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Erschienen in: Current Rheumatology Reports 10/2016

01.10.2016 | Spondyloarthritis (MA Khan, Section Editor)

Functional Genomics and Its Bench-to-Bedside Translation Pertaining to the Identified Susceptibility Alleles and Loci in Ankylosing Spondylitis

verfasst von: Tony J. Kenna, Aimee Hanson, Mary-Ellen Costello, Matthew A. Brown

Erschienen in: Current Rheumatology Reports | Ausgabe 10/2016

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Abstract

Ankylosing spondylitis (AS) is a highly heritable disease for which there is a great unmet need for improved therapies. Genetics research has identified several major pathways involved in the disease, from which treatments have either now entered clinical practice or are in development. In particular, therapies targeting the IL-23 pathway were repositioned for use in AS following the discovery of multiple genes in the pathway as determinants of AS risk. Discovery of the association of aminopeptidase genes with AS, and subsequently with psoriasis, inflammatory bowel disease and other conditions, has triggered research into therapies targeting this pathway. The AS-genetic associations point to involvement of gut mucosal immunity in driving disease, and metagenomic studies have provided strong support that AS is a disease driven by interaction between the gut microbiome and host immune system, providing a rationale for the exploration of gut-targeted therapies for the disease.
Literatur
2.••
Zurück zum Zitat Ellinghaus D, Jostins L, Spain SL, Cortes A, Bethune J, Han B, et al. Analysis of five chronic inflammatory diseases identifies 27 new associations and highlights disease-specific patterns at shared loci. Nat Genet. 2016;48(5):510–8. doi:10.1038/ng.3528. Identifies over 50 new loci associated with AS and documents the sharing of genetic architecture between AS and IBD and psoriasis in particular.CrossRefPubMedPubMedCentral Ellinghaus D, Jostins L, Spain SL, Cortes A, Bethune J, Han B, et al. Analysis of five chronic inflammatory diseases identifies 27 new associations and highlights disease-specific patterns at shared loci. Nat Genet. 2016;48(5):510–8. doi:10.​1038/​ng.​3528. Identifies over 50 new loci associated with AS and documents the sharing of genetic architecture between AS and IBD and psoriasis in particular.CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Evans DM, Spencer CC, Pointon JJ, Su Z, Harvey D, Kochan G, et al. Interaction between ERAP1 and HLA-B27 in ankylosing spondylitis implicates peptide handling in the mechanism for HLA-B27 in disease susceptibility. Nat Genet. 2011;43(8):761–7. doi:10.1038/ng.873.CrossRefPubMedPubMedCentral Evans DM, Spencer CC, Pointon JJ, Su Z, Harvey D, Kochan G, et al. Interaction between ERAP1 and HLA-B27 in ankylosing spondylitis implicates peptide handling in the mechanism for HLA-B27 in disease susceptibility. Nat Genet. 2011;43(8):761–7. doi:10.​1038/​ng.​873.CrossRefPubMedPubMedCentral
4.••
Zurück zum Zitat International Genetics of Ankylosing Spondylitis C, Cortes A, Hadler J, Pointon JP, Robinson PC, Karaderi T, et al. Identification of multiple risk variants for ankylosing spondylitis through high-density genotyping of immune-related loci. Nat Genet. 2013;45(7):730–8. doi:10.1038/ng.2667. More than doubled the total number of known AS loci and, amongst other things, confirmed associations of both ERAP2 and NPEPPS with AS, further strengthening evidence of the involvement of aminopeptidases and the disease.CrossRef International Genetics of Ankylosing Spondylitis C, Cortes A, Hadler J, Pointon JP, Robinson PC, Karaderi T, et al. Identification of multiple risk variants for ankylosing spondylitis through high-density genotyping of immune-related loci. Nat Genet. 2013;45(7):730–8. doi:10.​1038/​ng.​2667. More than doubled the total number of known AS loci and, amongst other things, confirmed associations of both ERAP2 and NPEPPS with AS, further strengthening evidence of the involvement of aminopeptidases and the disease.CrossRef
