Publications by authors named "Lourdes Ortiz Fernandez"

Article Synopsis
  • The study investigates how non-genetic factors, especially epigenetics like DNA methylation, contribute to the development of Systemic Sclerosis (SSc).
  • By analyzing DNA methylation data from 179 SSc patients and 241 healthy individuals, researchers identified 525 differentially methylated positions related to immune pathways, particularly those involving leukocyte adhesion.
  • The findings suggest that changes in DNA methylation impact gene expression and highlight the role of myeloid cells and specific transcription factors, opening up new avenues for potential clinical applications in treating SSc.
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Background: Giant cell arteritis (GCA) is an immune-mediated large-vessels vasculitis with complex etiology. Although the pathogenic mechanisms remain poorly understood, a central role for CD4 T cells has been demonstrated. In this context, understanding the transcriptome dysregulation in GCA CD4 T cells will yield new insights into its pathogenesis.

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Background: Giant cell arteritis is an age-related vasculitis that mainly affects the aorta and its branches in individuals aged 50 years and older. Current options for diagnosis and treatment are scarce, highlighting the need to better understand its underlying pathogenesis. Genome-wide association studies (GWAS) have emerged as a powerful tool for unravelling the pathogenic mechanisms involved in complex diseases.

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  • - The study investigates the genetic underpinnings of Erdheim-Chester disease (ECD), a rare condition characterized by abnormal immune cell activity, by conducting the first genome-wide association study to understand its inherited genetic factors.
  • - Researchers analyzed data from 255 ECD patients and 7,471 healthy individuals, identifying a significant genetic region (18q12.3) that could increase susceptibility to ECD, linked to the SETBP1 gene.
  • - The findings suggest that inherited genetic variants play a role in ECD development and point to new biological pathways that may contribute to the disease's progression.
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Article Synopsis
  • The study aimed to uncover new genetic risk factors for systemic vasculitis by analyzing genetic data from a large group of patients and healthy controls.
  • Sixteen genetic variants were found to be linked with multiple forms of vasculitis, with 15 being newly identified risk loci that may impact how vasculitis develops through gene regulation.
  • Additionally, the research highlighted drugs that could be repurposed, such as abatacept and ustekinumab, for treating these vasculitides.
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Objectives: Behçet's disease tends to be more severe in men than women. This study was undertaken to investigate sex-specific genetic effects in Behçet's disease.

Methods: A total of 1762 male and 1216 female patients with Behçet's disease from six diverse populations were studied, with the majority of patients of Turkish origin.

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Objectives: rs76428106-C, a low frequency polymorphism that affects the splicing of the FLT3 gene, has recently been associated with several seropositive autoimmune diseases. Here, we aimed to evaluate the potential implication of rs76428106-C in the susceptibility to systemic sclerosis (SSc).

Methods: We analysed a total of 26 598 European ancestry individuals, 9063 SSc and 17 535 healthy controls, to test the association between FLT3 rs76428106-C and SSc and its different subphenotypes.

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Systemic lupus erythematosus, systemic sclerosis, rheumatoid arthritis, and Sjögren's syndrome are four major autoimmune rheumatic diseases characterized by the presence of autoantibodies, caused by a dysregulation of the immune system that leads to a wide variety of clinical manifestations. These conditions present complex etiologies strongly influenced by multiple environmental and genetic factors. The human leukocyte antigen (HLA) region was the first locus identified to be associated and still represents the strongest susceptibility factor for each of these conditions, particularly the HLA class II genes, including DQA1, DQB1, and DRB1, but class I genes have also been associated.

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Article Synopsis
  • The study aimed to uncover additional DNA methylation changes in lupus T cells, focusing on the link between genetic factors and epigenetic alterations.
  • Researchers analyzed DNA methylation patterns in T cells from 74 lupus patients compared to healthy controls, using extensive sampling and meQTL analysis to understand genetic influences.
  • The findings confirmed hypomethylation in interferon-regulated genes and identified changes in the miR-17-92 cluster, which are correlated with disease activity, but concluded that genetic factors minimally contribute to the observed epigenetic changes associated with lupus.
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Objectives: Giant cell arteritis (GCA) is a complex systemic vasculitis mediated by the interplay between both genetic and epigenetic factors. Monocytes are crucial players of the inflammation occurring in GCA. Therefore, characterisation of the monocyte methylome and transcriptome in GCA would be helpful to better understand disease pathogenesis.

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Behçet's disease is a chronic multisystemic inflammatory disorder characterized by recurrent oral and genital ulcers. Although its etiology remains unclear, it is thought that both genetic and environmental factors contribute to the onset and progression of Behçet's disease. Here, we provide an updated view of the genetic landscape and architecture of Behçet's disease.

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Article Synopsis
  • Behçet's disease is a complex inflammatory condition with unclear causes, and this study aimed to explore its genetic connections within a diverse population.* -
  • The study included 9,444 participants from 7 backgrounds and found 2 new genetic risk markers associated with the disease, along with confirming 6 previously known ones.* -
  • These results suggest significant genetic influences across different ethnicities and open avenues for further research into the underlying mechanisms of Behçet's disease.*
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Article Synopsis
  • Takayasu arteritis is a rare inflammatory disease affecting large arteries and was studied in a large genetic analysis of over 6,600 individuals, revealing significant genetic factors involved.
  • Researchers identified specific HLA risk factors and several non-HLA susceptibility genes, including VPS8 and CFL2, that contribute to the disease, with ETS2 highlighted as a potential key gene.
  • The study found strong genetic links between Takayasu arteritis and inflammatory bowel disease, suggesting potential therapeutic targets and enhancing understanding of the disease's genetic underpinnings.
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Epigenetic dysregulation is implicated in the pathogenesis of lupus. We performed a longitudinal analysis to assess changes in DNA methylation in lupus neutrophils over 4 years of follow-up and across disease activity levels using 229 patient samples. We demonstrate that DNA methylation profiles in lupus are partly determined by ancestry-associated genetic variations and are highly stable over time.

