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Gene linked to autoimmune diseases - Rare variants of a single gene seem to make patients...
Nature News ^ | 16 June 2010 | Alla Katsnelson

Posted on 06/17/2010 9:11:03 PM PDT by neverdem

Differences in the sequence of a single gene may be partly responsible for causing around 2% of relatively common autoimmune disorders including diabetes and arthritis.

The gene codes for an enzyme called sialic acid acetylesterase (SIAE) that regulates the immune system's B cells — the cells responsible for producing antibodies against foreign invaders. In 24 of 923 people with conditions such as Crohn's disease, type 1 diabetes, rheumatoid arthritis, systemic lupus erythematosus and multiple sclerosis, the gene was present in a variant form.

For the past five years, genome-wide screens of large groups of patients have searched for commonly occurring gene variants associated with complex diseases that are unlikely to have a single genetic cause. Although many such variants have been identified, they explain little in terms of disease susceptibility. More recently, scientists have begun to wonder whether rare variants may better account for the genetic underpinnings of such diseases.

"It's still very much a question mark" whether rare variants will contribute to complex and relatively common disorders, says Jay Shendure, a genomicist at the University of Washington in Seattle who was not involved in the study. "But studies like this show that there is something to be found."

“I think this is an absolutely seminal paper.”

Shiv Pillai of Harvard Medical School in Boston, Massachusetts, and his colleagues had previously found that deactivating the Siae gene in mice leads to a condition similar to the autoimmune disease systemic lupus erythematosus1. They decided to resequence the gene in humans to probe its link to autoimmune diseases, and identified several variants in people with autoimmune disorders. Healthy people occasionally had variants of the gene as well, but when the researchers tested the different variants, they found that those in people with autoimmune diseases tended to disrupt the enzyme's function, whereas those...

(Excerpt) Read more at nature.com ...


TOPICS: Culture/Society; News/Current Events; Testing
KEYWORDS: autoimmunedisease; autoimmunediseases; genetics; immunology; siae; type1diabetes
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1 posted on 06/17/2010 9:11:04 PM PDT by neverdem
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To: neverdem

Oh wow as a 40 year type 1 just identifing the gene could lead to much better treatments and/or cure.


2 posted on 06/17/2010 9:16:38 PM PDT by chris_bdba
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To: neverdem

autoimmune disorders run in my family. I am very happy to hear of this.


3 posted on 06/17/2010 9:20:11 PM PDT by GOP Poet (Obama is an OLYMPIC failure.)
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To: neverdem

Interesting. I had (pediatric?) nephrotic syndrome, my Aunt had kidney problems, my sister and I both have had episodes of alopecia areata, and I currently have bouts of eczema.

Hopefully this research can lead to a cure because supposedly there may be a link with nephrotic syndrome at a young age and lupus at an older age.


4 posted on 06/17/2010 9:20:21 PM PDT by Tailback
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To: Mother Abigail; EBH; vetvetdoug; Smokin' Joe; Global2010; Battle Axe; null and void; ...
FReepmail me if you want on or off the immunology and/or diabetes ping lists.
5 posted on 06/17/2010 9:21:04 PM PDT by neverdem (Xin loi minh oi)
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To: neverdem

sfl


6 posted on 06/17/2010 9:24:29 PM PDT by phockthis
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To: chris_bdba
Oh wow as a 40 year type 1 just identifing the gene could lead to much better treatments and/or cure.

Once your beta cells are gone, I think the best shot will come from adult stem cell therapy, IMHO.

7 posted on 06/17/2010 9:25:25 PM PDT by neverdem (Xin loi minh oi)
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To: 2ndreconmarine; Fitzcarraldo; Covenantor; Mother Abigail; EBH; Dog Gone; ...

Ping....(Thanks, neverdem!)


