PMID- 36902496 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230313 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 12 IP - 5 DP - 2023 Feb 21 TI - SERPINA1 and More? A Putative Genetic Contributor to Pulmonary Dysfunction in Alpha-1 Antitrypsin Deficiency. LID - 10.3390/jcm12051708 [doi] LID - 1708 AB - Alpha-1 antitrypsin deficiency (AATD) is a common inherited disorder associated with an increased risk of pulmonary disease. Its clinical presentation, including the nature and severity of organ involvement, is highly variable and unpredictable and is not as strongly linked to genotype and environmental exposure (e.g., smoking history) as might be expected. Significant differences were observed within matched populations of severe AATD patients regarding risk of complications, age at onset, and disease course, including the dynamics of lung function decline. Genetic factors are among the putative modifiers contributing to the clinical variability in AATD, yet their role remains elusive. Here, we review and summarise our current understanding of epigenetic and genetic modifiers of pulmonary dysfunction in subjects with AATD. FAU - Jezela-Stanek, Aleksandra AU - Jezela-Stanek A AUID- ORCID: 0000-0001-9814-0324 AD - Department of Genetics and Clinical Immunology, National Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland. FAU - Chorostowska-Wynimko, Joanna AU - Chorostowska-Wynimko J AUID- ORCID: 0000-0003-1743-2961 AD - Department of Genetics and Clinical Immunology, National Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland. LA - eng GR - 2018/29/B/NZ5/02346/Polish National Science Centre/ PT - Journal Article PT - Review DEP - 20230221 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC10003154 OTO - NOTNLM OT - AATD OT - SERPINA1 gene OT - SNP OT - mRNA OT - methylation OT - micro-RNA COIS- The authors declare no conflict of interest. EDAT- 2023/03/12 06:00 MHDA- 2023/03/12 06:01 PMCR- 2023/02/21 CRDT- 2023/03/11 01:20 PHST- 2023/01/23 00:00 [received] PHST- 2023/02/13 00:00 [revised] PHST- 2023/02/14 00:00 [accepted] PHST- 2023/03/11 01:20 [entrez] PHST- 2023/03/12 06:00 [pubmed] PHST- 2023/03/12 06:01 [medline] PHST- 2023/02/21 00:00 [pmc-release] AID - jcm12051708 [pii] AID - jcm-12-01708 [pii] AID - 10.3390/jcm12051708 [doi] PST - epublish SO - J Clin Med. 2023 Feb 21;12(5):1708. doi: 10.3390/jcm12051708.