genetic predisposition to disease

疾病的遗传易感性
  • 文章类型: Journal Article
    牛养殖面临与集约开采和气候变化相关的挑战,需要加强动物的韧性以应对这些动态环境。目前,遗传选择用于通过识别对特定疾病具有抗性的动物来增强复原力;然而,某些疾病,比如乳腺炎,在遗传预测中存在困难。这项研究介绍了利用酶促甲基测序(EM-seq)的12头奶牛的血液基因组DNA来鉴定DNA甲基化生物标志物,目的是预测乳房炎的恢复力和易感性。分析发现,奶牛有弹性和易感乳腺炎之间存在显着差异,具有196,275个差异甲基化胞嘧啶(DMC)和1,227个差异甲基化区域(DMRs)。与免疫反应和形态性状相关的关键基因,包括ENOPH1,MYL10和KIR2DL5A,通过我们的分析确定。还突出了数量性状基因座(QTL),并且体重性状是DMC和DMRs最靶向的。根据我们的结果,发展乳腺炎的风险可以用50个甲基化生物标志物来估计,为早期动物选择铺平了道路。这项研究通过基于动物表观遗传状态的早期选择,为在农业可持续性框架内改善动物健康管理和经济产量奠定了基础。
    Cattle farming faces challenges linked to intensive exploitation and climate change, requiring the reinforcement of animal resilience in response to these dynamic environments. Currently, genetic selection is used to enhance resilience by identifying animals resistant to specific diseases; however, certain diseases, such as mastitis, pose difficulties in genetic prediction. This study introduced the utilization of enzymatic methyl sequencing (EM-seq) of the blood genomic DNA from twelve dairy cows to identify DNA methylation biomarkers, with the aim of predicting resilience and susceptibility to mastitis. The analysis uncovered significant differences between cows resilient and susceptible to mastitis, with 196,275 differentially methylated cytosines (DMCs) and 1,227 Differentially Methylated Regions (DMRs). Key genes associated with the immune response and morphological traits, including ENOPH1, MYL10 and KIR2DL5A, were identified by our analysis. Quantitative trait loci (QTL) were also highlighted and the body weight trait was the most targeted by DMCs and DMRs. Based on our results, the risk of developing mastitis can potentially be estimated with as few as fifty methylation biomarkers, paving the way for early animal selection. This research sets the stage for improved animal health management and economic yields within the framework of agricultural sustainability through early selection based on the epigenetic status of animals.
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  • 文章类型: Journal Article
    前列腺癌是全球男性中第二常见的肿瘤。遗传易感性和祖先遗产是公认的风险因素,可以解释不同种族之间的差异趋势。人口,甚至在同一国家的地区。Y染色体已被认为是男性健康的原型生物标志物。非洲,欧洲,中东,西班牙裔祖先表现出这种瘤形成的最高发生率;亚洲人的发病率最低。尽管如此,拉丁裔男性几乎没有探索祖先模式的贡献。墨西哥人口具有极其多样化的遗传结构,所有上述祖先背景都融合在一起。跨种族研究可以阐明前列腺癌的病因,涉及到迁徙模式,创始人的影响,以及种族对其不同发病率的贡献。通过对墨西哥混血儿男性的病例对照研究(152例病例和372例对照),探索了祖先遗产对前列腺癌风险的贡献。使用17颗微卫星使用两种贝叶斯预测方法来追溯祖先遗产。谱系R1a似乎有助于前列腺癌(或调整:8.04,95CI:1.41-45.80)的发展,而E1b1a/E1b1b和GHIJ有助于分化良好(格里森≤7),和晚期前列腺癌.荟萃分析加强了我们的发现。上述血统与中东和北非人口有联系,丰富了伊比利亚半岛东南部地区的父系多样性。随着西班牙和塞法迪姆的迁徙,这种祖先的遗产到达了新世界。我们的发现加强了家族史和种族背景对前列腺癌风险的贡献,尽管应该使用大样本量来确认。尽管如此,鉴于其复杂的病因,除了遗传成分,生活方式和异种生物暴露也会影响获得的结果。
    Prostate cancer is the second most common neoplasia amongst men worldwide. Hereditary susceptibility and ancestral heritage are well-established risk factors that explain the disparity trends across different ethnicities, populations, and regions even within the same country. The Y-chromosome has been considered a prototype biomarker for male health. African, European, Middle Eastern, and Hispanic ancestries exhibit the highest incidences of such neoplasia; Asians have the lowest rates. Nonetheless, the contribution of ancestry patterns has been scarcely explored among Latino males. The Mexican population has an extremely diverse genetic architecture where all the aforementioned ancestral backgrounds converge. Trans-ethnic