Advances in genetics toward identifying pathogenic cell states of rheumatoid arthritis.

Immunol Rev
Authors
Abstract

Rheumatoid arthritis (RA) risk has a large genetic component (~60%) that is still not fully understood. This has hampered the design of effective treatments that could promise lifelong remission. RA is a polygenic disease with 106 known genome-wide significant associated loci and thousands of small effect causal variants. Our current understanding of RA risk has suggested cell-type-specific contexts for causal variants, implicating CD4 + effector memory T cells, as well as monocytes, B cells and stromal fibroblasts. While these cellular states and categories are still mechanistically broad, future studies may identify causal cell subpopulations. These efforts are propelled by advances in single cell profiling. Identification of causal cell subpopulations may accelerate therapeutic intervention to achieve lifelong remission.

Year of Publication
2020
Journal
Immunol Rev
Volume
294
Issue
1
Pages
188-204
Date Published
2020 03
ISSN
1600-065X
DOI
10.1111/imr.12827
PubMed ID
31782165
PubMed Central ID
PMC7047592
Links
Grant list
U19AI111224 / National Institute of Allergy and Infectious Diseases / International
UH2AR067677 / AR / NIAMS NIH HHS / United States
T32 HG002295 / HG / NHGRI NIH HHS / United States
R01 AR063759 / AR / NIAMS NIH HHS / United States
1R01AR063759 / AR / NIAMS NIH HHS / United States
U01 HG009379 / HG / NHGRI NIH HHS / United States
UH2 AR067677 / AR / NIAMS NIH HHS / United States