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Background: Systemic sclerosis (SSc) is a genetically complex autoimmune disease mediated by the interplay between genetic and epigenetic factors in a multitude of immune cells, with CD4+ T lymphocytes as one of the principle drivers of pathogenesis.

Methods: DNA samples exacted from CD4+ T cells of 48 SSc patients and 16 healthy controls were hybridized on MethylationEPIC BeadChip array. In parallel, gene expression was interrogated by hybridizing total RNA on Clariom™ S array.

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Article Synopsis
  • SARS-CoV-2 relies on ACE2 as a receptor and TMPRSS2 for entering human cells, which are essential for the virus to infect.
  • Research was conducted on over 2500 people, revealing significant differences in the genetic factors that affect ACE2 and TMPRSS2 levels among individuals and populations.
  • Findings indicate that individuals from African populations may have a genetic tendency for lower levels of these viral entry genes, potentially affecting their susceptibility and severity of COVID-19.
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Objectives: The TYK2 gene encodes a tyrosin kinase which is involved in multiple immune functions. A functional variant of this gene has been identified to play a protective role in multiple autoimmune diseases. The goal of this study was to evaluate the involvement of this variant of TYK2 in vasculitides [giant cell arteritis (GCA), ANCA-associated vasculitis (AAV) and IgA vasculitis (IgAV)] and viral infections [hepatitis C virus (HCV) and human immunodeficiency virus type I (HIV-1)].

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Purpose Of Review: Antiphospholipid syndrome (APS) is a rare heterogenous disorder associated with the presence of antiphospholipid antibodies and can present in a wide variety of clinical manifestations including thrombosis and pregnancy complications. Although the etiology of APS remains poorly understood, there is strong support for considering APS as a complex genetic disease in which multiple genetic risk factors, in conjunction with environmental factors, affect its onset, progression, and severity. Here, we provide a comprehensive review of the current knowledge of the genetic basis of APS, which remains in its infancy.

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Monogenic lupus is a form of systemic lupus erythematosus (SLE) that occurs in patients with a single gene defect. This rare variant of lupus generally presents with early onset severe disease, especially affecting the kidneys and central nervous system. To date, a significant number of genes have been implicated in monogenic lupus, providing valuable insights into a very complex disease process.

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A rare variant (BAFF-var) of the tumor necrosis factor superfamily 13b (TNFSF13B) gene has been recently associated with multiple sclerosis (MS) and systemic lupus erythematosus (SLE). The aim of this study was to investigate the association between TNFSF13B BAFF-var and susceptibility to rheumatoid arthritis (RA) and replicate that association in SLE. 6,218 RA patients, 2,575 SLE patients and 4,403 healthy controls from three different countries were included in the study.

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Objetive: Systemic vasculitides represent a heterogeneous group of rare complex diseases of the blood vessels with a poorly understood aetiology. To investigate the shared genetic component underlying their predisposition, we performed the first cross-phenotype meta-analysis of genetic data from different clinically distinct patterns of vasculitis.

Methods: Immunochip genotyping data from 2465 patients diagnosed with giant cell arteritis, Takayasu's arteritis, antineutrophil cytoplasmic antibody-associated vasculitis or IgA vasculitis as well as 4632 unaffected controls were analysed to identify common susceptibility for vasculitis development.

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Behçet's disease (BD) is an immune-mediated systemic disorder with a well-established association with HLA class I and other genes. BD has clinical overlap with many autoinflammatory diseases (AIDs). The aim of this study was to investigate the role of rare variants in seven genes involved in AIDs: CECR1, MEFV, MVK, NLRP3, NOD2, PSTPIP1 and TNFRSF1A using a next generation sequencing (NGS) approach in 355 BD patients.

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Objectives: The functional variant R620W of the protein tyrosine phosphatase non receptor-22 (PTPN22) gene plays an important role in susceptibility to several immuno-mediated pathologies. Behçet's disease (BD) is a complex disease related to the immune system with a demonstrated genetic base. The HLA class I genes are the most important genetic factors in BD although other genes are also involved in the susceptibility to this disease.

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Article Synopsis
  • Behcet's disease (BD) is an autoimmune vasculitis, with limited understanding of its genetic causes, prompting a genetic analysis in a Spanish population using the Immunochip platform.
  • The study involved 278 BD cases and 1,517 control subjects, finding strong genetic associations primarily with the HLA class I region, especially the HLA-B*51 allele.
  • Additional significant non-HLA susceptibility markers identified include IL23R, IL12A, and a new locus in the JRKL/CNTN5 region, confirming these as potential factors in BD among Spaniards.
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Objectives: The aim of this study was to investigate the role of the TLR8, a mediator of innate inflammatory response, in susceptibility to two immune-mediated disorders characterised by dysregulation of the immune response, Crohn's and Behçet's diseases (CD and BD).

Methods: A total of 844 CD, 371 BD patients and 1385 controls were genotyped in 8 tag single nucleotide polymorphisms (tSNPs) in the locus TLR8 (chromosome X). All these tSNPs have a minor allele frequency greater than 0.

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