1. Rare variants, autoimmune disease, and arthritis.
- Author
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Chung, Sharon A and Shum, Anthony K
- Subjects
Humans ,Arthritis ,Rheumatoid ,Lupus Erythematosus ,Systemic ,Autoimmune Diseases ,Genetic Predisposition to Disease ,Exodeoxyribonucleases ,Phosphoproteins ,Autoimmunity ,Interleukin-2 Receptor alpha Subunit ,Interleukin-2 Receptor beta Subunit ,Genetic Variation ,Rare Diseases ,Lupus ,Rheumatoid Arthritis ,Genetics ,Human Genome ,Arthritis ,Autoimmune Disease ,2.1 Biological and endogenous factors ,Aetiology ,Inflammatory and immune system ,autoimmune arthritis ,missing heritability ,monogenic disorders ,next generation sequencing ,rare genetic variants ,rheumatoid arthritis ,systemic lupus erythematosus ,Clinical Sciences ,Arthritis & Rheumatology - Abstract
Purpose of reviewWe review select studies of newly discovered rare variants in autoimmune diseases with a focus on newly described monogenic disorders, rheumatoid arthritis, and systemic lupus erythematosus.Recent findingsTwo new monogenic syndromes of inflammatory arthritis were discovered using whole exome sequencing: the coatomer subunit alpha syndrome because of rare mutations in coatomer subunit alpha and haploinsufficiency of A20 resulting from rare mutations in TNFAIP3. Targeted exon sequencing identified rare variants in IL2RA and IL2RB associated with rheumatoid arthritis. Rare variants in TREX1 and other genes associated with monogenic interferonopathies are also associated with systemic lupus erythematosus.SummaryRare genetic variants contribute to the heritability of autoimmunity and provide key insight into both novel and previously implicated immunological pathways that are disrupted in autoimmune diseases.
- Published
- 2016