,社会和生活方式风险因素,这些因素有助于全球喘负担.
- 强调需要综合策略来预防初级喘.
主要方法:
- 对喘病原,生物学和免疫学的遗传研究的审查.
- 分析可修改风险因素对全球喘残疾调整寿命年数的贡献.
- 检查多基因风险评分在喘管理中的潜力.
主要成果:
- 遗传学研究对喘和药物发现的理解有所提高.
- 多基因风险评分越来越被认为有助于诊断喘并识别高风险个体.
- 四个可改变的因素――高BMI,职业暴露,NO2 (与交通有关的空气污染) 和吸烟――占全球喘负担的近30%.
结论:
- 了解遗传和环境相互作用对于喘管理至关重要.
- 可修改的风险因素为原发性喘预防提供了重大机会.
- 迫切需要实施国家和全球战略,以减轻到2050年喘病例预计的增加.
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