Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Center for Computational and Integrative Biology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Nature. 2020 Feb;578(7796):527-539. doi: 10.1038/s41586-020-2025-2. Epub 2020 Feb 26.
Inflammatory bowel disease (IBD) is a complex genetic disease that is instigated and amplified by the confluence of multiple genetic and environmental variables that perturb the immune-microbiome axis. The challenge of dissecting pathological mechanisms underlying IBD has led to the development of transformative approaches in human genetics and functional genomics. Here we describe IBD as a model disease in the context of leveraging human genetics to dissect interactions in cellular and molecular pathways that regulate homeostasis of the mucosal immune system. Finally, we synthesize emerging insights from multiple experimental approaches into pathway paradigms and discuss future prospects for disease-subtype classification and therapeutic intervention.
炎症性肠病(IBD)是一种复杂的遗传疾病,由多种遗传和环境变量的融合引发和放大,这些变量会扰乱免疫微生物组轴。解析 IBD 潜在病理机制的挑战导致了人类遗传学和功能基因组学的变革性方法的发展。在这里,我们将 IBD 描述为一种模型疾病,利用人类遗传学来解析调节黏膜免疫系统稳态的细胞和分子途径中的相互作用。最后,我们将多种实验方法的新见解综合到途径范例中,并讨论疾病亚型分类和治疗干预的未来前景。