Department of Biomedical Sciences and Pathobiology, Virginia-Maryland College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Blacksburg, VA 24060, USA.
Department of Biological Sciences, Virginia Polytechnic Institute and State University, Blacksburg, VA 24060, USA.
Int J Mol Sci. 2018 Dec 12;19(12):4007. doi: 10.3390/ijms19124007.
Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease in which the body's immune system mistakenly attacks healthy cells. Although the exact cause of SLE has not been identified, it is clear that both genetics and environmental factors trigger the disease. Identical twins have a 24% chance of getting lupus disease if the other one is affected. Internal factors such as female gender and sex hormones, the major histocompatibility complex (MHC) locus and other genetic polymorphisms have been shown to affect SLE, as well as external, environmental influences such as sunlight exposure, smoking, vitamin D deficiency, and certain infections. Several studies have reported and proposed multiple associations between the alteration of the epigenome and the pathogenesis of autoimmune disease. Epigenetic factors contributing to SLE include microRNAs, DNA methylation status, and the acetylation/deacetylation of histone proteins. Additionally, the acetylation of non-histone proteins can also influence cellular function. A better understanding of non-genomic factors that regulate SLE will provide insight into the mechanisms that initiate and facilitate disease and also contribute to the development of novel therapeutics that can specifically target pathogenic molecular pathways.
系统性红斑狼疮(SLE)是一种慢性炎症性自身免疫性疾病,其中机体的免疫系统错误地攻击健康细胞。尽管尚未明确 SLE 的确切病因,但显然遗传和环境因素均可引发该疾病。如果双胞胎中的一个患有狼疮,那么另一个患病的几率为 24%。内部因素,如女性性别和性激素、主要组织相容性复合体(MHC)基因座和其他遗传多态性,以及外部环境因素,如阳光照射、吸烟、维生素 D 缺乏和某些感染,均已被证明会影响 SLE。一些研究已经报道并提出了表观基因组改变与自身免疫性疾病发病机制之间的多种关联。与 SLE 相关的表观遗传因素包括 microRNAs、DNA 甲基化状态和组蛋白蛋白的乙酰化/去乙酰化。此外,非组蛋白蛋白的乙酰化也会影响细胞功能。更好地了解调节 SLE 的非基因组因素将有助于深入了解引发和促进疾病的机制,并有助于开发能够特异性靶向致病分子途径的新型治疗方法。