Mechanisms of disease: Environmental factors in the pathogenesis of rheumatic disease

Gourley, M; Miller, FW

HERO ID

632470

Reference Type

Journal Article

Subtype

Review

Year

2007

Language

English

PMID

17334340

HERO ID 632470
Material Type Review
In Press No
Year 2007
Title Mechanisms of disease: Environmental factors in the pathogenesis of rheumatic disease
Authors Gourley, M; Miller, FW
Journal Nature Clinical Practice Rheumatology
Volume 3
Issue 3
Page Numbers 172-180
Abstract Most rheumatic diseases are complex disorders for which pathogenetic mechanisms are poorly understood. Nonetheless, increasing evidence suggests that many of these illnesses result from one or more specific environmental exposures in genetically susceptible individuals. Although much progress has been made over the past few decades in advancing our knowledge of the genetics of rheumatic diseases, few studies have assessed environmental features and understanding of which exposures are important in pathogenesis remains limited. In this article, we review the difficulties inherent in deciphering the interacting environmental and genetic risk factors for rheumatic diseases, the current state of knowledge of infectious and noninfectious risk factors, possible mechanisms by which environmental exposures might induce pathologic processes and future directions. The advances in technologies and statistical approaches, development of collaborating consortia and focused resources that have resulted in the explosion of genetic information must now be applied to environmental studies so we can eventually interrupt pathogenesis before the onset of disease and transform the practice of medicine from curative to pre-emptive paradigms.
Doi 10.1038/ncprheum0435
Pmid 17334340
Wosid WOS:000244581900013
Is Certified Translation No
Dupe Override No
Comments Scopus URL: https://www.scopus.com/inward/record.uri?eid=2-s2.0-33947260259&doi=10.1038%2fncprheum0435&partnerID=40&md5=dca8facaa6b6427554fa29e343d930ce
Is Public Yes
Language Text English
Keyword environment; exposures; occupation; rheumatic disease; risk factors
Is Qa No