SERPINA1, serpin family A member 1, 5265

N. diseases: 482; N. variants: 61
Source: ALL
Disease Score gda Association Type Type Original DB Sentence supporting the association PMID PMID Year
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 GeneticVariation disease BEFREE 19 Whites heterozygote for five non-S/Z coding variants associated with lower α1-antitrypsin had greater CT-based emphysema compared to those without rare variants. 31661293 2020
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 AlteredExpression disease BEFREE The recommended standard dose (SD; 60 mg/kg/wk) elevates AAT trough serum levels to around 50% of normal; however, outside of slowing emphysema progression, its effects in other clinical outcomes have not been rigorously proven.<b>Objectives:</b> To evaluate the biological effects of normalizing AAT trough levels with double-dose (DD) therapy (120 mg/kg/wk) in subjects with AATD already receiving SD therapy.<b>Methods:</b> Clinically stable subjects were evaluated after 4 weeks of SD therapy, followed by 4 weeks of DD therapy, and 4 weeks after return to SD therapy. 30965011 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE Six and twelve weeks of anti-AAT oligonucleotide therapy induced emphysema that was worse in female than male mice: mean linear intercept 73.4 versus 62.5 μm (<i>P</i> = 0.000003). 31017014 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 GeneticVariation disease BEFREE Alpha-1-antitrypsin (A1AT) deficiency is a hereditary condition caused by mutations in the SERPINA1 gene and associated with lung emphysema and liver disease. 31583408 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE The agreement with D<sub>LCO</sub>%pred was explored in a data set of 180 patients with emphysema who participated in a trial of alpha-1-antitrypsin augmentation treatment (RAPID). 30819163 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE <b>Rationale:</b> The association between non-tuberculous mycobacterial lung disease and alpha-1-antitrypsin (AAT) deficiency is likely due, in part, to underlying emphysema or bronchiectasis. 31293581 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE Alpha 1-antitrypsin (A1AT) deficiency is related to lung and liver diseases, including pulmonary emphysema and liver cirrhosis in humans. 31251477 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE Alpha-1-antitrypsin (AAT) deficiency is a hereditary disorder that predisposes to emphysema. 30510411 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 GeneticVariation disease BEFREE In human α1-antitrypsin deficiency, homozygous carriers of the Z (E324K) mutation in the gene SERPINA1 have insufficient circulating α1-antitrypsin and are predisposed to emphysema. 31091192 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 GeneticVariation disease BEFREE We hypothesized that patients with radiographic emphysema on computed tomography (CT) scan of the chest would represent an enriched population of patients with a higher prevalence of alpha-1 antitrypsin (AAT) carrier or heterozygous state. 30956923 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE Given that alpha-1 antitrypsin deficiency is associated with accelerated emphysema progression, these findings underscore the importance of early detection of alpha-1 antitrypsin deficiency and reinforce guidelines that endorse alpha-1 antitrypsin deficiency testing in all adults with fixed air-flow obstruction and first-degree relatives of individuals with severe deficiency of alpha-1 antitrypsin. 30914495 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 GeneticVariation disease BEFREE We aimed to identify the genetic ecause of early-onset emphysema in a five-generation French-Canadian family free of A1AT deficiency. 31000475 2019
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE Alpha-1-Antitrypsin (AAT) deficiency (AATD) is a hereditary disorder that manifests primarily as pulmonary emphysema and liver cirrhosis. 30103740 2018
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 AlteredExpression disease BEFREE The liver aggregates typically lead to fibrosis, cirrhosis, and hepatocellular carcinoma, and the reduced circulating AAT levels can lead to emphysema and chronic obstructive pulmonary diseases. 29641323 2018
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE Our findings provide proof of concept for the development of anti-Cela1 therapies to prevent and/or treat AAT-deficient emphysema. 29420065 2018
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 AlteredExpression disease BEFREE Reduced levels of AAT allow abnormal degradation of lung tissue, which may ultimately lead to the development of early-onset emphysema. 29430176 2018
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE Our current knowledge about the cellular mechanisms underlying serpin-related disorders, the serpinopathies, is predominantly based on studies in cell culture models of disease, particularly for alpha-1 antitrypsin (AAT, SERPINA1) deficiency causing emphysema and the familial encephalopathy with neuroserpin (NS, SERPINI1) inclusion bodies (FENIB). 30194596 2018
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE Purified plasma-derived AAT has been well tolerated in more than 30 years of use to prevent emphysema in AAT-deficient individuals. 29607607 2018
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE SERPINA1 encodes the alpha-1 antitrypsin (AAT) protein, and severe deficiency of AAT is a major contributor to pulmonary emphysema and liver diseases. 29232161 2018
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 AlteredExpression disease BEFREE Reduced serum levels of alpha-1-antitrypsin may be a common factor of emphysema and HS. 28712697 2017
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE The putative protective serum concentration is generally considered to be above a threshold of 11 μM/L, and therapeutic augmentation of AAT above this value is believed to retard the progression of emphysema. 28769553 2017
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 Biomarker disease BEFREE It is synthesized mainly by hepatic cells, and widely used to treat patients with emphysema due to congenital deficiency of AAT. 28183045 2017
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 GeneticVariation disease BEFREE This protein deposition can lead to liver disease, with the resulting low circulating levels of AAT predisposing to early-onset emphysema due to dysregulation of elastinolytic activity in the lungs. 28504839 2017
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 GeneticVariation disease BEFREE Alpha-1-antitrypsin deficiency (AATD) is a genetic condition caused by SERPINA1 mutations, which culminates into lower protease inhibitor activity in the serum and predisposes to emphysema. 28668972 2017
CUI: C0034067
Disease: Pulmonary Emphysema
Pulmonary Emphysema
0.500 GeneticVariation disease BEFREE The alpha-1 antitrypsin (AAT) haplotype Pi*S, when inherited along with the Pi*Z haplotype to form a Pi*SZ genotype, can be associated with pulmonary emphysema in regular smokers, and less frequently with liver disease, panniculitis, and systemic vasculitis in a small percentage of people, but this connection is less well established. 28652721 2017