<i>SERPINA1</i> and More? A Putative Genetic Contributor to Pulmonary Dysfunction in Alpha-1 Antitrypsin Deficiency

Alpha-1 antitrypsin deficiency (AATD) is a common inherited disorder associated with an increased risk of pulmonary disease. Its clinical presentation, including the nature and severity of organ involvement, is highly variable and unpredictable and is not as strongly linked to genotype and environme...

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Main Authors: Aleksandra Jezela-Stanek, Joanna Chorostowska-Wynimko
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/5/1708
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author Aleksandra Jezela-Stanek
Joanna Chorostowska-Wynimko
author_facet Aleksandra Jezela-Stanek
Joanna Chorostowska-Wynimko
author_sort Aleksandra Jezela-Stanek
collection DOAJ
description Alpha-1 antitrypsin deficiency (AATD) is a common inherited disorder associated with an increased risk of pulmonary disease. Its clinical presentation, including the nature and severity of organ involvement, is highly variable and unpredictable and is not as strongly linked to genotype and environmental exposure (e.g., smoking history) as might be expected. Significant differences were observed within matched populations of severe AATD patients regarding risk of complications, age at onset, and disease course, including the dynamics of lung function decline. Genetic factors are among the putative modifiers contributing to the clinical variability in AATD, yet their role remains elusive. Here, we review and summarise our current understanding of epigenetic and genetic modifiers of pulmonary dysfunction in subjects with AATD.
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spelling doaj.art-fed42492bda5406798185d3add11c7b22023-11-17T07:57:17ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01125170810.3390/jcm12051708<i>SERPINA1</i> and More? A Putative Genetic Contributor to Pulmonary Dysfunction in Alpha-1 Antitrypsin DeficiencyAleksandra Jezela-Stanek0Joanna Chorostowska-Wynimko1Department of Genetics and Clinical Immunology, National Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, PolandDepartment of Genetics and Clinical Immunology, National Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, PolandAlpha-1 antitrypsin deficiency (AATD) is a common inherited disorder associated with an increased risk of pulmonary disease. Its clinical presentation, including the nature and severity of organ involvement, is highly variable and unpredictable and is not as strongly linked to genotype and environmental exposure (e.g., smoking history) as might be expected. Significant differences were observed within matched populations of severe AATD patients regarding risk of complications, age at onset, and disease course, including the dynamics of lung function decline. Genetic factors are among the putative modifiers contributing to the clinical variability in AATD, yet their role remains elusive. Here, we review and summarise our current understanding of epigenetic and genetic modifiers of pulmonary dysfunction in subjects with AATD.https://www.mdpi.com/2077-0383/12/5/1708AATDmRNAmethylationSNPmicro-RNA<i>SERPINA1</i> gene
spellingShingle Aleksandra Jezela-Stanek
Joanna Chorostowska-Wynimko
<i>SERPINA1</i> and More? A Putative Genetic Contributor to Pulmonary Dysfunction in Alpha-1 Antitrypsin Deficiency
Journal of Clinical Medicine
AATD
mRNA
methylation
SNP
micro-RNA
<i>SERPINA1</i> gene
title <i>SERPINA1</i> and More? A Putative Genetic Contributor to Pulmonary Dysfunction in Alpha-1 Antitrypsin Deficiency
title_full <i>SERPINA1</i> and More? A Putative Genetic Contributor to Pulmonary Dysfunction in Alpha-1 Antitrypsin Deficiency
title_fullStr <i>SERPINA1</i> and More? A Putative Genetic Contributor to Pulmonary Dysfunction in Alpha-1 Antitrypsin Deficiency
title_full_unstemmed <i>SERPINA1</i> and More? A Putative Genetic Contributor to Pulmonary Dysfunction in Alpha-1 Antitrypsin Deficiency
title_short <i>SERPINA1</i> and More? A Putative Genetic Contributor to Pulmonary Dysfunction in Alpha-1 Antitrypsin Deficiency
title_sort i serpina1 i and more a putative genetic contributor to pulmonary dysfunction in alpha 1 antitrypsin deficiency
topic AATD
mRNA
methylation
SNP
micro-RNA
<i>SERPINA1</i> gene
url https://www.mdpi.com/2077-0383/12/5/1708
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