7.••
Zurück zum Zitat Cortes A, Pulit SL, Leo PJ, Pointon JJ, Robinson PC, Weisman MH, et al. Major histocompatibility complex associations of ankylosing spondylitis are complex and involve further epistasis with ERAP1. Nat Commun. 2015;6:7146. doi:10.1038/ncomms8146. Demonstrates association of multiple HLA alleles with AS, and epistasis between ERAP1 and HLA-B40 in AS, indicating that HLA-B40 and HLA-B27 probably act in similar ways to cause the condition.CrossRefPubMedPubMedCentral Cortes A, Pulit SL, Leo PJ, Pointon JJ, Robinson PC, Weisman MH, et al. Major histocompatibility complex associations of ankylosing spondylitis are complex and involve further epistasis with ERAP1. Nat Commun. 2015;6:7146. doi:10.​1038/​ncomms8146. Demonstrates association of multiple HLA alleles with AS, and epistasis between ERAP1 and HLA-B40 in AS, indicating that HLA-B40 and HLA-B27 probably act in similar ways to cause the condition.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Parkes M, Cortes A, van Heel DA, Brown MA. Genetic insights into common pathways and complex relationships among immune-mediated diseases. Nat Rev Genet. 2013;14(9):661–73. doi:10.1038/nrg3502.CrossRefPubMed Parkes M, Cortes A, van Heel DA, Brown MA. Genetic insights into common pathways and complex relationships among immune-mediated diseases. Nat Rev Genet. 2013;14(9):661–73. doi:10.​1038/​nrg3502.CrossRefPubMed
10.
Zurück zum Zitat Wellcome Trust Case Control C, Australo-Anglo-American Spondylitis C, Burton PR, Clayton DG, Cardon LR, Craddock N, et al. Association scan of 14,500 nonsynonymous SNPs in four diseases identifies autoimmunity variants. Nat Genet. 2007;39(11):1329–37. doi:10.1038/ng.2007.17.CrossRef Wellcome Trust Case Control C, Australo-Anglo-American Spondylitis C, Burton PR, Clayton DG, Cardon LR, Craddock N, et al. Association scan of 14,500 nonsynonymous SNPs in four diseases identifies autoimmunity variants. Nat Genet. 2007;39(11):1329–37. doi:10.​1038/​ng.​2007.​17.CrossRef
13.
15.
Zurück zum Zitat Haroon N, Tsui FW, Chiu B, Tsui HW, Inman RD. Serum cytokine receptors in ankylosing spondylitis: relationship to inflammatory markers and endoplasmic reticulum aminopeptidase polymorphisms. J Rheumatol. 2010;37(9):1907–10. doi:10.3899/jrheum.100019.CrossRefPubMed Haroon N, Tsui FW, Chiu B, Tsui HW, Inman RD. Serum cytokine receptors in ankylosing spondylitis: relationship to inflammatory markers and endoplasmic reticulum aminopeptidase polymorphisms. J Rheumatol. 2010;37(9):1907–10. doi:10.​3899/​jrheum.​100019.CrossRefPubMed
16.
Zurück zum Zitat Kochan G, Krojer T, Harvey D, Fischer R, Chen L, Vollmar M, et al. Crystal structures of the endoplasmic reticulum aminopeptidase-1 (ERAP1) reveal the molecular basis for N-terminal peptide trimming. Proc Natl Acad Sci U S A. 2011;108(19):7745–50. doi:10.1073/pnas.1101262108.CrossRefPubMedPubMedCentral Kochan G, Krojer T, Harvey D, Fischer R, Chen L, Vollmar M, et al. Crystal structures of the endoplasmic reticulum aminopeptidase-1 (ERAP1) reveal the molecular basis for N-terminal peptide trimming. Proc Natl Acad Sci U S A. 2011;108(19):7745–50. doi:10.​1073/​pnas.​1101262108.CrossRefPubMedPubMedCentral
18.•