research could illuminate the aetiology of prostate cancer, involving the migratory patterns, founder effects, and the ethnic contributions to its disparate incidence rates. The contribution of the ancestral heritage to prostate cancer risk were explored through a case-control study (152 cases and 372 controls) study in Mexican Mestizo males. Seventeen microsatellites were used to trace back the ancestral heritage using two Bayesian predictor methods. The lineage R1a seems to contribute to prostate cancer (ORadjusted:8.04, 95%CI:1.41-45.80) development, whereas E1b1a/E1b1b and GHIJ contributed to well-differentiated (Gleason ≤ 7), and late-onset prostate cancer. Meta-analyses reinforced our findings. The mentioned lineages exhibited a connection with the Middle Eastern and North African populations that enriched the patrilineal diversity to the southeast region of the Iberian Peninsula. This ancestral legacy arrived at the New World with the Spanish and Sephardim migrations. Our findings reinforced the contribution of family history and ethnic background to prostate cancer risk, although should be confirmed using a large sample size. Nonetheless, given its complex aetiology, in addition to the genetic component, the lifestyle and xenobiotic exposition could also influence the obtained results.
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  • 文章类型: Journal Article
    结论:随着额外的青光眼基因的鉴定和分类,多基因风险评分将得到完善,促进早期诊断和治疗。确保基因研究是公平的,在全球范围内预防青光眼失明至关重要。
    目的:回顾25年来青光眼遗传学的进展,包括鉴定对疾病有不同贡献的基因和多基因风险评分的发展。
    结果:在过去的25年里,青光眼遗传学已经从识别具有孟德尔遗传模式的基因演变而来,如肌蛋白和CYP1B1,以发现与该疾病相关的数百个基因。已经制定了多基因风险评分,主要基于对北欧人口的研究,完善这些分数的努力正在进行中。然而,有一个关于它们对其他种族群体的适用性的问题,尤其是原发性开角型青光眼风险较高的患者,像非洲血统的人。青光眼是高度遗传性的,家族史可用于级联临床筛查计划,但这并不是在所有人群中都可行。因此,使用成熟基因如myocilin的级联基因检测可能有助于改善青光眼的诊断。此外,正在进行的调查试图确定基因中的致病性遗传变异,如myocilin。
    结论:对于各种疾病的基因检测的日益普及和对遗传风险信息的早期获取,需要进一步研究以确定何时以及如何对特定的遗传结果采取行动。涉及具有微妙影响的多个基因的多基因风险评分将需要持续改进以提高临床效用。这对于有效解释个体患青光眼和预防失明的风险至关重要。
    CONCLUSIONS: As additional glaucoma genes are identified and classified, polygenic risk scores will be refined, facilitating early diagnosis and treatment. Ensuring genetic research is equitable to prevent glaucoma blindness worldwide is crucial.
    OBJECTIVE: To review the progress in glaucoma genetics over the past 25 years, including the identification of genes with varying contributions to the disease and the development of polygenic risk scores.
    RESULTS: Over the last 2 and a half decades, glaucoma genetics has evolved from identifying genes with Mendelian inheritance patterns, such as myocilin and CYP1B1, to the discovery of hundreds of genes associated with the disease. Polygenic risk scores have been developed, primarily based on research in Northern European populations, and efforts to refine these scores are ongoing. However, there is a question regarding their applicability to other ethnic groups, especially those at higher risk of primary open angle glaucoma, like individuals of African ancestry. Glaucoma is highly heritable and family history can be used for cascade clinical screening programs, but these will not be feasible in all populations. Thus, cascade genetic testing using well-established genes such as myocilin may help improve glaucoma diagnosis. In addition, ongoing investigations seek to identify pathogenic genetic variants within genes like myocilin.
