Exome sequencing and pathogenicity-network analysis of five French families implicate mTOR signalling and autophagy in familial sarcoidosis

A Calender, CX Lim, T Weichhart… - European …, 2019 - Eur Respiratory Soc
A Calender, CX Lim, T Weichhart, A Buisson, V Besnard, PA Rollat-Farnier, C Bardel, P Roy…
European Respiratory Journal, 2019Eur Respiratory Soc
Sarcoidosis is a complex disease characterised by the presence of epithelioid non-
caseating granulomatous inflammation affecting multiple organs and whose aetiology has
been related to microbial, environmental and genetic factors [1, 2]. However, no single
antigenic trigger has been identified, although associations with Propionibacterium acnes
and mycobacteria pathogen-associated molecular pattern, deposition of serum amyloid A,
and exposure to inorganic particles and insecticides have been suggested [3–5] …
Sarcoidosis is a complex disease characterised by the presence of epithelioid non-caseating granulomatous inflammation affecting multiple organs and whose aetiology has been related to microbial, environmental and genetic factors [1, 2]. However, no single antigenic trigger has been identified, although associations with Propionibacterium acnes and mycobacteria pathogen-associated molecular pattern, deposition of serum amyloid A, and exposure to inorganic particles and insecticides have been suggested [3–5]. Occurrence of familial cases suggests that genetic variation contributes to disease pathogenesis with a heritability of about 39% [6]. Despite intensive genome-wide association studies, no single nucleotide polymorphism is, as yet, able to explain the “missing heritability” in the disease, especially for non-resolving, non-Löfgren syndrome sarcoidosis [5–7].
European Respiratory Society