Zurück zum Zitat Seregin SS, Rastall DP, Evnouchidou I, Aylsworth CF, Quiroga D, Kamal RP, et al. Endoplasmic reticulum aminopeptidase-1 alleles associated with increased risk of ankylosing spondylitis reduce HLA-B27 mediated presentation of multiple antigens. Autoimmunity. 2013;46(8):497–508. doi:10.3109/08916934.2013.819855. Evidence that ERAP1 variants influence HLA-B27 peptide presentation.CrossRefPubMedPubMedCentral Seregin SS, Rastall DP, Evnouchidou I, Aylsworth CF, Quiroga D, Kamal RP, et al. Endoplasmic reticulum aminopeptidase-1 alleles associated with increased risk of ankylosing spondylitis reduce HLA-B27 mediated presentation of multiple antigens. Autoimmunity. 2013;46(8):497–508. doi:10.​3109/​08916934.​2013.​819855. Evidence that ERAP1 variants influence HLA-B27 peptide presentation.CrossRefPubMedPubMedCentral
19.•
Zurück zum Zitat Sanz-Bravo A, Campos J, Mazariegos MS, Lopez de Castro JA. Dominant role of the ERAP1 polymorphism R528K in shaping the HLA-B27 peptidome through differential processing determined by multiple peptide residues. Arthritis Rheumatol. 2015;67(3):692–701. doi:10.1002/art.38980. Evidence that ERAP1 variants influence HLA-B27 peptide presentation.CrossRefPubMed Sanz-Bravo A, Campos J, Mazariegos MS, Lopez de Castro JA. Dominant role of the ERAP1 polymorphism R528K in shaping the HLA-B27 peptidome through differential processing determined by multiple peptide residues. Arthritis Rheumatol. 2015;67(3):692–701. doi:10.​1002/​art.​38980. Evidence that ERAP1 variants influence HLA-B27 peptide presentation.CrossRefPubMed
20.
Zurück zum Zitat Duchmann R, Lambert C, May E, Hohler T, Marker-Hermann E. CD4+ and CD8+ clonal T cell expansions indicate a role of antigens in ankylosing spondylitis; a study in HLA-B27+ monozygotic twins. Clin Exp Immunol. 2001;123:315–22.CrossRefPubMedPubMedCentral Duchmann R, Lambert C, May E, Hohler T, Marker-Hermann E. CD4+ and CD8+ clonal T cell expansions indicate a role of antigens in ankylosing spondylitis; a study in HLA-B27+ monozygotic twins. Clin Exp Immunol. 2001;123:315–22.CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Treviño MA, Teixeiro E, Bragado R. CD8+ T cells oligoclonally expanded in synovial fluid at onset of spondyloarthropathy selectively proliferate in response to self-antigens—characterization of cell specificities in nonclonal populations. J Rheumatol. 2004;31(10):1962–72.PubMed Treviño MA, Teixeiro E, Bragado R. CD8+ T cells oligoclonally expanded in synovial fluid at onset of spondyloarthropathy selectively proliferate in response to self-antigens—characterization of cell specificities in nonclonal populations. J Rheumatol. 2004;31(10):1962–72.PubMed
22.
Zurück zum Zitat Frauendorf E, von Goessel H, May E, Marker-Hermann E. HLA-B27-restricted T cells from patients with ankylosing spondylitis recognize peptides from B*2705 that are similar to bacteria-derived peptides. Clin Exp Immunol. 2003;134(2):351–9.CrossRefPubMedPubMedCentral Frauendorf E, von Goessel H, May E, Marker-Hermann E. HLA-B27-restricted T cells from patients with ankylosing spondylitis recognize peptides from B*2705 that are similar to bacteria-derived peptides. Clin Exp Immunol. 2003;134(2):351–9.CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Mamedov IZ, Britanova OV, Chkalina AV, Staroverov DB, Amosova AL, Mishin AS, et al. Individual characterization of stably expanded T cell clones in ankylosing spondylitis patients. Autoimmunity. 2009;42(6):525–36. doi:10.1080/08916930902960362.CrossRefPubMed Mamedov IZ, Britanova OV, Chkalina AV, Staroverov DB, Amosova AL, Mishin AS, et al. Individual characterization of stably expanded T cell clones in ankylosing spondylitis patients. Autoimmunity. 2009;42(6):525–36. doi:10.​1080/​0891693090296036​2.CrossRefPubMed
24.