    CONCLUSIONS: The expanding availability of genetic testing for various diseases and early access to genetic risk information necessitates further research to determine when and how to act on specific genetic results. Polygenic risk scores involving multiple genes with subtle effects will require continuous refinement to improve clinical utility. This is crucial for effectively interpreting an individual\'s risk of developing glaucoma and preventing blindness.
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  • 文章类型: Journal Article
    背景:五个范可尼贫血(FA)基因(BRCA1/FANCS,BRCA2/FANCD1,PALB2/FANCN,BRIP1/FANCJ,和RAD51C/FANCO)赋予乳腺癌(BC)和/或卵巢癌(OC)的风险增加,但GPV在其他17个FA基因中的作用尚不清楚。
    方法:这里,我们调查了FANCG/XRCC9中种系变异与BC和OC风险的相关性.
    结果:与对照组(6/3250;0.18%)相比,BC(20/10,204;0.20%)和OC(8/2966;0.27%)患者在FANCG中截断GPV的频率没有差异。此外,只有五分之一的肿瘤样本显示野生型FANCG等位基因杂合性缺失.最后,9种经过功能测试的罕见复发性错义FANCG变体中没有一种在DNA损伤后损害DNA修复活性(FANCD2单泛素化和FANCD2病灶形成),与所有测试的FANCG截断相反。
    结论:我们的研究表明,杂合种系FANCG变体不太可能有助于BC或OC的发展。
    BACKGROUND: Monoallelic germline pathogenic variants (GPVs) in five Fanconi anemia (FA) genes (BRCA1/FANCS, BRCA2/FANCD1, PALB2/FANCN, BRIP1/FANCJ, and RAD51C/FANCO) confer an increased risk of breast (BC) and/or ovarian (OC) cancer, but the role of GPVs in 17 other FA genes remains unclear.
    METHODS: Here, we investigated the association of germline variants in FANCG/XRCC9 with BC and OC risk.
    RESULTS: The frequency of truncating GPVs in FANCG did not differ between BC (20/10,204; 0.20%) and OC (8/2966; 0.27%) patients compared to controls (6/3250; 0.18%). In addition, only one out of five tumor samples showed loss-of-heterozygosity of the wild-type FANCG allele. Finally, none of the nine functionally tested rare recurrent missense FANCG variants impaired DNA repair activities (FANCD2 monoubiquitination and FANCD2 foci formation) upon DNA damage, in contrast to all tested FANCG truncations.
    CONCLUSIONS: Our study suggests that heterozygous germline FANCG variants are unlikely to contribute to the development of BC or OC.
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  • 文章类型: Journal Article
    遗传性乳腺癌和卵巢癌是一种众所周知的遗传病,主要以常染色体显性遗传,这增加了杂合携带者在年轻时发展为恶性肿瘤的风险。新一代测序的进展使医学专业人员能够确定患者是否在中度或高外显率易感基因中携带突变。我们对我们部门接受遗传咨询和多基因小组检测的275例遗传性乳腺癌和卵巢癌综合征患者进行了回顾性分析。在这些患者中,74.5%(205/275)受到某种类型的恶性肿瘤的影响,而其余的25.5%(70/275)有不同癌症的阳性家族史,暗示了遗传倾向.这些测试分别证实了这些患者组中29.8%和28.6%的遗传变异。结果也反映了我们对遗传性乳腺癌和卵巢癌遗传背景的一般知识,作为BRCA1和BRCA2基因之一的变异被证明是我们患者中最常见的原因,占41.5%。我们的测试还检测到CDH1基因中的新突变和三个患者在两个不同的易感基因中具有双杂合性。这项研究证明了癌症患者和符合基因检测标准的患者之间遗传咨询和非BRCA基因测序的相关性。同时还提供了有关匈牙利患者遗传特征的重要细节。
    Hereditary breast and ovarian cancer is a well-known genetic condition, inherited mainly in an autosomal dominant way, which elevates the risk of developing malignancies at a young age in heterozygous carriers. Advances in new generation sequencing have enabled medical professionals to determine whether a patient is harbouring mutations in moderate- or high penetrance susceptibility genes. We conducted a retrospective analysis among 275 patients who underwent genetic counselling and multigene panel testing for hereditary breast and ovarian cancer syndrome in our department. From these patients 74.5% (205/275) were affected by some type of malignancy, while the remaining 25.5% (70/275) had a positive family history of different cancers, suggesting a genetic predisposition. These tests confirmed a genetic variant in 29.8% and 28.6% of these patient groups respectively. The results also mirrored our general knowledge concerning the genetic background of hereditary breast and ovarian cancer, as variants in either one of the BRCA1 and BRCA2 genes proved to be the most common cause among our patients with 41.5%. Our test also detected a novel mutation in the CDH1 gene and three patients with double heterozygosity in two different susceptibility genes. This study demonstrates the relevance of genetic counselling and non-BRCA gene sequencing among cancer patients and patients who fulfil the criteria for genetic testing, while also providing important details about the genetic profile of Hungarian patients.
