PMID- 9709918 OWN - NLM STAT- MEDLINE DCOM- 19981029 LR - 20071115 IS - 1050-7256 (Print) IS - 1050-7256 (Linking) VI - 8 IP - 7 DP - 1998 Jul TI - What is the evidence of genetic factors in the etiology of Graves' disease? A brief review. PG - 627-34 AB - Graves' disease (GD) is generally thought of as a multifactorial disorder in which genetic susceptibility interacts with environmental and endogenous factors to cause disease. The importance of genetic factors is suggested by the clustering of GD within families and by a higher concordance rate for disease in monozygotic than in dizygotic twins. This has, however, recently been shown to be less pronounced than previously thought. During the last decade much effort has been put into characterization of the genetic background of GD. Until recently, most studies have examined associations between GD and the human leukocyte antigen (HLA) region, but recent advances in molecular techniques have opened the way for whole genome screening. A number of HLA and non-HLA candidate genes have been proposed, but despite several large investigations within multiplex families no major susceptibility genes have been identified. This brief review discusses relevant articles published from 1940 through 1997 regarding the influence of genetic factors in the etiology of GD. Ongoing studies focus on whole genome screening in multiplex families as well as population-based twin studies. However, the possibility of GD being a heterogeneous disease without a single well-defined genotype and phenotype should be left open. FAU - Brix, T H AU - Brix TH AD - Department of Endocrinology M, Odense University Hospital, Odense C, Denmark. FAU - Kyvik, K O AU - Kyvik KO FAU - Hegedus, L AU - Hegedus L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Thyroid JT - Thyroid : official journal of the American Thyroid Association JID - 9104317 RN - 0 (Genetic Markers) RN - 0 (HLA Antigens) SB - IM MH - Genetic Markers MH - *Genetic Predisposition to Disease MH - Graves Disease/*genetics MH - HLA Antigens/genetics MH - Humans MH - Twin Studies as Topic RF - 86 EDAT- 1998/08/26 00:00 MHDA- 1998/08/26 00:01 CRDT- 1998/08/26 00:00 PHST- 1998/08/26 00:00 [pubmed] PHST- 1998/08/26 00:01 [medline] PHST- 1998/08/26 00:00 [entrez] AID - 10.1089/thy.1998.8.627 [doi] PST - ppublish SO - Thyroid. 1998 Jul;8(7):627-34. doi: 10.1089/thy.1998.8.627.