8 posted on 06/17/2010 9:36:17 PM PDT by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: GOP Poet
I was diagnosed with SLE in my 30’s. Mom has rheumatoid arthritis. Two of my daughters have autoimmune issues. This may not be a help to me (I've already had two strokes and kidneys are not well); but hope that it helps my kids in the future! Very exciting.
9 posted on 06/17/2010 9:46:18 PM PDT by MWestMom (Tread carefully, truth lies here.)
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To: neverdem; Joya

HEALTH PING


10 posted on 06/17/2010 9:51:14 PM PDT by Quix (THE PLAN of the Bosses: http://www.freerepublic.com/focus/religion/2519352/posts?page=2#2)
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To: Smokin' Joe

Thanks for the ping!


11 posted on 06/17/2010 9:52:03 PM PDT by Alamo-Girl
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To: Alamo-Girl

You’re Welcome, Alamo-Girl!


12 posted on 06/17/2010 9:55:16 PM PDT by Smokin' Joe (How often God must weep at humans' folly. Stand fast. God knows what He is doing.)
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To: Smokin' Joe; neverdem

good news!


13 posted on 06/17/2010 9:57:39 PM PDT by bitt ( "If this is what Team Obama calls "saved," then please, let me give purgatory a shot. ")
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To: neverdem
Gene linked to autoimmune diseases ...

Gene who?

Gene Siskel I would believe.

14 posted on 06/17/2010 9:58:25 PM PDT by higgmeister ( In the Shadow of The Big Chicken!)
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To: neverdem
It would be nice for this to bear some fruit. RA hurts. Daily ibuprofen helps, but only holds the problem in check.
15 posted on 06/17/2010 10:23:12 PM PDT by Myrddin
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To: neverdem

“In 24 of 923 people with conditions such as Crohn’s disease, type 1 diabetes, rheumatoid arthritis, systemic lupus erythematosus and multiple sclerosis, the gene was present in a variant form.”

That’s not very compelling evidence!


16 posted on 06/17/2010 10:48:22 PM PDT by devere
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To: Myrddin

Have you tried methotrexate?

http://www2.cochrane.org/reviews/en/ab008495.html


17 posted on 06/17/2010 10:50:18 PM PDT by neverdem (Xin loi minh oi)
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To: neverdem
Not yet. I'm starting to see some impacts in the middle joint of my little finger. It's the spine, knees and ankles that are most annoying. During my daytime hours, I'm focused on work and can just endure the. Not so when I'm trying to sleep. I put down 4 x 200 mg ibuprofen about 30 minutes before hitting the rack so I can get to sleep.

A co-worker whose wife has all manner of auto-immune problems has reported good result with methotrexate. I simply haven't sought any treatment beyond OTC, but I know it is going to get ahead of me at some point.

18 posted on 06/17/2010 11:08:20 PM PDT by Myrddin
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To: devere
“In 24 of 923 people with conditions such as Crohn’s disease, type 1 diabetes, rheumatoid arthritis, systemic lupus erythematosus and multiple sclerosis, the gene was present in a variant form.”

That’s not very compelling evidence!

"'I think this is an absolutely seminal paper,' says Judy Cho, an immunogeneticist at Yale University in New Haven, Connecticut. The strength of it, she adds, is that it proposes a very specific hypothesis — namely, the role of the sialic acid pathway in autoimmune disease — that can now be tested."

IMHO, there are relatively very few diseases where the genetic defect is limited to a single gene.

A Decade Later, Genetic Map Yields Few New Cures

Let's see how the sialic acid pathway hypothesis pans out. It could be the needle in the haystack. Maybe not. If it does, I'll bet money that multiple genes are involved in that pathway.

19 posted on 06/17/2010 11:17:32 PM PDT by neverdem (Xin loi minh oi)
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To: Tailback
"I had (pediatric?) nephrotic syndrome,...currently have bouts of eczema."

Sounds like my youngest son. He had nephrosis when he was 4, and has had psoriasis and eczema ever since he got out of the Navy.

20 posted on 06/17/2010 11:18:40 PM PDT by redhead (BP Gulf Blowout Debacle: Obama's CHERNOBYL.)
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