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  • 文章类型: Journal Article
    Neonatal sepsis is a common and severe infectious disease with a high mortality rate. Its pathogenesis is complex, lacks specific manifestations, and has a low positive culture rate, making early diagnosis and personalized treatment still a challenge for clinicians. Epidemiological studies on twins have shown that genetic factors are associated with neonatal sepsis. Gene polymorphisms are closely related to susceptibility, disease development, and prognosis. This article provides a review of gene polymorphisms related to neonatal sepsis, including interleukins, tumor necrosis factor, Toll-like receptors, NOD-like receptors, CD14, triggering receptor expressed on myeloid cells-1, mannose-binding lectin, and other immune proteins, aiming to promote precision medicine for this disease.
    新生儿败血症是常见的感染性疾病,病情严重,病死率高。其发病机制复杂,缺乏特异性表现,培养阳性率低,早期诊断和个体化治疗仍然是临床医生面临的挑战。对双胞胎的流行病学研究表明,遗传因素与新生儿败血症存在关联。基因多态性与其易感性、病情发展和预后密切相关。该文就新生儿败血症相关的白细胞介素、肿瘤坏死因子、Toll样受体、NOD样受体、CD14、髓系细胞触发受体1、甘露糖结合凝集素和其他免疫蛋白基因多态性进行综述,以期促进该疾病的精准医疗。.
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  • 文章类型: Journal Article
    COVID-19的发病机制值得揭开。遗传多态性分析可能有助于回答疾病结果的变异性。为了确定KIR和HLA多态性在易感性中的作用,programming,SARS-CoV-2感染的严重程度,2020年4月至12月,458名患者和667名对照者参加了这项回顾性观察研究。建立轻度/中度和重度/死亡研究组。HLA-A,-B,-C,和KIR基因分型使用Luminex®200™xMAP荧光分析仪上的Lifcodes®HLA-SSO和KIR-SSO试剂盒进行。使用多元二元逻辑回归分析计算概率评分,以估计严重COVID-19的可能性。使用ROC分析以高灵敏度和特异性计算用于预测更差的临床结果的最佳截止点。p≤0.05被认为具有统计学意义。KIRAA基因型对COVID-19的严重程度/死亡具有积极保护作用。此外,KIR3DL1、KIR2DL3和KIR2DS4基因保护患者免受严重形式的COVID-19。KIRBx基因型,以及KIR2DL2,KIR2DS2,KIR2DS3和KIR3DS1被鉴定为重症COVID-19的生物标志物。我们的逻辑回归模型,其中包括临床和KIR/HLA变量,将我们的患者队列分类为具有高灵敏度和特异性的严重COVID-19疾病的高/低风险(Se=94.29%,95%CI[80.84-99.30];Sp=84.55%,95%CI[79.26-88.94];OR=47.58,95CI[11.73-193.12],p<0.0001)。这些结果说明了KIR/HLA配体多态性与不同COVID-19结果之间的关联,并指出了在未来可能的传染病暴发中使用它们作为替代生物标志物来检测重症患者的可能性。
    The pathogenesis of COVID-19 warrants unravelling. Genetic polymorphism analysis may help answer the variability in disease outcome. To determine the role of KIR and HLA polymorphisms in susceptibility, progression, and severity of SARS-CoV-2 infection, 458 patients and 667 controls enrolled in this retrospective observational study from April to December 2020. Mild/moderate and severe/death study groups were established. HLA-A, -B, -C, and KIR genotyping were performed using the Lifecodes® HLA-SSO and KIR-SSO kits on the Luminex® 200™ xMAP fluoroanalyser. A probability score using multivariate binary logistic regression analysis was calculated to estimate the likelihood of severe COVID-19. ROC analysis was used to calculate the best cut-off point for predicting a worse clinical outcome with high sensitivity and specificity. A p ≤ 0.05 was considered statistically significant. KIR AA genotype protected positively against severity/death from COVID-19. Furthermore, KIR3DL1, KIR2DL3 and KIR2DS4 genes protected patients from severe forms of COVID-19. KIR Bx genotype, as well as KIR2DL2, KIR2DS2, KIR2DS3 and KIR3DS1 were identified as biomarkers of severe COVID-19. Our logistic regression model, which included clinical and KIR/HLA variables, categorised our cohort of patients as high/low risk for severe COVID-19 disease with high sensitivity and specificity (Se = 94.29%, 95% CI [80.84-99.30]; Sp = 84.55%, 95% CI [79.26-88.94]; OR = 47.58, 95%CI [11.73-193.12], p < 0.0001). These results illustrate an association between KIR/HLA ligand polymorphism and different COVID-19 outcomes and remarks the possibility of use them as a surrogate biomarkers to detect severe patients in possible future infectious outbreaks.
