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Rheumatoid arthritis

Forward and reverse inheritance — the yin and the yang

The theory of Mendelian inheritance states that half our genes are maternal and half are paternal. This view is incomplete, as maternal–fetal exchange creates a legacy of non-native cells within an individual that can affect their health for better or worse, including contributing to their risk of developing autoimmune disease.

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Figure 1: Forward and reverse inheritance from microchimerism of maternal and of fetal origin.

References

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Acknowledgements

The authors' work is supported by NIH grants HL-117737 and AI-45659 (to J.L.N.) and by INSERM (N.C.L.).

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Correspondence to J. Lee Nelson.

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Nelson, J., Lambert, N. Forward and reverse inheritance — the yin and the yang. Nat Rev Rheumatol 13, 396–397 (2017). https://doi.org/10.1038/nrrheum.2017.88

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