Korean J Intern Med.  2015 May;30(3):294-304. 10.3904/kjim.2015.30.3.294.

Clinical implications of copy number variations in autoimmune disorders

Affiliations
  • 1Department of Medical Education, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 2Integrated Research Center for Genome Polymorphism, College of Medicine, The Catholic University of Korea, Seoul, Korea. yejun@catholic.ac.kr
  • 3Department of Microbiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Human genetic variation is represented by the genetic differences both within and among populations, and most genetic variants do not cause overt diseases but contribute to disease susceptibility and influence drug response. During the last century, various genetic variants, such as copy number variations (CNVs), have been associated with diverse human disorders. Here, we review studies on the associations between CNVs and autoimmune diseases to gain some insight. First, some CNV loci are commonly implicated in various autoimmune diseases, such as Fcgamma receptors in patients with systemic lupus erythemoatosus or idiopathic thrombocytopenic purpura and beta-defensin genes in patients with psoriasis or Crohn's disease. This means that when a CNV locus is associated with a particular autoimmune disease, we should examine its potential associations with other diseases. Second, interpopulation or interethnic differences in the effects of CNVs on phenotypes exist, including disease susceptibility, and evidence suggests that CNVs are important to understand susceptibility to and pathogenesis of autoimmune diseases. However, many findings need to be replicated in independent populations and different ethnic groups. The validity and reliability of detecting CNVs will improve quickly as genotyping technology advances, which will support the required replication.

Keyword

Autoimmunity; Genetic variation; Genomewide; Association; Copy number variation

MeSH Terms

Animals
Autoimmune Diseases/ethnology/*genetics/immunology
Autoimmunity/*genetics
*DNA Copy Number Variations
*Gene Dosage
Genetic Association Studies
Genetic Markers
Genetic Predisposition to Disease
Humans
Phenotype
Population Groups/genetics
Risk Factors
Genetic Markers
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