Zurück zum Zitat Ruckert C, Fiorillo MT, Loll B, Moretti R, Biesiadka J, Saenger W, et al. Conformational dimorphism of self-peptides and molecular mimicry in a disease-associated HLA-B27 subtype. J Biol Chem. 2006;281(4):2306–16. doi:10.1074/jbc.M508528200.CrossRefPubMed Ruckert C, Fiorillo MT, Loll B, Moretti R, Biesiadka J, Saenger W, et al. Conformational dimorphism of self-peptides and molecular mimicry in a disease-associated HLA-B27 subtype. J Biol Chem. 2006;281(4):2306–16. doi:10.​1074/​jbc.​M508528200.CrossRefPubMed
25.
Zurück zum Zitat Kaarela K, Jantti JK, Kotaniemi KM. Similarity between chronic reactive arthritis and ankylosing spondylitis. A 32-35-year follow-up study. Clin Exp Rheumatol. 2009;27(2):325–8.PubMed Kaarela K, Jantti JK, Kotaniemi KM. Similarity between chronic reactive arthritis and ankylosing spondylitis. A 32-35-year follow-up study. Clin Exp Rheumatol. 2009;27(2):325–8.PubMed
26.
Zurück zum Zitat Virtala M, Kirveskari J, Granfors K. HLA-B27 modulates the survival of Salmonella enteritidis in transfected L cells, possibly by impaired nitric oxide production. Infect Immun. 1997;65(10):4236–42.PubMedPubMedCentral Virtala M, Kirveskari J, Granfors K. HLA-B27 modulates the survival of Salmonella enteritidis in transfected L cells, possibly by impaired nitric oxide production. Infect Immun. 1997;65(10):4236–42.PubMedPubMedCentral
27.••
Zurück zum Zitat Chen L, Ridley A, Hammitzsch A, Al-Mossawi MH, Bunting H, Georgiadis D, et al. Silencing or inhibition of endoplasmic reticulum aminopeptidase 1 (ERAP1) suppresses free heavy chain expression and Th17 responses in ankylosing spondylitis. Ann Rheum Dis. 2016;75(5):916–23. doi:10.1136/annrheumdis-2014-206996. Links ERAP1 and KIR3DL2 with HLA-B27 in AS pathogenesis.CrossRefPubMed Chen L, Ridley A, Hammitzsch A, Al-Mossawi MH, Bunting H, Georgiadis D, et al. Silencing or inhibition of endoplasmic reticulum aminopeptidase 1 (ERAP1) suppresses free heavy chain expression and Th17 responses in ankylosing spondylitis. Ann Rheum Dis. 2016;75(5):916–23. doi:10.​1136/​annrheumdis-2014-206996. Links ERAP1 and KIR3DL2 with HLA-B27 in AS pathogenesis.CrossRefPubMed
28.
Zurück zum Zitat Chan AT, Kollnberger SD, Wedderburn LR, Bowness P. Expansion and enhanced survival of natural killer cells expressing the killer immunoglobulin-like receptor KIR3DL2 in spondylarthritis. Arthritis Rheum. 2005;52(11):3586–95. doi:10.1002/art.21395.CrossRefPubMed Chan AT, Kollnberger SD, Wedderburn LR, Bowness P. Expansion and enhanced survival of natural killer cells expressing the killer immunoglobulin-like receptor KIR3DL2 in spondylarthritis. Arthritis Rheum. 2005;52(11):3586–95. doi:10.​1002/​art.​21395.CrossRefPubMed
29.
