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肾脏病与透析肾移植杂志 ›› 2026, Vol. 35 ›› Issue (5): 452-457.DOI: 10.3969/j.issn.1006-298X.2026.05.011

• 医学继续教育 • 上一篇    下一篇

系统性红斑狼疮中非编码变异的情境依赖性调控机制

  

  • 出版日期:2026-10-27 发布日期:2026-10-27

Context-dependent regulatory mechanisms of non-coding variants in systemic lupus erythematosus

  • Online:2026-10-27 Published:2026-10-27

摘要:

系统性红斑狼疮(systemic lupus erythematosus,SLE)是一种复杂的自身免疫性疾病,其遗传易感性与非编码变异密切相关。然而,此类变异的功能效应具有显著的情境依赖性,即同一变异的调控作用可随细胞类型、免疫细胞的静息或激活状态以及个体的疾病状态而变化,部分效应甚至仅在特定炎症刺激或疾病活动状态下才得显现。本文系统综述SLE非编码变异情境依赖性调控机制的研究进展,重点讨论其细胞类型依赖性、免疫与疾病状态依赖性及主要研究策略,旨在深化对SLE临床异质性遗传基础的认识,并为疾病风险预测、患者分层及靶向治疗提供理论参考。

关键词: 系统性红斑狼疮,非编码变异,情境依赖性,细胞类型依赖性,免疫与疾病状态依赖性,表达数量性状位点

Abstract:

Systemic lupus erythematosus (SLE) is a complex autoimmune disease whose genetic susceptibility is closely associated with non-coding variants. However, the functional effects of these variants are highly context-dependent, whereby the same variant may exert different effects across cell types, between the resting and activated states of immune cells, and under different disease conditions. Some regulatory effects may become evident only in response to specific inflammatory stimuli or during active disease. This review systematically summarizes recent advances in the context-dependent regulation of non-coding variants in SLE. Particular emphasis is placed on cell type dependence, immune and disease state dependence, as well as the major strategies used to investigate these context-dependent effects. By integrating current evidence, this review aims to advance our understanding of the genetic basis of clinical heterogeneity in SLE and to provide a theoretical framework for disease risk prediction, patient stratification, and targeted therapy.

Key words:

systemic lupus erythematosus, non-coding variants, context-dependent regulation, cell type dependence, immune and disease state dependence, expression quantitative trait locus

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