The origin of Behçet's disease geoepidemiology: possible role of a dual microbial-driven genetic selection.

Abstract:

:It is recognised that the genetic profiles that give rise to chronic inflammatory diseases, under the influence of environmental agents, might have been implicated in the host defence mechanism against lethal infections in the past. Behçet's disease (BD) is an immune-mediated inflammatory disease, expressed as vasculitis, triggered by environmental factors in genetically susceptible individuals. We carried out a review of published data to draw up an evolutionary adaptation model, as Author's perspective, for genetic susceptibility factors and inflammatory immune response involved in BD pathogenesis. Two lethal infectious agents, Plasmodium Falciparum and Yersinia Pestis, are proposed as the putative driving forces that favoured the fixing of the major genetic susceptibility factors to BD, thus determining its geoepidemiology. Further studies are needed to confirm the validity of this evolutionary model which includes and integrates the key insights of previous hypotheses.

journal_name

Clin Exp Rheumatol

authors

Piga M,Mathieu A

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

S123-9

issue

4 Suppl 84

eissn

0392-856X

issn

1593-098X

pii

7244

journal_volume

32

pub_type

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