Functional and Practical Insights Into the Genetic Basis of Takayasu Arteritis

Takayasu arteritis (TAK) is a rare vasculitis characterized by inflammation of large arteries. Although the exact etiology of TAK remains unclear, a genetic predisposition to the disease has been established. Large‐scale genetic studies have significantly contributed to the identification of genetic...

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Main Authors: Desiré Casares‐Marfil, Amr H. Sawalha
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:ACR Open Rheumatology
Online Access:https://doi.org/10.1002/acr2.11766
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author Desiré Casares‐Marfil
Amr H. Sawalha
author_facet Desiré Casares‐Marfil
Amr H. Sawalha
author_sort Desiré Casares‐Marfil
collection DOAJ
description Takayasu arteritis (TAK) is a rare vasculitis characterized by inflammation of large arteries. Although the exact etiology of TAK remains unclear, a genetic predisposition to the disease has been established. Large‐scale genetic studies have significantly contributed to the identification of genetic variation associated with immune‐mediated diseases. To date, five genome‐wide association studies (GWAS) have been performed in TAK, identifying multiple genetic susceptibility loci across the genome. Here, we summarize the major findings from GWAS in TAK and provide an in silico functional evaluation of the associated loci (P < 5 × 10−8) and variants in high linkage disequilibrium with them (r2 > 0.8). By exploring gene expression and chromatin interaction data, we identified candidate causal genes in TAK, some of them with well‐known functional implications. The analysis of transcription factor motifs within TAK‐associated loci revealed enrichment of the STAT and RUNX families, both characterized by their role in immune functions and inflammatory responses. The enrichment in biological processes in susceptibility loci confirmed the involvement of specific immune‐related pathways in TAK. Further, we devised and calculated a cumulative genetic risk score for TAK and confirmed differences in genetic risk for the disease among ancestries. Finally, we provide a practical guide to communicate genetic information for TAK to patients and families.
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spelling doaj-art-4fdfd8d7590c4fb3ba00ab6740bc20ee2025-02-04T06:21:23ZengWileyACR Open Rheumatology2578-57452025-01-0171n/an/a10.1002/acr2.11766Functional and Practical Insights Into the Genetic Basis of Takayasu ArteritisDesiré Casares‐Marfil0Amr H. Sawalha1University of Pittsburgh School of Medicine Pittsburgh PennsylvaniaUniversity of Pittsburgh School of Medicine Pittsburgh PennsylvaniaTakayasu arteritis (TAK) is a rare vasculitis characterized by inflammation of large arteries. Although the exact etiology of TAK remains unclear, a genetic predisposition to the disease has been established. Large‐scale genetic studies have significantly contributed to the identification of genetic variation associated with immune‐mediated diseases. To date, five genome‐wide association studies (GWAS) have been performed in TAK, identifying multiple genetic susceptibility loci across the genome. Here, we summarize the major findings from GWAS in TAK and provide an in silico functional evaluation of the associated loci (P < 5 × 10−8) and variants in high linkage disequilibrium with them (r2 > 0.8). By exploring gene expression and chromatin interaction data, we identified candidate causal genes in TAK, some of them with well‐known functional implications. The analysis of transcription factor motifs within TAK‐associated loci revealed enrichment of the STAT and RUNX families, both characterized by their role in immune functions and inflammatory responses. The enrichment in biological processes in susceptibility loci confirmed the involvement of specific immune‐related pathways in TAK. Further, we devised and calculated a cumulative genetic risk score for TAK and confirmed differences in genetic risk for the disease among ancestries. Finally, we provide a practical guide to communicate genetic information for TAK to patients and families.https://doi.org/10.1002/acr2.11766
spellingShingle Desiré Casares‐Marfil
Amr H. Sawalha
Functional and Practical Insights Into the Genetic Basis of Takayasu Arteritis
ACR Open Rheumatology
title Functional and Practical Insights Into the Genetic Basis of Takayasu Arteritis
title_full Functional and Practical Insights Into the Genetic Basis of Takayasu Arteritis
title_fullStr Functional and Practical Insights Into the Genetic Basis of Takayasu Arteritis
title_full_unstemmed Functional and Practical Insights Into the Genetic Basis of Takayasu Arteritis
title_short Functional and Practical Insights Into the Genetic Basis of Takayasu Arteritis
title_sort functional and practical insights into the genetic basis of takayasu arteritis
url https://doi.org/10.1002/acr2.11766
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