Zurück zum Zitat Wong-Baeza I, Ridley A, Shaw J, Hatano H, Rysnik O, McHugh K, et al. KIR3DL2 binds to HLA-B27 dimers and free H chains more strongly than other HLA class I and promotes the expansion of T cells in ankylosing spondylitis. J Immunol. 2013;190(7):3216–24. doi:10.4049/jimmunol.1202926.CrossRefPubMedPubMedCentral Wong-Baeza I, Ridley A, Shaw J, Hatano H, Rysnik O, McHugh K, et al. KIR3DL2 binds to HLA-B27 dimers and free H chains more strongly than other HLA class I and promotes the expansion of T cells in ankylosing spondylitis. J Immunol. 2013;190(7):3216–24. doi:10.​4049/​jimmunol.​1202926.CrossRefPubMedPubMedCentral
30.••
Zurück zum Zitat Ridley A, Hatano H, Wong-Baeza I, Shaw J, Matthews KK, Al-Mossawi H, et al. Activation-induced killer cell immunoglobulin-like receptor 3DL2 binding to HLA–B27 licenses pathogenic T cell differentiation in spondyloarthritis. Arthritis Rheumatol. 2016;68(4):901–14. doi:10.1002/art.39515/abstract. KIR3DL2 interaction with HLA-B27 linked to TH17 lymphocytes in AS.CrossRefPubMedPubMedCentral Ridley A, Hatano H, Wong-Baeza I, Shaw J, Matthews KK, Al-Mossawi H, et al. Activation-induced killer cell immunoglobulin-like receptor 3DL2 binding to HLA–B27 licenses pathogenic T cell differentiation in spondyloarthritis. Arthritis Rheumatol. 2016;68(4):901–14. doi:10.​1002/​art.​39515/​abstract. KIR3DL2 interaction with HLA-B27 linked to TH17 lymphocytes in AS.CrossRefPubMedPubMedCentral
33.••
Zurück zum Zitat Baeten D, Sieper J, Braun J, Baraliakos X, Dougados M, Emery P, et al. Secukinumab, an interleukin-17A inhibitor, in ankylosing spondylitis. N Engl J Med. 2015;373(26):2534–48. doi:10.1056/NEJMoa1505066. First anti-IL-17 biologic to show major activity in AS.CrossRefPubMed Baeten D, Sieper J, Braun J, Baraliakos X, Dougados M, Emery P, et al. Secukinumab, an interleukin-17A inhibitor, in ankylosing spondylitis. N Engl J Med. 2015;373(26):2534–48. doi:10.​1056/​NEJMoa1505066. First anti-IL-17 biologic to show major activity in AS.CrossRefPubMed
34.•
Zurück zum Zitat Poddubnyy D, Hermann KG, Callhoff J, Listing J, Sieper J. Ustekinumab for the treatment of patients with active ankylosing spondylitis: results of a 28-week, prospective, open-label, proof-of-concept study (TOPAS). Ann Rheum Dis. 2014;73(5):817–23. doi:10.1136/annrheumdis-2013-204248. Preliminary data showing anti-IL-12p40 effective in AS.CrossRefPubMed Poddubnyy D, Hermann KG, Callhoff J, Listing J, Sieper J. Ustekinumab for the treatment of patients with active ankylosing spondylitis: results of a 28-week, prospective, open-label, proof-of-concept study (TOPAS). Ann Rheum Dis. 2014;73(5):817–23. doi:10.​1136/​annrheumdis-2013-204248. Preliminary data showing anti-IL-12p40 effective in AS.CrossRefPubMed
35.
Zurück zum Zitat Ciccia F, Bombardieri M, Principato A, Giardina A, Tripodo C, Porcasi R, et al. Overexpression of interleukin-23, but not interleukin-17, as an immunologic signature of subclinical intestinal inflammation in ankylosing spondylitis. Arthritis Rheum. 2009;60(4):955–65. doi:10.1002/art.24389.CrossRefPubMed Ciccia F, Bombardieri M, Principato A, Giardina A, Tripodo C, Porcasi R, et al. Overexpression of interleukin-23, but not interleukin-17, as an immunologic signature of subclinical intestinal inflammation in ankylosing spondylitis. Arthritis Rheum. 2009;60(4):955–65. doi:10.​1002/​art.​24389.CrossRefPubMed
36.
Zurück zum Zitat Australo-Anglo-American Spondyloarthritis C, Reveille JD, Sims AM, Danoy P, Evans DM, Leo P, et al. Genome-wide association study of ankylosing spondylitis identifies non-MHC susceptibility loci. Nat Genet. 2010;42(2):123–7. doi:10.1038/ng.513.CrossRef Australo-Anglo-American Spondyloarthritis C, Reveille JD, Sims AM, Danoy P, Evans DM, Leo P, et al. Genome-wide association study of ankylosing spondylitis identifies non-MHC susceptibility loci. Nat Genet. 2010;42(2):123–7. doi:10.​1038/​ng.​513.CrossRef
39.••
Zurück zum Zitat Di Meglio P, Villanova F, Napolitano L, Tosi I, Terranova Barberio M, Mak RK, et al. The IL23R A/Gln381 allele promotes IL-23 unresponsiveness in human memory T-helper 17 cells and impairs Th17 responses in psoriasis patients. J Invest Dermatol. 2013;133(10):2381–9. doi:10.1038/jid.2013.170. Demonstrated that risk variants of IL23R increase IL-23 responsiveness.CrossRefPubMedPubMedCentral Di Meglio P, Villanova F, Napolitano L, Tosi I, Terranova Barberio M, Mak RK, et al. The IL23R A/Gln381 allele promotes IL-23 unresponsiveness in human memory T-helper 17 cells and impairs Th17 responses in psoriasis patients. J Invest Dermatol. 2013;133(10):2381–9. doi:10.​1038/​jid.​2013.​170. Demonstrated that risk variants of IL23R increase IL-23 responsiveness.CrossRefPubMedPubMedCentral
43.
