Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.

  • Presentation

Journal Watch 2024: Genetics, Genomics, Basic Science Update

Description

The Journal Watch 2024 presentation focuses on recent breakthroughs in genetics, genomics, and gene therapy. The speaker highlights key findings regarding genetic susceptibility in autoimmune diseases, particularly the role of a long non-coding RNA called XIST, which seems to explain the higher prevalence of these conditions in women. Research indicates that the presence of two X chromosomes in women, along with XIST expression, plays a significant role in their autoimmune profiles. Furthermore, the presentation delves into genome-wide association studies (GWAS), showcasing recent discoveries related to hidradenitis suppurativa and neurofibromatosis type 1, emphasizing the importance of genetic modifiers in disease expression. The advancements in gene therapy are particularly noteworthy, including a successful adeno-associated virus approach for delivering collagen to skin affected by recessive dystrophic epidermolysis bullosa, demonstrating significant healing results in treated wounds. This therapy has recently received FDA approval, marking a significant step forward for dermatological conditions. Additionally, the presentation touches on CAR T-cell therapy, highlighting innovative strategies derived from oncology that may enhance its effectiveness in autoimmune diseases. Overall, the talk summarizes the exciting developments in genetic understanding and therapeutic interventions in dermatology, indicating a promising future for patient treatment options.

View more

Conclusions

  • Women are disproportionately affected by autoimmune diseases, which may be connected to the presence of the Xist RNA that inactivates one of the X chromosomes in females.
  • The introduction of Xist in male mice can induce autoimmune disease characteristics similar to those found in females, indicating its potential role in autoimmunity.
  • Recent genetic studies have identified significant variants near the SOX9 and KLF5 genes that may increase the risk of hidradenitis suppurativa.
  • A genetic association with plexiform neurofibromas has been identified near the GAS1 gene in patients with neurofibromatosis type 1, highlighting the importance of genetic modifiers.
  • Successful gene therapies are emerging for conditions like recessive dystrophic epidermolysis bullosa by directly introducing corrective genes into skin cells.
  • Cell-based therapies using corrected autologous keratinocytes have shown promise in achieving significant wound healing in patients with dystrophic epidermolysis bullosa.
  • Enhancing CAR T cell therapies by utilizing naturally occurring mutations that improve the persistence and efficacy of T cells demonstrates a novel approach to cancer treatment.
  • Dou DR, et al. Xist ribonucleoproteins promote female sex-biased autoimmunity. Cell. 2024 Feb 1;187(3):733-749.e16.
  • Invernizzi P, et al. (2009). PMID: 19682858.
  • Sun Q, Broadaway KA, Edmiston SN, et al. Genetic variants associated with SOX9 and KLF5 genes were associated with hidradenitis suppurativa. JAMA Dermatol. Published online July 26, 2023. doi:10.1001/jamadermatol.2023.2217.
  • Pacot L, et al. Br J Dermatol. 2024 Jan 23;190(2):226-243.
  • Gurevich I et al. In vivo topical gene therapy for recessive dystrophic epidermolysis bullosa: a phase 1 and 2 trial. Nat Med. 2022 Apr;28(4):780-788.
  • Guide SV, et al. N Engl J Med. 2022 Dec 15;387(24):2211-2219.
  • Samulski JR, Muzyczka N. Annu Rev Virol. 2014;1(1):427-551. doi:10.1146/annurev-virology-031413-085355.
  • Garcia J, et al. Nature. 2024 Feb;626(7999):626-634.