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  • 文章类型: Journal Article
    肠道病毒71型(EV-71)具有很强的神经嗜性,它是导致严重手的主要病原体,脚,和口蹄疫(HFMD)。在临床观察中,在同时感染EV-71的儿童中,手足口病的严重程度和预后存在显著差异.个体间的遗传差异可能是EV-71型HFMD易感性差异的重要原因之一。由于P-选择蛋白糖蛋白配体1(PSGL-1)是EV-71的重要受体,PSGL-1中的单核苷酸多态性(SNP)与EV-71感染后严重HFMD的易感性之间的相关性值得研究。鉴于PSGL-1在免疫中的作用,PSGL-1SNPs与EV-71感染后免疫状态的相关性也值得研究.同时,PSGL-1可变串联重复序列(VNTR)是心脑血管疾病研究的热点,但是PSGL-1VNTR多态性尚未在EV-71感染引起的HFMD中进行研究。在这项研究中,通过聚合酶链反应扩增特定的基因片段,和PSGL-1VNTR序列使用自动核酸分析仪进行基因分型。分析PSGL-1VNTR多态性与EV-71相关重症HFMD易感性及感染后免疫状态的相关性。PSGL-1VNTRA等位基因被鉴定为严重HFMD的易感SNP。AA+AB基因型携带者患重症手足口病的风险高于BB基因型携带者。AA+AB基因型携带者外周血淋巴细胞亚群计数低于BB基因型携带者。总之,PSGL-1VNTR多态性与EV-71诱导的重症HFMD易感性和感染后的免疫状态相关。PSGL-1VNTR可能在重症病例的发病机制中起一定作用。
    Enterovirus 71 (EV-71) has strong neurotropism, and it is the main pathogen causing severe hand, foot, and mouth disease (HFMD). In clinical observations, significant differences were observed in the severity and prognosis of HFMD among children who were also infected with EV-71. Genetic differences among individuals could be one of the important causes of differences in susceptibility to EV-71-induced HFMD. As P-selectin glycoprotein ligand-1 (PSGL-1) is an important receptor of EV-71, the correlation between single-nucleotide polymorphisms (SNPs) in PSGL-1 and the susceptibility to severe HFMD following EV-71 infection is worth studying. Given the role of PSGL-1 in immunity, the correlations between PSGL-1 SNPs and the immune status after EV-71 infection are also worth studying. Meanwhile, PSGL-1 variable number of tandem repeats (VNTR) represents a research hotspot in cardiovascular and cerebrovascular diseases, but PSGL-1 VNTR polymorphism has not been investigated in HFMD caused by EV-71 infection. In this study, specific gene fragments were amplified by polymerase chain reaction, and PSGL-1 VNTR sequences were genotyped using an automatic nucleic acid analyzer. The correlations of PSGL-1 VNTR polymorphism with the susceptibility to EV-71-associated severe HFMD and the post-infection immune status were analyzed. The PSGL-1 VNTR A allele was identified as a susceptible SNP for severe HFMD. The risk of severe HFMD was higher for AA + AB genotype carriers than for BB genotype carriers. The counts of peripheral blood lymphocyte subsets were lower in AA + AB genotype carries than in BB genotype carries. In conclusion, PSGL-1 VNTR polymorphism is associated with the susceptibility to EV-71-induced severe HFMD and the immune status after infection. PSGL-1 VNTR might play a certain role in the pathogenesis of severe cases.