Zurück zum Zitat Ciccia F, Accardo-Palumbo A, Alessandro R, Rizzo A, Principe S, Peralta S, et al. Interleukin-22 and interleukin-22-producing NKp44+ natural killer cells in subclinical gut inflammation in ankylosing spondylitis. Arthritis Rheum. 2012;64(6):1869–78. doi:10.1002/art.34355.CrossRefPubMed Ciccia F, Accardo-Palumbo A, Alessandro R, Rizzo A, Principe S, Peralta S, et al. Interleukin-22 and interleukin-22-producing NKp44+ natural killer cells in subclinical gut inflammation in ankylosing spondylitis. Arthritis Rheum. 2012;64(6):1869–78. doi:10.​1002/​art.​34355.CrossRefPubMed
44.
Zurück zum Zitat Sherlock JP, Joyce-Shaikh B, Turner SP, Chao CC, Sathe M, Grein J, et al. IL-23 induces spondyloarthropathy by acting on ROR-gammat + CD3 + CD4-CD8- entheseal resident T cells. Nat Med. 2012;18(7):1069–76. doi:10.1038/nm.2817.CrossRefPubMed Sherlock JP, Joyce-Shaikh B, Turner SP, Chao CC, Sathe M, Grein J, et al. IL-23 induces spondyloarthropathy by acting on ROR-gammat + CD3 + CD4-CD8- entheseal resident T cells. Nat Med. 2012;18(7):1069–76. doi:10.​1038/​nm.​2817.CrossRefPubMed
46.•
Zurück zum Zitat Benham H, Rehaume LM, Hasnain SZ, Velasco J, Baillet AC, Ruutu M, et al. Interleukin-23 mediates the intestinal response to microbial beta-1,3-glucan and the development of spondyloarthritis pathology in SKG mice. Arthritis Rheumatol. 2014;66(7):1755–67. doi:10.1002/art.38638. Demonstration of IL-23 dependence of mouse model of spondyloarthritis.CrossRefPubMed Benham H, Rehaume LM, Hasnain SZ, Velasco J, Baillet AC, Ruutu M, et al. Interleukin-23 mediates the intestinal response to microbial beta-1,3-glucan and the development of spondyloarthritis pathology in SKG mice. Arthritis Rheumatol. 2014;66(7):1755–67. doi:10.​1002/​art.​38638. Demonstration of IL-23 dependence of mouse model of spondyloarthritis.CrossRefPubMed
47.
Zurück zum Zitat Leonardi C, Matheson R, Zachariae C, Cameron G, Li L, Edson-Heredia E, et al. Anti-interleukin-17 monoclonal antibody ixekizumab in chronic plaque psoriasis. N Engl J Med. 2012;366(13):1190–9. doi:10.1056/NEJMoa1109997.CrossRefPubMed Leonardi C, Matheson R, Zachariae C, Cameron G, Li L, Edson-Heredia E, et al. Anti-interleukin-17 monoclonal antibody ixekizumab in chronic plaque psoriasis. N Engl J Med. 2012;366(13):1190–9. doi:10.​1056/​NEJMoa1109997.CrossRefPubMed
48.
Zurück zum Zitat Stebbings S, Munro K, Simon M, Tannock G, Highton J, Harmsen H, et al. Comparison of the faecal microflora of patients with ankylosing spondylitis and controls using molecular methods of analysis. Rheumatology. 2002;41:1395–401.CrossRefPubMed Stebbings S, Munro K, Simon M, Tannock G, Highton J, Harmsen H, et al. Comparison of the faecal microflora of patients with ankylosing spondylitis and controls using molecular methods of analysis. Rheumatology. 2002;41:1395–401.CrossRefPubMed
49.
