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原发性免疫缺陷病易发生自身免疫病和炎症表现 被引量:5
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作者 Alain Fischer Johan Provot +4 位作者 Jean-Philippe Jais alexandre alcais Nizar Mahlaoui 彭琳一(翻译) 张奉春(审校) 《中华临床免疫和变态反应杂志》 2018年第2期230-235,共6页
研究背景原发性免疫缺陷病(PIDDs)是一种显著增加感染易感性的遗传性疾病。PIDDs可以导致肿瘤、免疫性疾病,包括过敏、自身免疫、炎症。目的研究PIDDs患者自身免疫病和炎症表现的发生率。方法回顾性筛查了2183例在CEREDIH (法国国家PID... 研究背景原发性免疫缺陷病(PIDDs)是一种显著增加感染易感性的遗传性疾病。PIDDs可以导致肿瘤、免疫性疾病,包括过敏、自身免疫、炎症。目的研究PIDDs患者自身免疫病和炎症表现的发生率。方法回顾性筛查了2183例在CEREDIH (法国国家PID注册研究)注册登记的PIDDs患者自身免疫性疾病和炎症的表现。结果 26. 2%的患者并发了一种或多种自身免疫和炎症性表现,整个生存期均有发病的风险,其中免疫相关血细胞减少症的风险比一般人群高120倍以上,儿童炎症性肠病的风险高80倍以上,其他自身免疫表现的风险增高约10倍。值得注意的是,所有类型的PIDDs均与并发自身免疫病和炎症相关,其中T细胞相关PIDDs和普通变异型免疫缺陷病的风险最高。并发自身免疫性疾病是预后不良因素。结论我们的结果为前瞻性评估PIDDs并发自身免疫病和炎症表现奠定了基础,以期准确地评估这些风险和描述医疗干预可能的疗效。 展开更多
关键词 原发性免疫缺陷病 自身免疫病/自身免疫性疾病 炎症
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Implicit Hypotheses Are Hidden Power Droppers in Family-Based Association Studies of Secondary Outcomes
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作者 Jean Gaschignard Quentin BVincent +2 位作者 Jean-Philippe Jais Aurelie Cobat alexandre alcais 《Open Journal of Statistics》 2015年第1期35-45,共11页
Family-based tests of association between a genetic marker and a disease constitute a common design to dissect the genetic architecture of complex traits. The FBAT software is one of the most popular tools to perform ... Family-based tests of association between a genetic marker and a disease constitute a common design to dissect the genetic architecture of complex traits. The FBAT software is one of the most popular tools to perform such studies. However, researchers are also often interested in the genetic contribution to a more specific manifestation of the phenotype (e.g. severe vs. non-severe form) known as a secondary outcome. Here, what we demonstrate is the limited power of the classical formulation of the FBAT statistic to detect the effect of genetic variants that influence a secondary outcome, in particular when these variants also impact on the onset of the disease, the primary outcome. We prove that this loss of power is driven by an implicit hypothesis, and we propose a derivation of the original FBAT statistic, free from this implicit hypothesis. Finally, we demonstrate analytically that our new statistic is robust and more powerful than FBAT for the detection of association between a genetic variant and a secondary outcome. 展开更多
关键词 Family-Based Association Test FBAT Genetic Association Studies Null Hypothesis Secondary Outcome Homogeneity Test
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