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  • 文章类型: Journal Article
    背景:最近的研究表明,与单基因骨疾病相关的遗传变异与非典型股骨骨折(AFF)的发病机制有关。这里,我们的目标是通过对12例AFF患者和4例无骨折对照患者的单基因罕见骨骼疾病相关基因的全外显子组测序,鉴定罕见的遗传变异.
    结果:在AFF女性中发现的33种遗传变异中,在属于Wnt途径的基因(LRP5,LRP6,DAAM2,WNT1和WNT3A)中发现了11个(33.3%)。其中一个被评为致病性(p。Pro582HisinDAAM2),而根据ClinVar和ACMG标准,所有其他均被评为意义不确定的变体。
    结论:骨质疏松症,罕见的骨骼疾病,AFF可能共享相同的基因,因此,识别独特的风险因素变得更加困难。
    BACKGROUND: Recent studies suggested that genetic variants associated with monogenic bone disorders were involved in the pathogenesis of atypical femoral fractures (AFF). Here, we aim to identify rare genetic variants by whole exome sequencing in genes involved in monogenic rare skeletal diseases in 12 women with AFF and 4 controls without any fracture.
    RESULTS: Out of 33 genetic variants identified in women with AFF, eleven (33.3%) were found in genes belonging to the Wnt pathway (LRP5, LRP6, DAAM2, WNT1, and WNT3A). One of them was rated as pathogenic (p.Pro582His in DAAM2), while all others were rated as variants of uncertain significance according to ClinVar and ACMG criteria.
    CONCLUSIONS: Osteoporosis, rare bone diseases, and AFFs may share the same genes, thus making it even more difficult to identify unique risk factors.
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  • 文章类型: Journal Article
    酒精使用障碍(AUD)是全球发病率和死亡率的重要因素。其复杂的病因涉及遗传学,表观遗传学,和环境因素。我们回顾了理解AUD的遗传学和表观遗传学的进展,总结关键发现。几十年来,技术的进步已经将研究从早期的候选基因研究提升到当今的全基因组扫描,揭示了AUD的许多遗传和表观遗传风险因素。最新的GWAS对100多万参与者进行了鉴定,发现了100多种遗传变异,血液和大脑样本中最大的全表观基因组关联研究(EWAS)揭示了组织特异性表观遗传变化。下游分析揭示了丰富的途径,与其他性状的遗传相关性,脑组织中的全转录组关联,和AUD的药物-基因相互作用。我们还讨论了局限性和未来的方向,包括增加GWAS和EWAS研究的能力,以及扩大这些分析中包括的种群多样性。更大的样品,新技术,分析方法是必不可少的;这些方法包括全基因组测序,Multiomics,单细胞测序,空间转录组学,变量函数的深度学习预测,和疾病风险预测的综合方法。
    Alcohol use disorder (AUD) is a prominent contributor to global morbidity and mortality. Its complex etiology involves genetics, epigenetics, and environmental factors. We review progress in understanding the genetics and epigenetics of AUD, summarizing the key findings. Advancements in technology over the decades have elevated research from early candidate gene studies to present-day genome-wide scans, unveiling numerous genetic and epigenetic risk factors for AUD. The latest GWAS on more than one million participants identified more than 100 genetic variants, and the largest epigenome-wide association studies (EWAS) in blood and brain samples have revealed tissue-specific epigenetic changes. Downstream analyses revealed enriched pathways, genetic correlations with other traits, transcriptome-wide association in brain tissues, and drug-gene interactions for AUD. We also discuss limitations and future directions, including increasing the power of GWAS and EWAS studies as well as expanding the diversity of populations included in these analyses. Larger samples, novel technologies, and analytic approaches are essential; these include whole-genome sequencing, multiomics, single-cell sequencing, spatial transcriptomics, deep-learning prediction of variant function, and integrated methods for disease risk prediction.
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