Zurück zum Zitat Stone MA, Payne U, Schentag C, Rahman P, Pacheco-Tena C, Inman RD. Comparative immune responses to candidate arthritogenic bacteria do not confirm a dominant role for Klebsiella pneumonia in the pathogenesis of familial ankylosing spondylitis. Rheumatology. 2004;43(2):148–55. doi:10.1093/rheumatology/keg482.CrossRefPubMed Stone MA, Payne U, Schentag C, Rahman P, Pacheco-Tena C, Inman RD. Comparative immune responses to candidate arthritogenic bacteria do not confirm a dominant role for Klebsiella pneumonia in the pathogenesis of familial ankylosing spondylitis. Rheumatology. 2004;43(2):148–55. doi:10.​1093/​rheumatology/​keg482.CrossRefPubMed
53.
Zurück zum Zitat Mäki-ikola O, Nissilä M, Lehtinen K, Leirisalo-repo M, Toivanen P, Granfors K. Antibodies to Klebsiella pneumoniae, Eschericha coli and Proteus mirabilisin the sera of patients with axial and peripheral form of ankylosing spondylitis. Rheumatology. 1995;34(5):413–7. doi:10.1093/rheumatology/34.5.413.CrossRef Mäki-ikola O, Nissilä M, Lehtinen K, Leirisalo-repo M, Toivanen P, Granfors K. Antibodies to Klebsiella pneumoniae, Eschericha coli and Proteus mirabilisin the sera of patients with axial and peripheral form of ankylosing spondylitis. Rheumatology. 1995;34(5):413–7. doi:10.​1093/​rheumatology/​34.​5.​413.CrossRef
55.••
Zurück zum Zitat Costello M-E, Ciccia F, Willner D, Warrington N, Robinson PC, Gardiner B, et al. Brief report: intestinal dysbiosis in ankylosing spondylitis. Arthritis Rheumatol. 2015;67(3):686–91. doi:10.1002/art.38967. First demonstration that the gut microbiome of AS patients is distinct from healthy controls.CrossRef Costello M-E, Ciccia F, Willner D, Warrington N, Robinson PC, Gardiner B, et al. Brief report: intestinal dysbiosis in ankylosing spondylitis. Arthritis Rheumatol. 2015;67(3):686–91. doi:10.​1002/​art.​38967. First demonstration that the gut microbiome of AS patients is distinct from healthy controls.CrossRef
57.
Zurück zum Zitat van Nood E, Vrieze A, Nieuwdorp M, Fuentes S, Zoetendal EG, de Vos WM, et al. Duodenal infusion of donor feces for recurrent Clostridium difficile. N Engl J Med. 2013;368(5):407–15. doi:10.1056/NEJMoa1205037.CrossRefPubMed van Nood E, Vrieze A, Nieuwdorp M, Fuentes S, Zoetendal EG, de Vos WM, et al. Duodenal infusion of donor feces for recurrent Clostridium difficile. N Engl J Med. 2013;368(5):407–15. doi:10.​1056/​NEJMoa1205037.CrossRefPubMed
59.
Zurück zum Zitat Youngster I, Sauk J, Pindar C, Wilson RG, Kaplan JL, Smith MB, et al. Fecal microbiota transplant for relapsing Clostridium difficile infection using a frozen inoculum from unrelated donors: a randomized, open-label, controlled pilot study. Clin Infect Dis. 2014;58(11):1515–22. doi:10.1093/cid/ciu135.CrossRefPubMedPubMedCentral Youngster I, Sauk J, Pindar C, Wilson RG, Kaplan JL, Smith MB, et al. Fecal microbiota transplant for relapsing Clostridium difficile infection using a frozen inoculum from unrelated donors: a randomized, open-label, controlled pilot study. Clin Infect Dis. 2014;58(11):1515–22. doi:10.​1093/​cid/​ciu135.CrossRefPubMedPubMedCentral
61.
62.
