PMID- 33841406 OWN - NLM STAT- MEDLINE DCOM- 20210914 LR - 20210914 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 12 DP - 2021 TI - Antineutrophil Cytoplasmic Antibody-Associated Vasculitis Update: Genetic Pathogenesis. PG - 624848 LID - 10.3389/fimmu.2021.624848 [doi] LID - 624848 AB - Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is characterized by the inflammation of small and medium vessels and presence of proteinase 3-ANCA or myeloperoxidase-ANCA in the circulation. AAV comprises three clinical subtypes: granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic GPA (EGPA). Although the pathogenesis of AAV is still unclear, genetic and environmental factors and the immune system are thought to be involved. Genetic factors have been confirmed to play an important role in AAV. Genome-wide association studies have identified numerous genetic variants in MHC and non-MHC regions associated with AAV. The strongest evidence of MHC association in AAV is human leukocyte antigen (HLA)-DP. A significant association between AAV and genetic variations in non-MHC regions, such as CTLA-4, FCGR2A, PTPN22, SERPINA1, and TLR9 has also been found. Moreover, different clinical subtypes of AAV have distinct genetic backgrounds. GPA is associated with HLA-DP1, MPA with HLA-DQ, and EGPA with HLA-DRB4. These findings could help elucidate the etiology of AAV and develop new biomarkers for diagnosis and targeted therapy. Herein, we briefly summarize the updates on the genetic pathogenesis and biomarkers of AAV. CI - Copyright (c) 2021 Li, Huang, Cai, Yuan and Sheng. FAU - Li, Weiran AU - Li W AD - Institute of Dermatology and Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. FAU - Huang, He AU - Huang H AD - Institute of Dermatology and Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. FAU - Cai, Minglong AU - Cai M AD - Institute of Dermatology and Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. FAU - Yuan, Tao AU - Yuan T AD - Institute of Dermatology and Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. FAU - Sheng, Yujun AU - Sheng Y AD - Institute of Dermatology and Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, China. AD - Key Laboratory of Dermatology, Anhui Medical University, Ministry of Education, Hefei, China. LA - eng PT - Journal Article PT - Review DEP - 20210326 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) RN - 0 (Biomarkers) SB - IM MH - Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/diagnosis/*genetics/immunology MH - Antibodies, Antineutrophil Cytoplasmic/*blood MH - Biomarkers/blood MH - Genetic Predisposition to Disease MH - *Genetic Variation MH - Genome-Wide Association Study MH - Humans MH - Phenotype MH - Risk Assessment MH - Risk Factors PMC - PMC8032971 OTO - NOTNLM OT - antineutrophil cytoplasmic antibody OT - genetic OT - genome-wide association studies OT - variation OT - vasculitis COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/04/13 06:00 MHDA- 2021/09/15 06:00 PMCR- 2021/01/01 CRDT- 2021/04/12 06:17 PHST- 2020/11/01 00:00 [received] PHST- 2021/03/11 00:00 [accepted] PHST- 2021/04/12 06:17 [entrez] PHST- 2021/04/13 06:00 [pubmed] PHST- 2021/09/15 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2021.624848 [doi] PST - epublish SO - Front Immunol. 2021 Mar 26;12:624848. doi: 10.3389/fimmu.2021.624848. eCollection 2021.