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Acne vulgaris
(acne) is a common inflammatory disorder of the cutaneous pilo-sebaceous unit. Here we perform a genome-wide association analysis in the United Kingdom, comparing severe cases of acne (
n
=1,893) with controls (
n
=5,132). In a second stage, we genotype putative-associated loci in a further 2,063 acne cases and 1,970 controls. We identify three genome-wide significant associations: 11q13.1 (rs478304,
P
combined
=3.23 × 10
−11
, odds ratio (OR)=1.20), 5q11.2 (rs38055,
P
combined
=4.58 × 10
−9
, OR=1.17) and 1q41 (rs1159268,
P
combined
=4.08 × 10
−8
, OR=1.17). All three loci contain genes linked to the TGFβ cell signalling pathway, namely
OVOL1
,
FST
and
TGFB2
. Transcripts of
OVOL1
and
TFGB2
have decreased expression in affected compared with normal skin. Collectively, these data support a key role for dysregulation of TGFβ-mediated signalling in susceptibility to acne.
Acne vulgaris
is a common, inflammatory skin disorder. Here the authors carry out a genome-wide association study and identify three genetic variants that associate with an increased risk of developing acne, which together suggest a mechanistic role for the TGFβ cell signalling pathway in acne development and progression.