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Review
. 2023 Jan 31;20(3):329-345.
doi: 10.7150/ijms.80358. eCollection 2023.

Genomic Fingerprint Associated with Familial Idiopathic Pulmonary Fibrosis: A Review

Affiliations
Review

Genomic Fingerprint Associated with Familial Idiopathic Pulmonary Fibrosis: A Review

Dongyan Ding et al. Int J Med Sci. .

Abstract

Idiopathic pulmonary fibrosis (IPF) is a severe interstitial lung disease; although the recent introduction of two anti-fibrosis drugs, pirfenidone and Nidanib, have resulted in a significant reduction in lung function decline, IPF is still not curable. Approximately 2-20% of patients with IPF have a family history of the disease, which is considered the strongest risk factor for idiopathic interstitial pneumonia. However, the genetic predispositions of familial IPF (f-IPF), a particular type of IPF, remain largely unknown. Genetics affect the susceptibility and progression of f-IPF. Genomic markers are increasingly being recognized for their contribution to disease prognosis and drug therapy outcomes. Existing data suggest that genomics may help identify individuals at risk for f-IPF, accurately classify patients, elucidate key pathways involved in disease pathogenesis, and ultimately develop more effective targeted therapies. Since several genetic variants associated with the disease have been found in f-IPF, this review systematically summarizes the latest progress in the gene spectrum of the f-IPF population and the underlying mechanisms of f-IPF. The genetic susceptibility variation related to the disease phenotype is also illustrated. This review aims to improve the understanding of the IPF pathogenesis and facilitate his early detection.

Keywords: Familial idiopathic pulmonary fibrosis; Mucin 5B; Sporadic idiopathic pulmonary fibrosis; Surfactant-related gene.; Telomerase-associated gene.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interest exists.

Figures

Fig 1
Fig 1
Role of short telomeres in PF.
Fig 2
Fig 2
Eight telomerase and telomere maintenance genes are mutated in f-IPF. The mutated components are shown in color.
Fig 3
Fig 3
Possible influencing factors of MUC5B expression and its role in airways.
Fig 4
Fig 4
Core mechanisms and candidate molecular biomarkers of idiopathic pulmonary fibrosis.

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