Autoimmune diseases: insights from genome-wide association studies.

Hum Mol Genet
Authors
Keywords
Abstract

Autoimmune diseases occur when an individual's own immune system attacks and destroys his or her healthy cells and tissues. Although it is clear that environmental stimuli can predispose someone to develop autoimmune diseases, twin- and family-based studies have shown that genetic factors also play an important role in modifying disease risk. Because many of these diseases are relatively common (prevalence in European-derived populations: 0.01-1%) and exhibit a complex mode of inheritance, many DNA sequence variants with modest effect on disease risk contribute to the genetic burden. Recently, the completion of the HapMap project, together with the development of new genotyping technologies, has given human geneticists the tools necessary to comprehensively, and in an unbiased manner, search our genome for DNA polymorphisms associated with many autoimmune diseases. Here we review recent progress made in the identification of genetic risk factors for celiac disease, Crohn's disease, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus and type-1 diabetes using genome-wide association studies (GWAS). Strikingly, GWAS have increased the number of genetic risk variants associated with these autoimmune diseases from 15 before 2006 to 68 now. We summarize what this new genetic landscape teaches us in terms of the pathogenesis of these diseases, and highlight some of the outstanding challenges ahead. Finally, we open a discussion on ways to best maximize the impact of these genetic discoveries where it matters the most, that is for autoimmune disease patients.

Year of Publication
2008
Journal
Hum Mol Genet
Volume
17
Issue
R2
Pages
R116-21
Date Published
2008 Oct 15
ISSN
1460-2083
URL
DOI
10.1093/hmg/ddn246
PubMed ID
18852199
PubMed Central ID
PMC2782355
Links
Grant list
DK064869 / DK / NIDDK NIH HHS / United States
AI067152 / AI / NIAID NIH HHS / United States
U01 DK062432 / DK / NIDDK NIH HHS / United States
R01 DK064869 / DK / NIDDK NIH HHS / United States
AI065687 / AI / NIAID NIH HHS / United States
P01 AI065687 / AI / NIAID NIH HHS / United States
DK062432 / DK / NIDDK NIH HHS / United States
U19 AI067152 / AI / NIAID NIH HHS / United States