生物
先天性角化不良
外显子组测序
肺纤维化
遗传学
端粒
错义突变
特发性肺纤维化
外显子组
基因座(遗传学)
纤维化
基因
突变
病理
内科学
肺
医学
作者
Bridget Stuart,Jungmin Choi,Samir Zaidi,Chao Xing,Brody Holohan,Rui Chen,Mihwa Choi,Pooja Dharwadkar,Fernando Torres,C Girod,Jonathan C. Weissler,John E. Fitzgerald,Corey D. Kershaw,Julia Klesney‐Tait,Yolanda Mageto,Jerry W. Shay,Weizhen Ji,Kaya Bilgüvar,Shrikant Mane,Richard P. Lifton,Christine Kim Garcia
出处
期刊:Nature Genetics
[Springer Nature]
日期:2015-04-13
卷期号:47 (5): 512-517
被引量:394
摘要
Christine Garcia and colleagues use exome sequencing to identify genetic risk factors for familial pulmonary fibrosis. They observe an excess of rare damaging variants in PARN and RTEL1 in probands with pulmonary fibrosis and show that these variants cosegregate with disease in the affected families. Idiopathic pulmonary fibrosis (IPF) is an age-related disease featuring progressive lung scarring. To elucidate the molecular basis of IPF, we performed exome sequencing of familial kindreds with pulmonary fibrosis. Gene burden analysis comparing 78 European cases and 2,816 controls implicated PARN, an exoribonuclease with no previous connection to telomere biology or disease, with five new heterozygous damaging mutations in unrelated cases and none in controls (P = 1.3 × 10−8); mutations were shared by all affected relatives (odds in favor of linkage = 4,096:1). RTEL1, an established locus for dyskeratosis congenita, harbored significantly more new damaging and missense variants at conserved residues in cases than in controls (P = 1.6 × 10−6). PARN and RTEL1 mutation carriers had shortened leukocyte telomere lengths, and we observed epigenetic inheritance of short telomeres in family members. Together, these genes explain ∼7% of familial pulmonary fibrosis and strengthen the link between lung fibrosis and telomere dysfunction.
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