Zurück zum Zitat Edelstein CA, Kassam Z, Daw J, Smith MB, Kelly CR. The regulation of fecal microbiota for transplantation: an international perspective for policy and public health. Clin Res Regul Aff. 2015;32(3):99–107. doi:10.3109/10601333.2015.1046602.CrossRef Edelstein CA, Kassam Z, Daw J, Smith MB, Kelly CR. The regulation of fecal microbiota for transplantation: an international perspective for policy and public health. Clin Res Regul Aff. 2015;32(3):99–107. doi:10.​3109/​10601333.​2015.​1046602.CrossRef
64.
65.
Zurück zum Zitat Petrof E, Gloor G, Vanner S, Weese S, Carter D, Daigneault M, et al. Stool substitute transplant therapy for the eradication of Clostridium difficile infection: ‘RePOOPulating’ the gut. Microbiome. 2013;1(1):1–12. doi:10.1186/2049-2618-1-3.CrossRef Petrof E, Gloor G, Vanner S, Weese S, Carter D, Daigneault M, et al. Stool substitute transplant therapy for the eradication of Clostridium difficile infection: ‘RePOOPulating’ the gut. Microbiome. 2013;1(1):1–12. doi:10.​1186/​2049-2618-1-3.CrossRef
66.
Zurück zum Zitat Sachs RE, Edelstein CA. Ensuring the safe and effective FDA regulation of fecal microbiota transplantation. J Law Biosciences. 2015. doi:10.1093/jlb/lsv032. Sachs RE, Edelstein CA. Ensuring the safe and effective FDA regulation of fecal microbiota transplantation. J Law Biosciences. 2015. doi:10.​1093/​jlb/​lsv032.
68.
Zurück zum Zitat Cui B, Li P, Xu L, Zhao Y, Wang H, Peng Z, et al. Step-up fecal microbiota transplantation strategy: a pilot study for steroid-dependent ulcerative colitis. J Transl Med. 2015;13(1):1–12. doi:10.1186/s12967-015-0646-2.CrossRef Cui B, Li P, Xu L, Zhao Y, Wang H, Peng Z, et al. Step-up fecal microbiota transplantation strategy: a pilot study for steroid-dependent ulcerative colitis. J Transl Med. 2015;13(1):1–12. doi:10.​1186/​s12967-015-0646-2.CrossRef
69.
Zurück zum Zitat Cui B, Feng Q, Wang H, Wang M, Peng Z, Li P et al. Fecal microbiota transplantation through mid-gut for refractory Crohn’s disease: safety, feasibility and efficacy trial results. J Gastroenterol Hepatol. 2014:n/a-n/a. doi:10.1111/jgh.12727. Cui B, Feng Q, Wang H, Wang M, Peng Z, Li P et al. Fecal microbiota transplantation through mid-gut for refractory Crohn’s disease: safety, feasibility and efficacy trial results. J Gastroenterol Hepatol. 2014:n/a-n/a. doi:10.​1111/​jgh.​12727.
71.••
Zurück zum Zitat Goodrich Julia K, Waters Jillian L, Poole Angela C, Sutter Jessica L, Koren O, Blekhman R, et al. Human genetics shape the gut microbiome. Cell. 2014;159(4):789–99. doi:10.1016/j.cell.2014.09.053 . Demonstration that the gut microbiome composition is influenced by the host genome. Goodrich Julia K, Waters Jillian L, Poole Angela C, Sutter Jessica L, Koren O, Blekhman R, et al. Human genetics shape the gut microbiome. Cell. 2014;159(4):789–99. doi:10.​1016/​j.​cell.​2014.​09.​053 . Demonstration that the gut microbiome composition is influenced by the host genome.
Metadaten
Titel
Functional Genomics and Its Bench-to-Bedside Translation Pertaining to the Identified Susceptibility Alleles and Loci in Ankylosing Spondylitis
verfasst von
Tony J. Kenna
Aimee Hanson
Mary-Ellen Costello
Matthew A. Brown
Publikationsdatum
01.10.2016
Verlag
Springer US
Erschienen in
Current Rheumatology Reports / Ausgabe 10/2016
Print ISSN: 1523-3774
Elektronische ISSN: 1534-6307
DOI
https://doi.org/10.1007/s11926-016-0612-x

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